- Commonwealth Care Alliance (Boston, MA)
- 024700 Clin Alli-Comm Behavioral Health **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other ... a panel of health plan members with complex medical, behavioral , and social care needs, including Severe...of the care management dyad, the Clinical Care Manager works directly with assigned CCA… more
- Somatus (Honolulu, HI)
- …Manager (CCM) - Diabetic educator experience - ICU, Cardiology or Critical Care experience - Telephonic case management experience - Experience with discharge ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to… more
- Somatus (Renton, WA)
- Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... Based Nurse Case Managers are an important part of the interdisciplinary care team. They are responsible for outreaching and scheduling member face-to-face visits… more
- Humana (Oklahoma City, OK)
- …housing support specialists, SDOH coordinators, and care management support assistants. The Care Manager , Telephonic Behavioral Health Nurse 2 work ... will focus on those enrollees with primarily behavioral health needs. The Care Manager , Behavioral Telephonic Nurse 2 will utilize clinical expertise… more
- Humana (Jackson, MS)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... with resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Social Worker Care Manager , Telephonic Behavioral Health 2 assesses and evaluates ... with resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and… more
- Molina Healthcare (TX)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... accordingly. * Promotes integration of services for members including behavioral health care and long-term services and...regimens. * Care manager RNs may conduct medication reconciliation… more
- Humana (Covington, VA)
- **Become a part of our caring community and help us put health first** The Behavioral Health Care Manager (Field Care Manager , Behavioral Health ... and telephonic assessments with members. The BH Care Manager serves as the primary point...a holistic, person-centered approach, the BH Care Manager remains dedicated to enhancing behavioral health… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** Job Description Summary The Field Care Manager , Behavioral Health performs primarily face to face and ... telephonic assessments with members. The Field Care Manager serves as the primary point...a holistic, person-centered approach, the Field Care Manager BH remains dedicated to enhancing behavioral … more
- Elevance Health (Nashville, TN)
- **JR168679 Behavioral Health Care Manager I** The Behavioral Health Care Manager I is responsible for conducting utilization management reviews ... mental health and substance use disorder inpatient and outpatient benefits through telephonic and written processes. Also provides telephonic support for crisis… more
- Elevance Health (Richmond, VA)
- ** Behavioral Health Care Manager II - Virginia** **Work location -** Virtual: This role enables associates to work virtually full-time, with the exception of ... Virginia licensure is strongly preferred but not required. The ** Behavioral Health Care Manager II...disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. **How you will make an… more
- Molina Healthcare (Louisville, KY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs...management. + Promotes integration of services for members including behavioral health care and long term services… more
- Elevance Health (Wallingford, CT)
- ** Behavioral Health Care Manager II** **Shift:** Friday - Monday; 8:00am - 7:00pm EST - Schedule may flex based on business needs **Location:** Virtual; ... an accommodation is granted as required by law._ The ** Behavioral Health Care Manager II**...disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. **How you will make an… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Behavioral Health UM Care Manager to support our UM Clinical Operations team. This role will primarily work Monday - ... This is a primarily electronic role with a few telephonic responsibilities. This role is dedicated to driving effective... behavioral health services. The Utilization Management (UM) Care Manager is responsible for utilization review… more
- Elevance Health (NC)
- ** Behavioral Health Care Manager I - North Carolina (Day Shift)** **Location** **- Virtual:** This role enables associates to work virtually full-time, with ... + Monday-Friday 9am-6pm EST + Monday-Friday 11am-8pm EST The ** Behavioral Health Care Manager I...disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. **How you will make an… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : This Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). Under ... behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and...Excellent verbal and written communication skills, along with the telephonic and keyboarding skills necessary to assess, coordinate and… more
- Elevance Health (Los Angeles, CA)
- ** Behavioral Health Care Manager II** Responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient ... professional treatment health benefits through telephonic or written review. **Location:** Virtual: This role enables associates to work virtually full-time, with… more
- Centene Corporation (Topeka, KS)
- …8am-5pm 1 hr lunch **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... correctional facilities and need assistance with their transition of care back into the community. Preference will be given...plan/service plan for the best outcome, which may include behavioral health and social determinant needs + May perform… more
- Elevance Health (Metairie, LA)
- …EST with some rotating weekends and holidays as required by business needs. The ** Behavioral Health Care Manager ** **I** **-** **Louisiana** is responsible ... abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Primary duties may include but are not… more
- Elevance Health (FL)
- **JR169828 Behavioral Health Care Manager II**...through telephonic or written review. The BH Care Manager (UM) job progression is primarily a ... member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with...+ Will serve as a resource to other BH Care Managers. + Assists with more complex cases and… more
