- Commonwealth Care Alliance (Springfield, MA)
- …significant medical, behavioral , and social complexities that require intensive care management and care delivery. Within the CIC Program, The Senior Clinician, ... to influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and closing… more
- Commonwealth Care Alliance (Boston, MA)
- …member experience. - Address provider inquiries related to care coordination, utilization management , and program participation, collaborating with internal ... 011230 CA-Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating… more
- Amherst College (Amherst, MA)
- Office Manager for Care and Accountability Amherst Campus Full Time JR6460 Amherst has taken a leadership role among highly selective liberal arts colleges and ... and staff. Job Description: Amherst College invites applications for the Office Manager for Care and Accountability position. The Office Manager for… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …from home opportunity! Please note this position aligns to PST business hours.** The ** Manager , Case Management ** Team is a Supervisor for Case Managers. This ... of professional paraprofessional, and administrative team members. + Lead Care Management teams in effective performance of job functions, which may include… more
- Commonwealth Care Alliance (Boston, MA)
- …Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management , Utilization Management , and Business ... and improvement efforts. Through reporting, data analysis, and partnership management , the LTSS Program Manager ensures that...& Language (nice to have):** + Familiarity with care management and utilization management systems… more
- Aurora Mental Health & Recovery (Aurora, CO)
- …(ACT) program at Aurora Mental Health & Recovery (AMHR) as a full-time Case Manager and make a difference in the lives of adults diagnosed with serious mental ... wide range of services, from peer support to medication management , directly within the client's environment. As the ACT...directly within the client's environment. As the ACT Case Manager , you will have direct client contact, coordinate care,… more
- Commonwealth Care Alliance (Boston, MA)
- …delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care ... Knowledge, Skills, Abilities & Language (nice to have): - Familiarity with care management and utilization management systems and workflows. - Experience… more
- Stanford Health Care (Palo Alto, CA)
- …employees. **This is a Stanford Health Care job.** **A Brief Overview** The Social Work Manager is a part of and engages with the service line leadership team. The ... Manager has the responsibility to collaborate with the service...evaluation of social work staff. + Ensures quality program management through compliance with federal, state, and local regulations… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …. **Case Managers** are a dedicated team of clinicians (RNs and behavioral health professionals) who utilize a holistic model that enables our members ... nationally recognized leader in the practice of integrated case management , is looking to expand our growing team of...(those who are facing medical, mental health and/or substance utilization disorders) and build a relationship that will support… more
- Commonwealth Care Alliance (Boston, MA)
- …- Reporting to a member of Care Delivery Leadership, the Primary Care Nursing Manager is the nursing leader of the practice. Responsible for all nursing and nursing ... support functions within the practice, the Primary Care Nursing Manager will collaborate closely with other members of the... will collaborate closely with other members of the management team. This role is full-time on site in… more
- Centers for Independence (Milwaukee, WI)
- **Case Manager III - ACT** **Job Details** **Description** Job Purpose: To facilitate the improved wellbeing of individuals with severe mental illness and/or ... substance use disorders. The Case Manager will work collaboratively with an integrated treatment team...treatment plans. + Provides psychosocial rehabilitation, symptom monitoring & management , and supportive counseling to clients in the CSP… more
- Somatus (Utica, NY)
- …+ Monitors and coaches patients using techniques of motivational interviewing and behavioral change to maximize self- management . + Oversees provisions for ... utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management… more
- Stratasys (Waltham, MA)
- Customer Success Manager Location: Waltham, MA, US Job ID: 54474 Category: Sales and Business development **Stratasys is a world leader in 3D printing!** ... supply chains, and improve patient care. **Software Customer Success Manager ** . This role is pivotal in ensuring our...and hands-on support. + Use **customer usage data and behavioral insights** to map success journeys, identify friction points,… more
- Commonwealth Care Alliance (Springfield, MA)
- …medical, behavioral , and social complexities that require intensive care management and care delivery. Within the CIC Program, the Community Health Worker ... programing is responsible for providing care delivery and care management to a specific panel of high risk and...and care coordination for the most complex medical and behavioral health patients. The CHW participates in aiding the… more
- Commonwealth Care Alliance (Boston, MA)
- …Community Health Workers (CHWs) are key supports to interdisciplinary care management teams and complement and support enrollees' needs, goals, and preferences. ... coaching skills to improve CCA enrollee outcomes by impacting care access and utilization , closing care quality gaps, and optimizing member connection to medical, … more
- Geisinger (Wilkes-Barre, PA)
- …Nursing Support Schedule: Rotation Work Type: Full time Department: Talent Management Nursing Access free legal guidance, mental health visits, work-life support, ... and facilitate patient needs. Participates in unit-based decision-making regarding the utilization of evidence based practice. Provides input to the manager… more
- COOLSOFT (Raleigh, NC)
- …Authorizations, Drug Utilization Review (DUR) and pharmacy lock-in related processes, Behavioral health, and A+ kids, Preferred Drug List (PDL) and Medicaid Drug ... development and implementation of the Medicaid Enterprise Modular Pharmacy Business Management (PBM) Solution. The PBM Business Integration Specialist, as a Business… more
- Moses/Weitzman Health System (Meriden, CT)
- …licensure as appropriate. Fully established practice standards for productivity and appropriate utilization of care. Position is designed to support evening and or ... Meets hospital medical staff requirements as necessary. Collaborate with office manager and clerical/clinical staff to promote the smooth functioning of the… more
- Commonwealth Care Alliance (Boston, MA)
- …and provider relationship management tools. - Understanding of claims operations, utilization management , and quality programs as they relate to provider ... engagement, delegation partnerships, provider services, contracting, quality, compliance, medical management , and analytics teams to advance provider network operations,… more
- Zeiders Enterprises, Inc (Woodbridge, VA)
- …in Woodbridge, VA, Zeiders has employees supporting clients worldwide in behavioral health, military family resiliency, work-life education programs, and related ... employee of Zeiders responsible for overseeing workforce planning and management processes, including forecasting staffing needs, scheduling service delivery within… more
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