- AmeriHealth Caritas (Dover, DE)
- ** Clinical Case Manager DE LTSS (New Castle County Delaware)** Location: Dover, DE Primary Job Function: Medical Management ID**: 31582 Your career starts ... other administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Clinical Case Manager assists members who are… more
- Highmark Health (Dover, DE)
- …LTSS. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of ... a Case Manager as needed. This is a...with developmental disabilities population + Two years in home clinical or case management experience + Medicare… more
- Highmark Health (Dover, DE)
- …**Required** + 5 years of Post licensure experience in any combination of behavioral health clinical , case management and/or condition management ... clinical and motivational interviewing skills to assess both behavioral and physical health needs, and social determinants of...Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction… more
- Highmark Health (Dover, DE)
- …year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. +...Worker (LMSW) + Licensed Clinical Social Worker (LCSW) + Experience working with HIV/AIDS… more
- Highmark Health (Dover, DE)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... of oncology 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
- Merck (Dover, DE)
- …standards and adverse event reporting requirements internally and externally. The CRM ( Clinical Research Manager ) could be responsible for a particular study ... Visits Reports and escalates performance issues and training needs to CRA ( Clinical Research Associate) manager and/or functional vendor and internal management… more
- Universal Health Services (Dover, DE)
- Responsibilities Clinical Services Manager Opportunity - PHP & IOP Program - Georgetown, DE This position is leading the partial hospitalization and intensive ... serving our patients in Sussex County and Maryland. Dover Behavioral Health System is a 104-bed, acute care psychiatric...as a member of the Management Team, providing a clinical perspective to the facility's goals and objectives. +… more
- Merck (Dover, DE)
- …reporting requirements internally and externally. Acts as primary site contact and site manager throughout all phases of a clinical research study, taking ... in a country. Under the oversight of the CRA manager the person ensures compliance of study conduct with...allocated sites. Actively develops and expands the territory for clinical research, finding and developing new sites. Participates in… more
- AmeriHealth Caritas (Newark, DE)
- **Utilization Management Plan Oversight Manager , Registered Nurse (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34207 ... care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about… more
- AmeriHealth Caritas (Newark, DE)
- …medical policies and procedures adhere to contractual obligations. + Performs clinical case reviews in conjunction with Medical Excellence Department. ... care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about… more
- HealthEdge Software Inc (Dover, DE)
- …designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + Maintain deep ... for effective delivery to the client **What you bring:** + ** Behavioral :** + Leadership skills + Mentorcross-functional teamson various technical and non-technical… more
- CenterWell (Dover, DE)
- …program support through active communication, education, and consultation with clinical staff and leaders. Responsible for communicating with key stakeholders ... reducing acute care utilization, safe transitions, readmission reduction, and other clinical programs as determined. **Major Duties and Responsibilities** * Build… more