- CVS Health (Concord, NH)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- Elevance Health (Manchester, NH)
- …work-life integration, and ensures essential face-to-face onboarding and skill development. The ** Behavioral Health Care Manager II** is responsible for managing ... you will make an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary… more
- Highmark Health (Concord, NH)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Northeast Family Services (Concord, NH)
- …opportunity to join a rapidly growing and well-regarded organization. The Case Manager will report to the Clinical Supervisor. In collaboration with other ... members of the clinical team, the case manager .... Interfaces with DCYF, the NH court system, schools, behavioral health providers, and any other involved members of… more
- Somatus (Manchester, NH)
- …and mental well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the care team consisting of nurses, dietitians, ... care. Responsibilities + Conduct comprehensive assessments that include the medical, behavioral , pharmaceutical, and social needs of the patient, identify gaps in… more
- CenterWell (Concord, NH)
- …Medicare/Medicaid experience a plus + Previous experience in utilization management, case management, discharge planning and/or home health or rehab + Certification ... in Case Management a plus (CCM) + Experience working with...go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'… more
- HCA Healthcare (Manchester, NH)
- …RESPONSIBILITIES: Under the general direction of the Clinical Director OR and/or Clinical Nurse Manager and in accordance with standards of care and practice ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- CenterWell (Concord, NH)
- …Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more
- Highmark Health (Concord, NH)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more