- Penn Medicine (Lancaster, PA)
- …including providing recommendations, referrals and coordination of care. What you will do Assists Behavioral Health case manager and team in developing and ... work group, including performance improvement projects. Participates in groups including behavioral health staff case reviews, conference, and in-service… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating ... outcomes, and strengthen community-based partnerships. This position works closely with CCA's Behavioral Health, Health Home, Network, and Clinical teams to… more
- Monte Nido (Waltham, MA)
- …lives while providing the opportunity for people to realize their healthy selves. Clinical Internship Walden Behavioral Care Waltham, MA Walden Behavioral ... licensed clinician in accordance with graduate program requirements. Additional clinical training opportunities provided by the organization and specific… more
- Highmark Health (Harrisburg, PA)
- …dollar and strategic contracting functions (client and GPO), develops business case and presents to senior leadership throughout organization. Monitor contract ... of major commodity contracts for a wide array of clinical and non- clinical products and/or services. Experience...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- UPMC (Pittsburgh, PA)
- …to requests for department interventions, in consultation with the Senior Director, Clinical Director, and/or Clinical Manager . Assist supervisory/management ... individual supervision as required. Be prepared to present a clinical case in a well-ordered manner. Provide...as necessary, and in consultation with LS Senior Director, Clinical Director, and Clinical Manager .… more
- Devereux Advanced Behavioral Health (Phoenix, AZ)
- Description Devereux Advanced Behavioral Health Arizona's Community Based Services program provides in-home remedial intervention for at-risk youth and families ... process. We are looking for talented individuals who have experience working in Behavioral Health, with families and at-risk youth, to be a positive role model… more
- ColumbiaCare Services (Medford, OR)
- …to promote and nurture a healthy treatment culture. In collaboration with the Clinical Manager and Residential Therapist, they will provide individual and group ... as, but not limited to, skills training, activity therapy, group therapy, and case management as indicated in the treatment plan. The Residential Treatment Therapist… more
- Devereux Advanced Behavioral Health (Downingtown, PA)
- …on relevant experience Join our dedicated Truancy Prevention Program as a School and Community Clinical Case Manager and help students stay on track with ... their education. This role provides family-centered case management services that identify and address barriers to attendance, promote academic success, and… more
- Saint Francis Health System (Tulsa, OK)
- …as required in the examination of numerical data. Ability to synthesize clinical case data into concise summaries. Essential Functions and Responsibilities: ... through Friday, 8:00 am to 5:00 pm Job Summary: Provides administrative and clinical support to the hospital and treatment team throughout the review of patients,… more
- Banner Health (Phoenix, AZ)
- … Health Hospital, BTMC Behavioral , and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint ... academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly… more
- Molina Healthcare (Akron, OH)
- …proficiency. Preferred Qualifications Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). Hospital discharge planning or home ... field to complete assessments on those members on your case load. Preference will be given to candidates with...Molina. Additional pluses - experience with the LTSS or Behavioral Health populations. Bilingual is also a plus. Solid… more
- Kaiser Permanente (Clackamas, OR)
- …easy and affordable). Adheres to Quality of Service Standards and Behavioral Guidelines. Professional Competencies: Demonstrates ethical and legal behavior in all ... reasoning, reflection and rational problem-solving skills, using verifiable information, and clinical judgment, in order to choose among alternative solutions to … more
- Penn Medicine (East Petersburg, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... following duties Works under the direction of the Care Manager ; determines plans for care management; coordinates care plans...plans and completes tasks as necessary to complete social behavioral care plan goals. Tasks may include, but are… more
- Kaiser Permanente (Clackamas, OR)
- …and easy and affordable). Adheres to Quality of Service Standards and Behavioral Guidelines. Demonstrates ethical and legal behavior in all professional activities. ... reasoning, reflection and rational problem-solving skills, using verifiable information, and clinical judgment, in order to choose among alternative solutions to … more
- CVS Health (Columbus, OH)
- …claims submitted to the Medicaid lines of business Researches and prepares cases for clinical and legal review Documents all appropriate case activity in case ... tracking system Facilitates feedback with providers related to clinical findings Initiates proactive data mining to identify aberrant billing patterns Makes… more
- Highmark Health (Harrisburg, PA)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... and research related to special projects and providing coverage for coding manager (s). (10%) Depending on location provides or arranges for education/training of… more
- CVS Health (Oak Brook, IL)
- …And we do it all with heart, each and every day. **Position Summary** This Clinical Case Manager Behavioral Health position is with Aetna's ... etc.). The requirements is for candidates to hold a Behavioral Health License (specifically LCSW, LCPC, or LMFT), and...outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as… more
- CVS Health (Chicago, IL)
- …meetings and/or trainings in Downers Grove IL as needed/requested by Management.** BH Clinical Case Manager is responsible for telephonically and/or face ... Care: - Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies,...direct clinical practice experience post masters in Behavioral Health * Minimum 1+ year of Case… more
- CVS Health (Austin, TX)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Springfield, IL)
- …Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. **Position Summary** Our Case Managers use ... and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. + Utilizes case ...field. Work Experience: + Minimum of 3-5 years of clinical experience, preferably in behavioral health. +… more
