- Highmark Health (Annapolis, MD)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- Elevance Health (Hanover, MD)
- **Carelon Payment Integrity Manager - Behavioral Health** **Supports Payment Integrity & Behavioral Health** _Location: This position will work a hybrid ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… more
- One Common Unity (Washington, DC)
- …the program. Reporting: This position reports to the Director of Community Based Behavioral Health and or the Community-Based Program Manager . Pay & Benefits: ... and Justice Grants (https://ovsjg.dc.gov/), we are looking for dynamic Credentialed Behavioral Health Clinicians who have experience with, and a passion for,… more
- Sharecare (Annapolis, MD)
- …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
- AmeriHealth Caritas (Washington, DC)
- …for a $4,000.00 sign on bonus.;** **Responsibilities:** The Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists members ... management services in achieving their optimal level of health through self-management.; The Care Manager II (RN/LICSW) is responsible for engaging the member,… more
- Johns Hopkins University (Lutherville, MD)
- …obtained by MOC or Prior Authorization Team. + Assists with in person clinical care (eg, medication administration, rooming of patients, chaperoning) when ... position works closely with the Medical Director and Clinic Manager to maintain high-quality care with an...for a group of primary complex patients to achieve clinical and organizational outcomes. + Provides evidence-based care… more
- CAI (Annapolis, MD)
- …career move, apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care coordination/management for our client's ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...and protocols. + Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health… more
- Highmark Health (Annapolis, MD)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- AmeriHealth Caritas (Washington, DC)
- …$5,500.00 sign on bonus.** **Responsibilities:** Under the supervision of the Market Clinical Director, Population Health, the Manager of Integrated Case ... Your career starts now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about helping people get care ,… more
- Elevance Health (Washington, DC)
- …+ Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions. + Assists members to ... Social Work Case Manager (licensed clinician) JR130923 **Location** : Must reside...in support of case decisions. + Facilitates and coordinates behavioral health resources as individual member needs are identified.… more
- The Cigna Group (Washington, DC)
- …or McLean, Virginia or Washington, DC or the Baltimore, MD area.** This ** Manager , Hospital Contracting** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager . This role assists in developing the strategic direction and management of the day to day contracting and… more
- AmeriHealth Caritas (Washington, DC)
- …about us at www.amerihealthcaritas.com . **Responsibilities:** Under the supervision of the Manager , Integrated Care Management (ICM), the Supervisor, ICM is ... responsible for the daily oversight of the Complex Care Managers; by providing clinical direction, organization, and monitoring of all care management… more
- Magellan Health Services (Odenton, MD)
- …- Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt License and Certifications - Preferred Salary ... of providing the full breadth of Child and Youth Behavioral (CYB) counseling services to children of all ages...by the Office of Secretary of Defense (OSD) program manager . The CYB will flex schedule to respond to… more
- Magellan Health Services (Washington, DC)
- …- Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt License and Certifications - Preferred Salary ... Psychologist. Provides the full breadth of Child and Youth Behavioral (CYB) Military Family Life Counseling (MFLC) services to...by the Office of Secretary of Defense (OSD) program manager . The CYB will flex schedule to respond to… more
- Elevance Health (Hanover, MD)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... depression, and insightful analytics to improve the delivery of care . The ** Clinical Ops Associate Medical Director...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Magellan Health Services (Andrews Air Force Base, MD)
- …- Driver License, Valid In State - Other, Must be an independently licensed behavioral health clinician - Care Mgmt License and Certifications - Preferred Salary ... of health fairs, and consultation to installation command regarding behavioral health issues. Works closely with the installation and...by the Office of Secretary of Defense (OSD) program manager . Counselor will flex schedule to respond to urgent… more
- Evolent (Annapolis, MD)
- …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Fresenius Medical Center (Towson, MD)
- …Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life ... and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient...on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney … more
- Fresenius Medical Center (Washington, DC)
- **About this role:** As a Social Worker with Fresenius Medical Care , you will provide psychosocial services for our dialysis clinic patients. You will work with the ... health care team to promote positive adjustment, rehabilitation, and improved...the clinic staff in understanding the emotional, psychological, and behavioral impact of chronic kidney disease on the patient… more
- American Institutes for Research (Washington, DC)
- … care quality initiatives. Ideally, the candidate will have experience with pharmaceutical care in a clinical or retail setting. The policy analyst will lead ... care policy and programs is preferred. + Knowledge of medications, clinical guidelines and standards of care . + Experience managing client relationships… more