- CVS Health (Washington, DC)
- …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 (Washington, DC)
- …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
- Elevance Health (Washington, DC)
- Licensed Behavioral Health Case Manager ll (JR152644) **Location:** This role requires associates to be in-office 4 days per week, fostering collaboration ... **Office Location:** 609 H Street NE, Washington, DC The ** Behavioral Health Case Manager ll**...substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Drug and Alcohol… more
- Elevance Health (Washington, DC)
- …client needs, and direct, hands-on engagement. Position Overview: Responsible for performing case management telephonically and/or by home visits within the scope of ... licensure for members with behavioral health and substance abuse or substance abuse disorder...substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise in serious mental illness "SMI",… more
- Highmark Health (Washington, DC)
- …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
- AmeriHealth Caritas (Washington, DC)
- **Role Overview** The Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists members with complex medical needs appropriate for ... care coordination and case management services in achieving their optimal level of...their optimal level of health through self-management. The Care Manager II (RN/LICSW) is responsible for engaging the member,… more
- CVS Health (Annapolis, MD)
- …impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates ... Morgan. Utilizes critical thinking and judgment to collaborate and inform the case management process, to facilitate appropriate healthcare outcomes for members by… more
- Humana (Alexandria, VA)
- …licenses)** + Minimum of 2 years of post-degree clinical experience in behavioral health setting + Case management experience working with complex SMI or ... of our caring community and help us put health first** The Field Care Manager , Behavioral Health performs primarily face to face and telephonic assessments with… more
- Humana (Annapolis, MD)
- …the Director, Case Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government Business ... Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/management experience,… more
- AmeriHealth Caritas (Washington, DC)
- **Role Overview** The Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists members with complex medical needs appropriate for ... care coordination and case management services in achieving their optimal level of...their optimal level of health through self-management. The Care Manager II (RN/LICSW) is responsible for engaging the member,… more
- AmeriHealth Caritas (Washington, DC)
- **Role Overview** The Care Manager Early Intervention/Pediatrics (RN/LICSW) assists members appropriate for care management and care coordination services in ... their optimal level of health through self-management. The Care Manager Early Intervention/Pediatrics (RN/LICSW) engages the member, caregiver, and providers… more
- CVS Health (Annapolis, MD)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH)… more
- Highmark Health (Washington, DC)
- …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
- AmeriHealth Caritas (Washington, DC)
- **Role Overview** The Care Manager /Coordinator (RN) assists members appropriate for care management and care coordination services in achieving their optimal level ... of health through self-management. The Care Manager /Coordinator (RN) is responsible for engaging the member, the member caregiver, and providers to assess, plan, and… more
- KSA Integration LLC (Arlington, VA)
- …and/or moderate to severe traumatic brain injury (TBI) care. The Program Manager oversees the program's operational, clinical , and administrative performance, ... Call Center Program Manager arlington, VA (http://maps.google.com/maps?q=arlington+VA+USA+22211) Description KSA Integrationis a...DHA, DoD, or VA healthcare programs. + Familiarity with behavioral health coaching models or case management… more
- Maxim Healthcare (Washington, DC)
- …facilities, area healthcare programs, local insurance payors, physician groups, and case management groups. The Business Development Manager manages with ... The Business Development Manager is responsible for the overall development and...referral opportunities in the area. + Collaborates with the Clinical and Operational team to have understanding of customers… more
- Kennedy Krieger Institute (Beltsville, MD)
- … Services; or Coordinator, Behavioral Services, the incumbent will serve as case manager for the behavioral programming of individual students and ... collection of data through interview, logs, and direct observation. Act as Behavior Resource Case Manager to coordinate team input on FBA. Write FBA reports and… more
- Kennedy Krieger Institute (Beltsville, MD)
- …or Director, Psychological and Behavioral Services, the incumbent will serve as case manager for the behavioral programming of individual students and ... collection of data through interview, logs, and direct observation. Act as Behavior Resource Case Manager to coordinate team input on FBA. Write FBA reports and… more
- Elevance Health (Arlington, VA)
- …Service Coordinator RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan… more
- Highmark Health (Washington, DC)
- …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