- Somatus (Annapolis, MD)
- …social needs of the patient, identify gaps in care and barriers to good health ; The RN Care Manager is expected to conduct approximately 12 assessments ... + Community engagement opportunities + And more! The RN Care Manager is a critical member of...plan that will address identified needs, remove barriers to care , and improve the health of the… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : This Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). Under ... the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works… more
- Elevance Health (Hanover, MD)
- ** Behavioral Health - Care Manager II** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... an accommodation is granted as required by law. The ** Behavioral Health - Care Manager II** is responsible for managing psychiatric and substance abuse… more
- WellSpan Health (York, PA)
- …encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central ... + Facilitates problem solving and problem resolution of clinical care issues. + In collaboration with Nurse Manager...address some of the most complex medical, surgical and behavioral health conditions. WellSpan York Hospital's Regional… more
- Elevance Health (Hanover, MD)
- **Carelon Medical Coding/Auditing Manager - Behavioral Health ** **Supports Payment Integrity & Behavioral Health ** **Location: Must be located in ... the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health ...depression, and insightful analytics to improve the delivery of care . The **Medical** **Coding/Auditing** ** Manager ** is responsible… more
- WellSpan Health (York, PA)
- …consultative services to determine the most efficient use of resources to support the behavioral health care goal of appropriate, cost effective and ... care for patient. + Initiates problem-solving techniques as needed to enhance behavioral health care . + Assists physician in leading kitchen… more
- Elevance Health (Hanover, MD)
- …programs for autism and depression, and insightful analytics to improve the delivery of care . The ** Behavioral Health /EAP Consultant II** and department are ... **EAP Consultant II - Carelon Behavioral Health ** **Shift** : Monday -...direct psychiatric and/or substance abuse experience and prior managed care experience; or any combination of education and experience,… more
- General Dynamics Information Technology (Silver Spring, MD)
- …Trust/Other Required:** NACLC (T3) **Job Family:** Science and Research **Skills:** Behavioral Health ,Clinical Care ,Traumatic Brain Injury (TBI) ... on-site** _As the traumatic brain injury (TBI) Pathway of Care manager within the Military Health...standards of care for patients with protracted behavioral health symptoms following military TBI. +… more
- Highmark Health (Annapolis, MD)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... 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. + Function in… more
- CareFirst (Baltimore, MD)
- …supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager ... **ESSENTIAL FUNCTIONS:** + Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with… more
- CareFirst (Baltimore, MD)
- …Care Manager helps members, families, and caregivers access the health care delivery system through outreach, education, follow-up, coordination support, ... for meetings, trainings and/or other business-related activities. In addition, the Care Manager participates in community-based events, representing the face… more
- WellSpan Health (York, PA)
- …encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central ... health and wellness solutions throughout our continuum of care . As an integrated delivery system focused on leading...address some of the most complex medical, surgical and behavioral health conditions. WellSpan York Hospital's Regional… more
- WellSpan Health (York, PA)
- …encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central ... health and wellness solutions throughout our continuum of care . As an integrated delivery system focused on leading...services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions.… more
- WellSpan Health (York, PA)
- …encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central ... efficient and standardized clinical workflows, as well as efficient use of health information technology to support patient-centered care delivery. + Identifies… more
- CVS Health (Annapolis, MD)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… more
- BrightSpring Health Services (Greenbelt, MD)
- …2. Client Case Management: + Complete initial and ongoing assessments of residents'/clients' health care needs. + Develop and update nursing service plans and ... health care protocols. + Monitor and evaluate...living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare… more
- Highmark Health (Annapolis, MD)
- …project manager role and/or in a project leadership role **Preferred** + Health Care Insurance industry business and operational knowledge + Experience with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee … more
- Highmark Health (Annapolis, MD)
- …3 - 5 years of General Office expereince + 7 - 10 years of experince working in the Health Care Industry + 5 - 7 years of Leadership expereince + 5 - 7 years of ... improvement in the platform implementation cycle for all clients. HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee … more
- Highmark Health (Annapolis, MD)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... a number of other activities to help improve the health outcomes of members; care plans include...1 year in advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy… more
- CareFirst (Baltimore, MD)
- …clinical workflows, tools, and regulatory requirements (eg, utilization, disease, case, and behavioral health management). + Proficient in project planning and ... that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated… more
