- Elevance Health (Olathe, KS)
- The **Behavioral Health Case Manager Lead - Kansas** is responsible for coordinating operations and workflows related to care management activities that support the ... Case Management Program . Primary duties may include but are not limited...not limited to: + Provides support to member facing BH Case Mgrs and other Care management associates. +… more
- Magellan Health Services (San Diego, CA)
- …ongoing benefit analysis and adherence to requirements of the account?s legal/ regulatory environment. + Owns overall account satisfaction within the company as ... presentation of customer reports with meaningful analytics, trending and recommendations for program improvement based on findings. + Ensures all client reports have… more
- Magellan Health Services (Honolulu, HI)
- …policies and processes. Also oversees the health plans 24/7 Nurse Line program and the clinical management of crisis calls. Depending on SBU/product supported, ... Leads and organizes the ongoing evaluation of the utilization management program against quality and utilization benchmarks and targets. Identifies opportunities for… more
- CVS Health (Raleigh, NC)
- …and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure ... * Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. * Must be… more
- CVS Health (Phoenix, AZ)
- …coordinate, document and communicate all aspects of the utilization/benefit management program . + Applies critical thinking and knowledge in clinically appropriate ... of Care; + Utilizes case management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. **Required… more
- CareOregon (Portland, OR)
- …Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Planning and Operations Manager - Behavioral Health Exemption Status Exempt Management Level Manager ... listed 9 states. Job Summary The Planning and Operations Manager - Behavioral Health is responsible for monitoring and...strategies, projects, initiatives and operations for either CCOs or BH Department across the department and lines of business.… more
- VNS Health (Manhattan, NY)
- …intermediary between the health plan and the State, addressing issues related to BH compliance, regulatory and program improvements, requirements, and other ... + Plans leadership and medical director meetings as stipulated by the State BH contract manager . Serves as the principal behavioral health/social care expert… more
- AdventHealth (Killeen, TX)
- …from Day One - Paid Days Off from Day One - Student Loan Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and ... and Degrees without out-of-pocket tuition expense) - Nursing Clinical Ladder Program * **Our promise to you:** Joining AdventHealth Central Texas is about… more
- Baystate Health (Springfield, MA)
- …various activities of the pharmacy department. Through the leadership of the Pharmacy Manager and Director BH Retail and Specialty Pharmacy Services, the ... in the training and/or orientation of new pharmacy employees. Participates in the BH staff development program - Performance Evaluation (PE) and works to… more
- Baystate Health (Springfield, MA)
- …in the training and/or orientation of new pharmacy employees. Participates in the BH staff development program - Performance Evaluation (PE) and works to ... activities of the pharmacy department. Through the leadership of the Pharmacy Manager , the pharmacy intern is responsible for the essential functions and… more
- Baystate Health (Springfield, MA)
- …in the training and/or orientation of new pharmacy employees. Participates in the BH staff development program - Performance Evaluation (PE) and works to ... department. Through the leadership of the Pharmacy Technician Supervisor and Pharmacy Manager of Clinical Quality and Education, the pharmacy intern is responsible… more
- Adelante (Phoenix, AZ)
- …performance, budget achievement and growth. This individual works in collaboration with the BH Area Operations Manager to implement and oversee initiatives and ... institution + Graduation from an approved medical assistant training program with three (3) or more years' experience +...according to protocol for patients' age + Communicates with BH Area Operations Manager as situations arise… more
- Baystate Health (Springfield, MA)
- …quality and safety, and home to Baystate Rehabilitation, a comprehensive rehab program providing services throughout western Massachusetts is looking for a full time ... patients within their scope of responsibility. Under the direction of the Pharmacy Manager , the clinical pharmacist will perform a variety of duties including; age… more
- Munson Healthcare (Traverse City, MI)
- Patient Care Manager IP BH Job Code: 1047 Job Summary Provides direct clinical services to patients within Munson Medical Center Inpatient Behavioral Health ... degree from a social work, psychology, and/or counseling accredited program . Preferred 3 Or 6000 hours of counseling and/or...counseling May be a LMSW, LPC, or LLP. With manager approval, Limited Licensed individuals may be considered. OTHER… more
- CVS Health (Princeton, NJ)
- …network management. Candidate must reside in New Jersey. The primary functions of the BH Senior Manager of Network Relations are: + Involvement in the ... care more personal, convenient and affordable. **Position Summary** The Behavioral Health Senior Manager of Network Relations is a key role on the Aetna Better… more
- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a(an) Manager Quality Registered Nurse RN you want in your current role? We invest in what ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Point32Health (Canton, MA)
- …we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Care Manager - Nursing (RN CM) will ensure that all members receive timely ... and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking skills, and ability… more
- CVS Health (Columbus, OH)
- …meetings/trainings in the state of Ohio. The Care Plan Reviewer (Clinical Case Manager BH ) utilizes advanced clinical judgment and critical thinking skills to ... and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure… more
- CVS Health (Springfield, IL)
- …flexibility needed to work between 5pm to meet member needs.** The Clinical Care Manager BH is responsible for care coordination and case management for members, ... determining functionality; Ensures case management processes follow organization and regulatory requirements; Implements systems to maximize member engagement, discern… more
- Baystate Health (Springfield, MA)
- …they are hired. The Nurse Resident will be supported by the Nurse Residency Program Manager and Facilitator and unit-based educator, manager and preceptors ... manager and in collaboration with the Nurse Residency Program will be responsible for the provision of nursing...nursing care to assigned patients in accordance with current BH Standards of Care. The Nurse Resident demonstrates the… more