• Behavioral Health Medical

    Generations Family Health Center (Putnam, CT)
    Behavioral Health Medical Director / Psychiatrist Job Details Level Management Job Location GEN Putnam - Putnam, CT Remote Type N/A Position Type Full ... Percentage Undisclosed Job Shift Day Job Category Health Care Description Behavioral Health Medical Director / Psychiatrist (MD/DO) Location: Putnam… more
    Generations Family Health Center (12/28/24)
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  • Behavioral Health Medical

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
    Humana (02/15/25)
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  • Behavioral Health Clinician (LMSW,…

    Hartford HealthCare (Norwich, CT)
    …We offers a variety of programs including inpatient and outpatient behavioral health , residential treatment for court-involved teenage girls, geriatric ... day-to-day program operations and staff in the absence of Director of Social Work and Program Director ,...Every moment matters. And this is *your moment*. **Job:** ** Behavioral Health * **Organization:** **Natchaug Hospital* **Title:** *… more
    Hartford HealthCare (03/13/25)
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  • Administrative Assistant III - Adult…

    Hartford HealthCare (Dayville, CT)
    …We offer a variety of programs including inpatient and outpatient behavioral health , residential treatment for court-involved teenage girls, geriatric ... balance. Every moment matters. And this is*your moment*. **Job:** ** Behavioral Health * **Organization:** **Natchaug Hospital* **Title:** *Administrative… more
    Hartford HealthCare (03/22/25)
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  • Part-Time Weekend Medical Director

    Highmark Health (Providence, RI)
    …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
    Highmark Health (03/14/25)
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  • Medical Director Pharmacy,…

    Highmark Health (Providence, RI)
    **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This role leads a Pharmacology & Therapeutics Committee and serves as a Medication ... requested. . **Q** **UALIFICATIONS:** **Required** + Doctorate degree in Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (01/16/25)
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  • Director of Rating Tools Enablement

    Highmark Health (Providence, RI)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Highmark seeks a Director of Rating Tools Enablement to lead the design, development, and ... Oversee the execution of analytics to support the implementation of key medical cost savings initiatives: Understand the insights required to capture cost-savings,… more
    Highmark Health (03/15/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Providence, RI)
    …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
    Highmark Health (03/04/25)
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  • Director Provider Reimbursement Development

    Highmark Health (Providence, RI)
    …initiatives. These functions collectively maintain the Organization's reimbursements to all health care providers, and serve as a consulting resource in maintaining ... in reimbursement and payment model design + Familiarity with core health plan reimbursement operations **_Preferred_** + Familiarity with alternative care model… more
    Highmark Health (03/04/25)
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  • Clinical Research Director (CRD) - General…

    Merck (Providence, RI)
    **Job Description** The Clinical Research Director (CRD) is the Clinical Operations lead in a country/cluster and is responsible for execution of all Clinical Trials ... Research & Development Division / GCD Therapy Areas, and when appropriate Human Health . + Working with regional and global colleagues develops and executes the GCTO… more
    Merck (03/19/25)
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  • IPA Coding Associate Director

    CenterWell (Providence, RI)
    …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** The IPA Coding Leader manages a diverse...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying… more
    CenterWell (03/06/25)
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  • Assignment Ready Counselor- MFLC

    Magellan Health Services (Newport, RI)
    …child daycare centers and schools, and consultation to installation command regarding behavioral health issues affecting military personnel and their family ... - Required Clinical Work Experience - Preferred Education - Required Master's - Behavioral Health , Master's - Social Work Education - Preferred License and… more
    Magellan Health Services (02/20/25)
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  • Mental Health Worker - Child/Adolescent PHP

    Hartford HealthCare (Norwich, CT)
    …We offer a variety of programs including inpatient and outpatient behavioral health , residential treatment for court-involved teenage girls, geriatric ... the direct supervision of a registered nurse or program director , the Mental Health Worker provides therapeutic...hospital policies and core values. * Previous experience with behavioral health clients preferred. * High school… more
    Hartford HealthCare (02/06/25)
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  • ED Clinician BHS (NE)

    Charter Care Health Partners (Providence, RI)
    Summary: Under the direction of the System Director of Outpatient and Integrated Behavioral Health , ED Clinicians will function as clinical Behavioral ... of care. Clinician will have working knowledge of insurance prior authorization, medical necessity criteria and ASAM criteria. Clinicians will have the ability to… more
    Charter Care Health Partners (01/31/25)
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  • Senior Pharmacist

    Highmark Health (Providence, RI)
    …of member specific information to improve individual outcomes as an adjunct to health coaching. If acting in the capacity as a clinical pharmacist the incumbent ... disease management identification process, and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate, follow-up on… more
    Highmark Health (02/21/25)
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  • RN/LPN Infection Preventionist

    Masonicare (Mystic, CT)
    …(http://www.masonicare.org/) + Why Masonicare + Mystic Community + Job Fairs + Hospice + Behavioral Health Similar Jobs + RN Staff Nurse (PER DIEM) Mystic, ... CARE UNIT** Under the direction of the Associate Executive Director , and in collaboration with the ALSA Director...communicable disease outbreaks, and to maintain or improve resident health status. As part of the system of surveillance,… more
    Masonicare (03/15/25)
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  • Senior Clinical Pharmacy Technician

    CenterWell (Providence, RI)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** The Clinical Pharmacy Technician 4 assists the interdisciplinary CIT team with… more
    CenterWell (02/20/25)
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