- Commonwealth Care Alliance (Boston, MA)
- … Mgmt - Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term ... a high quality team.collaboration with the broader clinical organization. - Ensures that utilization management processes are integrated with care management … more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. - Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... care. The BH Provider Engagement Program Manager reports to the Director of Delegation Partnerships and Provider Engagement. Supervision Exercised: - No, this… more
- Commonwealth Care Alliance (Boston, MA)
- …clinicians and health outreach workers in all CCA Care Delivery programs with BH components.The Director will collaborate closely with the Care Delivery ... 021350 Clin Alli-Care Delivery Administration Position Summary: The Director , Behavioral Health Care Delivery is responsible for...to subordinate staff. Essential Duties & Responsibilities: - Supports BH care management and BH … more
- Commonwealth Care Alliance (Boston, MA)
- … Mgmt * Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term ... a high quality team.collaboration with the broader clinical organization. * Ensures that utilization management processes are integrated with care management … more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. * Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... care. The BH Provider Engagement Program Manager reports to the Director of Delegation Partnerships and Provider Engagement. Supervision Exercised: * No, this… more
- East Boston Neighborhood Health Center (MA)
- …policies, procedures, and patient education materials in collaboration with the Medical Director (s). 3.Facilitates in collaboration with the BH Leadership Team ... Epic training team as indicated. 4.In collaboration with the BH Medical Director , designs and implements the...Specialty, and all other clinical programs assigned. 18.Provides programmatic management and oversight of access and utilization … more
- Molina Healthcare (UT)
- …**Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental ... management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management ...and financial goals across all LOBs * Responds to BH -related RFP sections and review BH portions… more
- Humana (Indianapolis, IN)
- … management of behavioral and physical health services, including Utilization Management (UM), Quality Improvement, and value-based payment programs. ... delivery model. **Position Responsibilities:** + Leads clinical and quality management components of Humana's BH services +...Management (QM) program; and work closely with the Utilization Management (UM) of services and associated… more
- Commonwealth Care Alliance (Boston, MA)
- …clinicians and health outreach workers in all CCA Care Delivery programs with BH components.The Director will collaborate closely with the Care Delivery ... 021350 Clin Alli-Care Delivery Administration Position Summary: The Director , Behavioral Health Care Delivery is responsible for...to subordinate staff. Essential Duties & Responsibilities: * Supports BH care management and BH … more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Accountabilities: Level I + Provides medical leadership of all for utilization management , cost containment, and medical quality improvement activities. ... Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,… more
- MVP Health Care (Rochester, NY)
- …senior leaders to promote appropriate care quality, service utilization , medication utilization and adherence, care management , and cost control. + Through ... improvement. To achieve this, we're looking for a **Medical Director , Behavioral Health Children's Services** , to join #TeamMVP....of five years of experience working with children in BH managed care settings or BH clinical… more
- CVS Health (Springfield, IL)
- …expertise and oversight to all areas within the clinical services including Care Management , Utilization Management , Population Health, Health Equity and ... each and every day. **Position Summary:** The ABHIL Chief Psychiatrist (Senior Medical Director ) will serve as a strategic and operational partner to the State, CEO,… more
- CVS Health (Oklahoma City, OK)
- …and timely discharge, appropriate follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and payer records to ensure ... stay and identify any barriers to discharge. + Assist Utilization Management team with access to external...in regular meetings with CVS Health regional leaders, Program Director , Project Manager and other Transitional Care Managers on… more
- Immigration and Customs Enforcement (Port Isabel, TX)
- …health assessment, evaluation, and diagnosis of detained non-citizens (including the utilization of the DSM-V to formulate findings). Provides supportive counseling, ... not limited to, Access to Care, Productivity, Suicide Risk management , etc.) and work collaboratively to address the same....liaison with CD, HSA, PSP, BHU-HQ team (RBHC, BHCC, BH Case Managers, BH Medical Assets Support… more
- Beth Israel Lahey Health (Beverly, MA)
- …experience within an acute care hospital environment including Care Coordination and Utilization Management . - Demonstrated strength in management ... (ACNO) provides administrative direction and leadership for: Transitions of Care/Case Management , Utilization Review / Denials management , Social… more
- CVS Health (Charleston, WV)
- …do it all with heart, each and every day. **Position Summary** The Care Management Associate (CMA) role is a full time remote telework position. Qualified candidates ... welfare population health members, and carries a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team… more
- CVS Health (Chicago, IL)
- …and external solutions to achieve provider satisfaction, cost targets, utilization /performance, network growth, and efficiency targets. Manages and oversees ... and overall staffing support. **Duties:** + Provider Engagement & Relationship Management : Strengthen partnerships with network providers to improve their experience… more
- Immigration and Customs Enforcement (Washington, DC)
- …of command. Perform other duties and responsibilities as assigned. 16. Utilization review/ management for inpatient behavioral health hospitalization for IHSC. ... include and are not limited to the following: case coordination/ management , monitoring high risk individuals, independent behavioral health reviews, behavioral… more
