- Point32Health (MA)
- …who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Provide behavioral health utilization review and care management in ... order to ensure timely and appropriate services for the membership while in Behavioral Health acute and intermediate levels of care and to ensure coordination of… more
- Commonwealth Care Alliance (Boston, MA)
- …the CMO and VPMA to develop and advance the UM program, collaborates with the Behavioral Health UM team the multiple clinical groups and provider partners in ... of Utilization Management leads and manages all utilization management (UM) functions for physical health ...five (5) years of clinical experience in medical or behavioral health care delivery **Required Knowledge, Skills… more
- Point32Health (Canton, MA)
- …Medical Officers, enterprise Medical Directors, enterprise and division based Behavioral Health leaders to support appropriate utilization of health care ... The Director will ensure collaboration and coordination with enterprise or divisional based behavioral health and / or case management leaders and programs. The… more
- Highmark Health (Boston, MA)
- …+ High School Diploma/GED with RN license or Master's Degree if licensed behavioral health professional **Substitutions** + None **Preferred** + Bachelor's ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical, Case Management and/or Condition Management + Experience in a… more
- Point32Health (MA)
- …click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Behavioral Health Psychologist Reviewer will primarily perform utilization management and ... as well as any partner entities at the direction of Behavioral Health Medical Director Team Leader for Utilization Management (UM) and/or the Medical… more
- Fenway Health (Boston, MA)
- Low-Barrier Triage Behavioral Health Clinician Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Behavioral Health Job ... Description Under the supervision of the Manager of Integrated Behavioral Health Services, the Low-Barrier Triage BH...positive who would benefit from talking to a mental health professional ) and those for whom mental… more
- Elevance Health (Boston, MA)
- …by state law and scope of practice), MHC, LPC, etc. to practice as a health professional within the scope of licensure in applicable states or territory of ... The **Manager Behavioral Clinical Services** is responsible for managing the...department. Manages the delivery of quality care management, clinical utilization and referral services. **Location:** Remote - Candidates must… more
- Baystate Health (Springfield, MA)
- …on a regular basis. + Develops and collects data to identify trends in utilization of health care resources. + Assumes accountability for own professional ... with patients to optimize control of chronic medical and mental health conditions, improve functional status, reinforce self-management plan and prevent/minimize… more
- Commonwealth Care Alliance (Boston, MA)
- …, closing of care quality gaps, and optimizing member connection to medical, behavioral health , and substance use disorder resources. CHW IIs play an ... integral role in reducing high ED and inpatient utilization related to unmet social needs, including housing, food,...Primary Care Provider (PCP) or specialty care providers (eg behavioral health clinician). + CHW IIs utilize… more
- Harvard University (Cambridge, MA)
- …members of the Harvard community. Our work includes multi-specialty ambulatory medical care, behavioral and mental health services, and campus public health . ... 66674BRAuto req ID:66674BRJob Code:403049 Health Assistant II Department Office Location:USA - MA...AGE SPECIFIC COMPETENCIES: Provides care to the adolescent through utilization of the following: a. Supplements explanations with reasons… more
- Humana (Boston, MA)
- …opportunities which may support Member Engagement, Clinical Performance, Provider Engagement, Behavioral Health and Pharmacy. This position reports to Quality ... part of our caring community and help us put health first** The Senior Data and Reporting Professional...healthcare data including multi-level drill down assessment of key utilization and financial performance measures related to Quality. +… more
- Fenway Health (Boston, MA)
- …consistent with the care philosophy of patient-centeredness, non-judgmental, harm reduction, behavioral health integration, and team-based care. The nurse serves ... learners; and will always conduct their self in a respectful, courteous, and professional manner consistent with the Fenway Health Mission "to enhance the… more
- Baystate Health (Springfield, MA)
- …+ Manages transitions of care for patients discharged from the hospital, behavioral health facility/program, emergency room, or from a skilled nursing ... + Develops and collects data to identify trends in utilization of health care resources. + Assumes...health care resources. + Assumes accountability for own professional practice and for aspects of patient care delegated… more
- Fallon Health (Lowell, MA)
- …Maintains accurate documentation and coding of all services provided according to professional standards + Identifies utilization and service delivery problems ... with Students! + PACE is a Growing Area of Health Care, Come Grow with It! **About us:** Fallon...participates in all site and provider staff meetings including behavioral rounds and psychiatric rounds as indicated. + Enhances… more
- Making Opportunity Count Inc (Fitchburg, MA)
- …Health Clinician with MOC, you'll provide compassionate and effective outpatient behavioral health counseling. Your role will involve individual, family, ... balance and overall satisfaction! For most positions, these benefits will include: + Health , Dental, and Vision Insurance + Company Paid Life Insurance and Long Term… more
- Baystate Health (Springfield, MA)
- …include: acute or chronic conditions, gastrointestinal disorders, infections processes, behavioral health , neurological & circulatory impairment, kidney disease, ... including activity/mobility tool, acuity-based assignments, capacity management workflow, and foley utilization . + The Manager is dedicated to professional … more
- Cambridge Health Alliance (Cambridge, MA)
- …functioning interdisciplinary team works to fully integrate and coordinate medical and behavioral health care, community resources, and in-home support services. ... of All-Inclusive Care for the Elderly (PACE) at Cambridge Health Alliance (CHA). CHA PACE serves adults 55 years...with CHA policies and procedures, federal and state regulations, professional standards of care, and APTA guidelines and code… more
- Baystate Health (Springfield, MA)
- …include: acute or chronic conditions, gastrointestinal disorders, infections processes, behavioral health , neurological & circulatory impairment, kidney disease, ... Baystate Health , a nationally recognized leader in healthcare quality...tool, acuity based assignments, capacity management workflow, and foley utilization . + The Manager is dedicated to professional… more
- WellSense (Boston, MA)
- …members, no matter their circumstances. **Job Summary:** The Senior Manager of Clinical Utilization Management (UM), Behavioral Health is responsible for the ... will work in conjunction with the Senior Director of Behavioral Health (BH) Clinical Programs on a...training . Oversees the development and execution of individual professional development plans for all direct reports consistent with… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …schedules, for all clinical staff. EDUCATION: + Bachelor's or master's degree in behavioral health , health care administration or related field preferred. ... in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! Everywhere you turn, you can feel the...time-off requests within Workday. + Monitor the productivity of professional staff by assisting with the utilization … more