- Humana (Hartford, CT)
- …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
- Baystate Health (Springfield, MA)
- …ED Crisis Team in Springfield, MA. The ED Crisis Clinician collaborates with Behavioral Health Crisis Clinicians, ED nursing, and providers to ensure appropriate ... service + Free money coach advice from a certified professional + Wellbeing programs that include but are not...**** **Summary** Under the direction of the Director of Behavioral Health , Program Manager, or ED Coordinator… more
- Highmark Health (Hartford, CT)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works directly with network providers to support key clinical transformation programs ... with a focus on utilization of appropriate care. The team member works with...or healthcare administration in a provider office, hospital and/or health systems, or healthcare consulting in provider setting. +… more
- The Cigna Group (Bloomfield, CT)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... + Job Description SummaryGuides the company on strategic Utilization Review decisions and provides medical advice that has a significant impact on strategic planning… more
- Fallon Health (Springfield, MA)
- …Maintains accurate documentation and coding of all services provided according to professional standards + Identifies utilization and service delivery problems ... with Students! + PACE is a Growing Area of Health Care, Come Grow with It! **About Summit ElderCare:**...participates in all site and provider staff meetings including behavioral rounds and psychiatric rounds as indicated. + Enhances… more
- Baystate Health (Springfield, MA)
- …include: acute or chronic conditions, gastrointestinal disorders, infections processes, behavioral health , neurological & circulatory impairment, kidney disease, ... tool, acuity based assignments, capacity management workflow, and foley utilization . + The Manager is dedicated to professional...to round on units and engage with staff. + ** PROFESSIONAL DEVELOPMENT.** Baystate health is accredited to… more
- CenterWell (Hartford, CT)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
- Baystate Health (Springfield, MA)
- …include: acute or chronic conditions, gastrointestinal disorders, infections processes, behavioral health , neurological & circulatory impairment, kidney disease, ... activity/mobility tool, acuity based assignments, capacity management workflow, and foley utilization . + The Manager is dedicated to professional growth… more
- Baystate Health (Springfield, MA)
- …include: acute or chronic conditions, gastrointestinal disorders, infections processes, behavioral health , neurological & circulatory impairment, kidney disease, ... activity/mobility tool, acuity based assignments, capacity management workflow, and foley utilization . + The Manager is dedicated to professional growth… more
- Hartford HealthCare (Hartford, CT)
- …Offer support to athletic teams and student athletes around behavioral health and performance optimization 3. Effective utilization of screening measures and ... with BJI staff, including referring providers and social workers, to bolster a growing behavioral health department and support the mental health needs of… more
- CenterWell (Hartford, CT)
- … health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- Commonwealth Care Alliance (Springfield, MA)
- …and inpatient admissions (instED, Crisis Response Unit, Medical Director, Behavioral Health Clinicians, etc.) **Documentation/Accountability:** + Document all ... not limited to, Clinical Group Care Partners, Community Registered Nurses, Community Health Workers, Behavioral Health Clinicians, Medical Directors,… more
- The Cigna Group (Bloomfield, CT)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... and other colleagues in quality and performance improvement processes. + Improves health care professional relations through direct communication, knowledge of… more
- The Cigna Group (Bloomfield, CT)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... response Acumen Patient Safety and Operational reports. + Provide patient and health care professional education and medication information. + Utilize Express… more
- CenterWell (Hartford, CT)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization ...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
- The Cigna Group (Bloomfield, CT)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... Responsibilities:** *Responsible for the effective and sufficient support of all Utilization Management activities to include review of inpatient and outpatient… more
- Northeast Family Services (West Springfield, MA)
- …support, training, and administration experience preferred + Experience in supporting behavioral health programming + Extensive knowledge of and experience ... truly cares for their employees and clients! The Electronic Health Record Quality Assurance Specialist, in partnership with the...+ Participate in development of training plans for data utilization + Acts as project coordinator for all Clinical… more
- Marriott (Hartford, CT)
- …alternatives and solutions, solves problems, and chooses a course of action. + ** Professional Demeanor** - Exhibits behavioral styles that convey confidence and ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more