- Highmark Health (Carson City, NV)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Highmark Health (Carson City, NV)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- CenterWell (Carson City, NV)
- …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 Associate Director , Risk Adjustment...Director , Risk Adjustment oversees quality assurance audits of medical records, ICD-10-CM, CPT, & HCPCS codes that are… more
- CenterWell (Carson City, NV)
- …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 Associate Director of MSO...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Highmark Health (Carson City, NV)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Centene Corporation (Carson City, NV)
- …In Office Engagement, and Community Based Travel within Nevada. **Position Purpose:** Oversee behavioral health related projects and programs for the Foster Care ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a...program for the assigned business unit. Develop and implement behavioral health programs and initiatives for the… more
- Conviva (Carson City, NV)
- **Become a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing ... enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Western Sierra Medical Clinic Inc (Kings Beach, CA)
- …will work with you! JOB TITLE: Licensed Clinical Social Worker REPORTS TO: Behavioral Health Director /Chief Operations Officer GENERAL STATEMENT OF DUTIES: ... licensed clinical social worker is responsible for providing evidence-based, solution focused, behavioral health interventions for medical clinical patients… more
- Prime Therapeutics (Carson City, NV)
- …focus **Reporting Structure** + Reports to Principal, Manager, Director , or Sr Director in the Health Outcomes, Pharmacy Audit, Pricing, Planning & Analysis, ... engineering, physics, accounting, finance, economics, computer sciences or business/social and behavioral science or related area of study, or the equivalent… more