- CVS Health (Providence, RI)
- …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
- CVS Health (Providence, RI)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- Fallon Health (Milford, MA)
- …approves their care plan o Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager , Aging Service Access Point Geriatric ... nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences,...Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part… more
- Elara Caring (Webster, MA)
- …the Right Time, in the Right Place. **Job Description:** **Join Our Team as a Behavioral Health RN Case Manager !** Position: Full-Time | Monday-Friday, 8:00 ... daily in the comfort of their homes. As a ** Behavioral Health RN Case Manager **...in the right place._ **You will report to the Clinical Manager or Clinical Supervisor.**… more
- Highmark Health (Providence, RI)
- …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
- Hartford HealthCare (Dayville, CT)
- …moment*. **Job:** ** Behavioral Health* **Organization:** **Natchaug Hospital* **Title:** * Case Manager - PHP Adult * **Location:** *Connecticut-Dayville-NAT ... empowering individuals to participate in their own care and recovery. *_Job Summary_* The Case Manager is responsible for providing a range of services for… more
- Prime Healthcare (Woonsocket, RI)
- …school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care nursing experience preferred. At ... Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/211012/ case - manager -rn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark Medical… more
- Charter Care Health Partners (North Providence, RI)
- …professional growth and participation. The System Manager of Inpatient Behavioral Health Social Work provides clinical duties including comprehensive ... Behavioral Health and in partnership with the behavioral health leadership team, the System Manager ...records are accurate and up to date. The System Manager provides clinical oversight of treatment planning… more
- Highmark Health (Providence, RI)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Hartford HealthCare (Danielson, CT)
- …assume clinical oversight of daily operations in the absence of Program Manager . Key responsibilities of Lead Behavioral Health Clinician: * Conducts a ... the coordination of programming which may include staff scheduling, scheduling clinical activities, program development, utilization review, case load… more
- Charter Care Health Partners (North Providence, RI)
- Summary: Under the Direction of the System Manager of Inpatient Behavioral Health Social Work, the Inpatient Social Worker will provide direct services to adult ... psychiatric patients on the acute behavioral health units at CCHP, including leading groups, individual therapy, family and systems meetings, completing intakes, … more
- CenterWell (Providence, RI)
- …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 (Providence, RI)
- …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