- Riverside Community Care (Milford, MA)
- We make a difference- in your community and in your career. Behavioral Health Clinical Manager - Substance Use Focus also known as Co-Occurring ... care? Join Riverside Community Care as a Clinical Program Manager within our Community Behavioral Health Center (CBHC) in Milford! This is a dynamic… more
- Charter Care Health Partners (North Providence, RI)
- …for the delivery of quality, cost-effective nursing services for the department of behavioral health in compliance with all regulatory and licensing standards. ... Develops, implements and evaluates a management plan which include financial, clinical quality, human resources and professional practice components. Education: RN… more
- Riverside Community Care (Milford, MA)
- …is seeking a passionate clinical team manager to join our Community Behavioral Health Center (CBHC) team in Milford! This is a unique opportunity to join ... your community and in your career. Substance Use (SUD) Clinical Team Manager also known as Co-Occurring...a growing team of dedicated behavioral health /substance use/co-occurring professionals in a unique… more
- Riverside Community Care (Norwood, MA)
- …program. + Serve as a key liaison between the Respite and the Community Behavioral Health Center (CBHC) and other community partners. + Complete all required ... Riverside Community Care Love what you do! Clinical Team Manager - Norwood Respite...strongly preferred + At least 3 years' experience in behavioral health settings, including mental health… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** At Humana, our Medicaid Clinical Enablement team is dedicated to designing, developing, ... and implementing innovative learning solutions for clinical associates across Medicaid markets. As a ...effectiveness of learning programs, analyzing engagement, knowledge retention, and behavioral change to ensure meaningful impact. + Lead change… more
- Fallon Health (New Bedford, MA)
- …approves their care plan Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric ... care and is continually rated among the nation's top health plans for member experience, service, and clinical...or her health needs, social needs or behavioral health needs Collaborates with appropriate team… more
- Highmark Health (Providence, RI)
- …Requires thorough understanding of end systems impact of changes across multiple systems, clinical disease process, and healthcare data. As a ** Clinical Business ... providing expert consultation on the design and feasibility of our clinical digital healthcare products, implementing large scale data exchange initiatives, and… more
- CenterWell (Providence, RI)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Senior Product Owner - Clinical...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Highmark Health (Providence, RI)
- …primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health ... over specified panel of members by performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address… more
- CVS Health (Woonsocket, RI)
- …experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience. ... At CVS Health , we're building a world of health...position consists of working intensely as a telephonic case manager with patients and their care team for fully… more
- Highmark Health (Providence, RI)
- …week (Tuesday-Thursday).** This role supports the full application product lifecycle for ** clinical and utilization management software** , with a specific focus on ... teams. They function as a pivotal bridge, translating high-level ** clinical and utilization management software** business needs into detailed...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Molina Healthcare (Brockton, MA)
- …and suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and ... JOB DESCRIPTION **Job Summary** The Care Manager , LTSS provides support for care management/care coordination...management, managed care, and/or experience in a medical or behavioral health setting, and at least 1… more
- Point32Health (Canton, MA)
- …pharmacy, community health workers, dementia care specialists, wellness, and Behavioral Health CM). Attending and presenting (as appropriate) high risk ... and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking skills, and… more
- Highmark Health (Providence, RI)
- …management OR d) management of professional analytic staff in a business, clinical or technology function + 5-7 years of experience solving business, financial ... and/or clinical problems.This includes using technologies and analytical methodologies, preparation...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Providence, RI)
- …accounts to ensure retention and growth of profitable business. HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...term strategy for specific account needs. Lead internal partners ( Clinical , Analytics, etc.) in delivering client strategy. + Other… more
- Highmark Health (Providence, RI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** * This is a hybrid role if you live within a 50 mile radius of one of our office locations in PA, ... + Experience working in a product led environment + Clinical knowledge in the product space **SKILLS** +...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Prime Healthcare (Woonsocket, RI)
- …Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute ... of their admission and across the continuum of the health care management. Works on behalf of the advocate,...designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a… more
- Devereux Advanced Behavioral Health (Warwick, RI)
- …This position is located in Warwick, RI **$1000 Sign-on Bonus** **Devereux Advanced Behavioral Health - Massachusetts and Rhode Island** is a nationally ... in the lives of individuals and their families, offering hope, healing, and comprehensive behavioral health support. We are looking for a passionate Foster Care… more
- Fallon Health (Milford, MA)
- …care including but not limited to working with providers to arrange medical and behavioral health appointments and following up with members afterwards to ensure ... on the NaviCare Member Population: Facilitates transportation to medical, behavioral health , and social appointments by educating...needs + The Navigator refers to the Nurse Case Manager /PCP whenever clinical decision making is required.… more
- Elevance Health (Providence, RI)
- …Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental health and substance use ... looking for candidates to work on the new Massachusetts Behavioral Health Help Line with knowledge of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more