- Highmark Health (Providence, RI)
- …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
- Highmark Health (Providence, RI)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Providence, RI)
- …, 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
- CVS Health (Woonsocket, RI)
- …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 ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....team is seeking a highly skilled and experienced Senior Manager of Member Growth Analytics with strong SQL skills… more
- Vitra Health (New Bedford, MA)
- …Fluency in both English and second language strongly preferred. + Case management, behavioral health , social services and/or community health worker ... Health is an AFC provider. The Adult Foster Care (AFC) program is a Mass Health ...care teams, comprised of a Nurse and Case Manager , provide vital support for the clients and caregivers… more
- CVS Health (Woonsocket, RI)
- …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 ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....shopping. We currently have an important opportunity for a ** Manager of** **Customer Strategy, FS Offer** **Team.** **The** **… more
- CVS Health (Providence, RI)
- …will include all aspects of MinuteClinic services, including Primary Care , Retail Care , and/or Behavioral Health . Additionally, the team is responsible ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....under the Retail Health division of CVS Health , the Manager , Payer Relations manages and… more
- Highmark Health (Providence, RI)
- …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
- Charter Care Health Partners (North Providence, RI)
- Summary: Under the Direction of the System Manager of Inpatient Behavioral Health Social Work, the Inpatient Social Worker will provide direct services to ... adult psychiatric patients on the acute behavioral health units at CCHP, including leading groups, individual therapy, family and systems meetings, completing… more
- Child & Family Services of RI (Providence, RI)
- …Services (EOHHS), Department of Human Services (DHS), and/or The Department of Behavioral Health , Developmental Disabilities & Hospitals (BHDDH) to provide case ... person-centered plan development, oversite, referrals, and monitoring. The case manager assists with care coordination to ensure...and monitoring. The case manager assists with care coordination to ensure participant's needs and wants are… more
- Charter Care Health Partners (North Providence, RI)
- …unit staff and the inter-disciplinary treatment team (under the supervision of the System Manager of Inpatient Behavioral Health Social Work) in implementing ... Summary: CharterCARE Health Partners is seeking an Activity, Recreation and...years related experience preferred, with knowledge of psychiatric patient care techniques with understanding of mental illness and substance… more
- Prime Healthcare (Woonsocket, RI)
- …the utilization review process as it relates to triage and admission to the Behavioral Health Unit. The ICM is a patient advocate, promoting cost-containment and ... demonstrates leadership to integrate health care providers in achieving seamless delivery of care across the continuum. The methodology is designed to… more
- Prime Healthcare (Woonsocket, RI)
- …facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment ... and demonstrates leadership to integrate the health care providers to achieve a perceived...Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Prime Healthcare (Woonsocket, RI)
- …facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment ... and demonstrates leadership to integrate the health care providers to achieve a perceived...Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care … more
- J&J Family of Companies (Providence, RI)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- Sodexo (Providence, RI)
- …full-time position at **Butler Hospital,** located in Providence, RI. This 200-bed behavioral health facility is part of the Care New England system. In this ... clinical lead, collaborating with the interdisciplinary team while also providing direct patient care . **What You'll Do** + provide nutritional care that aligns… more
- Charter Care Health Partners (Providence, RI)
- …knowledge of social work practice, Master's Degree in Social Work, Mental Health Counseling or Psychology from accredited programs, RI Board Certified Alcohol and ... Drug Profession Licensure: Master's Prepared or LCSW/LICSW/LMHC/LCDP Position Title: Behavioral Hlth Clinician / Outpatient Education: Master's degree in related… more
- Magellan Health Services (Newport, RI)
- …- Licensed Professional Counselor - Care Mgmt, Must be an independently licensed behavioral health clinician - Care Mgmt License and Certifications - ... child daycare centers and schools, and consultation to installation command regarding behavioral health issues affecting military personnel and their family… more
- Sharecare (Providence, RI)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- Elevance Health (Smithfield, RI)
- …The **Medical Director** will be responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. +...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more