- Highmark Health (Carson City, NV)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- CVS Health (Carson City, NV)
- …channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care . * Utilizes influencing/motivational ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
- Highmark Health (Carson City, NV)
- …interventions. The incumbent uses clinical and motivational interviewing skills to assess behavioral health , physical health , and social determinants of ... The overall goal is to help members navigate the health care system and develop condition self-management...Participate in ongoing training and educational activities related to behavioral health and medical topics. + Pro-actively… more
- Highmark Health (Carson City, NV)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Molina Healthcare (Washoe Valley, NV)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... **_We are seeking a RN (Registered Nurse) Case Manager for Washoe County, NEVADA. Qualified candidate must...delivery of care across the continuum, including behavioral health and long term care… more
- Highmark Health (Carson City, NV)
- …in marketing research with insurance is a plus. **Preferred** + Prior experience in Health Insurance or a Health Care Environment + Proven expertise in ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you...is defined as having worked as either a project manager or lead research analyst for a minimum of… more
- Highmark Health (Carson City, NV)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Highmark Health (Carson City, NV)
- …Preferred + None **EXPERIENCE** Required + 5 years of clinical or managed care experience Preferred + Health insurance experience **LICENSES OR CERTIFICATIONS** ... position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Prime Therapeutics (Carson City, NV)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary**...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved,… more
- Prime Therapeutics (Carson City, NV)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded… more
- CenterWell (Carson City, NV)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... function. + Confer with the patient's physician and other health care team members and participate in...Manager , patient and family members. + Participate in care coordination and discharge planning activities and act as… more
- Highmark Health (Carson City, NV)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Intermountain Health (Carson City, NV)
- **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members of the health care team to improve the ... The position educates patients and caregivers to help them manage their health care needs. The incumbent facilitates communication, coordinates services,… more
- CenterWell (Carson City, NV)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... will play a critical role in ensuring optimal patient care , high quality health outcomes, and improved...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Carson City, NV)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Sharecare, Inc. (Carson City, NV)
- …Specialty Care Providers, ancillary services, and all other members of the health care team to support the members. The certified professional will use ... team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans.… more
- CenterWell (Carson City, NV)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Carson City, NV)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Carson City, NV)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Carson City, NV)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more