- Magellan Health Services (Shreveport, LA)
- …directly influence quality of care . General Job Information Title Care Manager , BH - Remote (Louisiana license required) Grade 24 Work Experience ... This is a remote position supporting Louisiana. Candidates must be licensed...Maintains an active work load in accordance with National Care Manager performance standards. + Works with… more
- Magellan Health Services (San Diego, CA)
- …verbal communication skills. General Job Information Title Care Manager , Health Plan ( BH ) - Licensed in CA - Remote Grade 25 Work Experience - Required ... This position is responsible for the assessment, reassessment, care planning and coordination of care ...assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate… more
- WellSense (Boston, MA)
- Senior Manager of Clinical UM - BH WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... for our members, no matter their circumstances. **Job Summary:** The Senior Manager of Clinical Utilization Management (UM), Behavioral Health is responsible for the… more
- CVS Health (Trenton, NJ)
- …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, ... skills are required. **Fundamental Components/Job Description:** The Clinical Case Manager BH is responsible for conducting face...program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for… more
- CVS Health (Topeka, KS)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** **Bilingual Spanish Speaking**… more
- Magellan Health Services (Honolulu, HI)
- …verbal and written communications skills. General Job Information Title Director, Clinical Care (UM/ BH ), HMSA, Licensed/Reside in Hawaii Grade 30 Work Experience ... This is a remote /work from home position, but candidates need to...initiatives with providers and members to manage cost of care . Oversees utilization management and criteria-based reviews of … more
- Magellan Health Services (San Diego, CA)
- Seeking candidates who reside in California for this remote /work from home position in CA. Manages the day to day account relationship. Supports the development of ... and explanation of data. + Financial: Ensures revenue goals are met, cost of care and administrative expenses are managed and segment profit targets are achieved for… more
- Fallon Health (Worcester, MA)
- …discussions with Fallon and ACO Care Managers about members assigned, engaged, or lost to care + Develops rosters for BH and LTSS CP + Develops reports for ... cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in...Coordinator assists in the management of the Behavioral Health ( BH ) Community Partner (CP) Program, Long Term Services and… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …assessment, diagnosis and management (including pharmacotherapy) of inpatient and outpatient BH care . Responsibilities This vacancy will remain open until ... Commission of Accreditation of Rehabilitation Facilities that are applicable to Behavioral Health ( BH ) programs (assessment of the patient; care of the patient;… more
- CareOregon (Portland, OR)
- …of managed health care requirements and ability to operationalize within the BH sector + Knowledge and experience with developing and implementing a quality and ... Candidates hired for remote positions must reside in Oregon, Washington, Utah,...Texas, Montana, or Wisconsin. Job Title Planning and Operations Manager - Behavioral Health Exemption Status Exempt Management Level… more
- Humana (Columbus, OH)
- …proudly serve. Are you Caring, Curious and Committed? If so, apply today!The Field Care Manager , Behavioral Health 2 work assignments are varied and frequently ... BH CM** must perform the full scope of care coordination activities and responsibilities for members who need... Coordination Entity, the OhioRISE Plan, CPCs, and/or a Care Management Entity. Care Manager … more
- Boston Health Care for the Homeless Program (Boston, MA)
- …population health lens to provide both preventative and reactionary services. As a Nurse Care Manager , you will use clinical expertise to collaborate with the ... broader interdisciplinary care team (PCP, BH clinicians, etc.) to...remote days. + Provide clinical assistance to 3-5 Care Coordinators with panels of approximately 45 clients each.… more
- AmeriHealth Caritas (Manchester, NH)
- …treatment need. + As requested by BHM, participate in the review of denials of care for SUD and BH treatment services. _Additional Accountabilities_ + Ensure the ... associates and Providers. + Serves as clinical advisor and manager for all clinically related SUD and BH...BH with medical programs to improve integration of BH and SUD in the primary care … more
- AmeriHealth Caritas (Harrisburg, PA)
- … Manager PerformCare Pennsylvania** **Responsibilities:** The PerformCare-PA Behavioral Health Clinical Care Manager ( BH -CCM) is a core participant of ... **Behavioral Health Care Manager --PerformCare Pennsylvania** Location: Harrisburg, PA...provider and, when appropriate, other medical providers. Coordination of care including PH- BH , referrals, follow up, authorization… more
- AmeriHealth Caritas (Southfield, MI)
- …and other administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The BH Clinical Care Manager (CCM) is a core ... **Behavioral Health Care Manager , BSN** Location: Southfield, MI...provider and, when appropriate, other medical providers. Coordination of care including PH- BH , referrals, follow up, authorization… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Manager , Provider Services - Behavioral Health ( BH ) leads a team of provider relations ... provider relations + 2+ years of progressive experience in Behavioral Health managed care operations and provider relations with BH and substance use disorder… more
- CVS Health (Richmond, VA)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** At...and quality objectives are met. This position is fully remote . Eligible candidates can live anywhere in the US,… more
- Centene Corporation (Topeka, KS)
- …with all policies and standards **Must reside in Kansas!** **Centene is hiring a Care Manager 's to cover the Northwest, Southwest, North Central, South Central, ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
- Point32Health (Canton, MA)
- …about who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Care Manager - Nursing (RN CM) will ensure that all members ... interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking… more
- CVS Health (Columbus, OH)
- …in the state of Ohio. The Care Plan Reviewer (Clinical Case Manager BH ) utilizes advanced clinical judgment and critical thinking skills to facilitate ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...convenient and affordable. **Position Summary** This is non-member facing remote role with a travel requirement of up to… more