- Commonwealth Care Alliance (Boston, MA)
- …of the interdisciplinary care team on members experiencing medical or behavioral health issues. Responsible for supporting the members in achieving their ... clinical care management to a panel of health plan members with complex medical, behavioral ,...Facing:** ? YES: The job has in-person contact (not telephonic /virtual) with CCA members or patients as part of… more
- Commonwealth Care Alliance (Springfield, MA)
- …Program, The Senior Clinician, Behavioral Health (SBHC) serves as a leader for behavioral health care delivery and care coordination for the most ... primary function of the CIC SBHC role is delivering behavioral health care to CCA's... management. + Crisis and substance use experience, including telephonic . **Desired Experience (nice to have):** + Experience with… more
- Commonwealth Care Alliance (Boston, MA)
- …of primary care + Primary telephonic contact person for clinical and care coordination needs. + Evaluates and assesses health care needs utilizing ... staff in identifying VNA vendors when needed. + Performs telephonic follow-up of inpatient and ED care ...+ 2+ years caring for patients/members with complex medical, behavioral health , and social needs **Required Knowledge,… more
- Commonwealth Care Alliance (Boston, MA)
- … Care Team and Primary Care Provider (PCP) or specialty care providers (eg, behavioral health clinician). + CHWs utilize recovery-centered ... 024800 Clin Alli-Community Health Services **Position Summary:** Commonwealth Care ... quality gaps, and optimizing member connection to medical, behavioral health , and substance use disorder resources.… more
- Somatus (Oroville, CA)
- …/ positive personality Preferred + Experience working with patients with chronic and behavioral health needs. + Demonstrated success in working as part of ... Works under the guidance of physicians and/or a nurse care manager. + Follow-up with health management...caseload. + Conduct door-to-door engagement outreach for patients with telephonic barriers. + Support NP and RNCM care… more
- Somatus (Mclean, VA)
- …/ positive personality Preferred + Experience working with patients with chronic and behavioral health needs. + Demonstrated success in working as part of ... individual taking this role will manage his/her caseload through telephonic and electronic means of communications and coordination. The...Works under the guidance of physicians and/or a nurse care manager. + Follow-up with health management… more
- Commonwealth Care Alliance (Worcester, MA)
- …disease education. + Complete additional tools or screeners as needed, including relevant behavioral health screeners (PHQ-9, EASI, Audit, DAST). + Uses clinical ... team. + Understanding of how to use electronic health record systems and /or care management...+ Ensures immediate referral to time-sensitive services such as behavioral health , long-term services, and support. +… more
- National Youth Advocate Program (Roselle, IL)
- …a sincere desire and ability to advocate for children facing behavioral health , immigration, educational, legal, development, and socio-economic challenges.?? ... members, friends of family to vet sponsor's ability to care for the minor(s).? + Act as UC case...Provide weekly face to face updates to youth and telephonic updates to family members/sponsor.? + Ensure the provision… more
- Somatus (Utica, NY)
- …the appropriate resources within the parameters of established contracts and patients' health plan benefits. Facilitates continuum of patients' care utilizing ... families. + Assist member to maximize benefits according to health plan. + Participates actively in assigned Care...- Diabetic educator experience - ICU, Cardiology or Critical Care experience - Telephonic case management experience… more
- Somatus (Renton, WA)
- …facilities & provider offices + Use nursing assessment skills to identify medical, behavioral , social determinates of health gaps or barriers in treatment plan ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...Showing Up for You We offer more than 25 Health , Growth, and Wealth Work Perks to help teammates… more
- The Cigna Group (Bloomfield, CT)
- …members and their families!** This position is responsible for providing confidential behavioral health consultations and 1-12 fifty minute sessions of ... -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k)...Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health … more
- Humana (Denver, CO)
- …(SDOH). Plan shall include psychosocial issues, home environment and behavioral health needs across the full continuum of care . Maintain beneficiary's ... desired clinical outcomes and to enhance quality of medical care . The ** Telephonic Nurse Case Manager** will...the beneficiary for all activities within the medical and behavioral health spectrum. They will also coordinate… more
- Molina Healthcare (El Paso, TX)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... Molina. Additional pluses - experience with the LTSS or Behavioral Health populations. Bilingual is also a...primary areas (ToC Pillars): medication management, use of personal health record, follow up care , signs and… more
- Highmark Health (Albany, NY)
- …job provides case and condition management services to Pediatric members with behavioral health concerns. The incumbent uses clinical and motivational ... + Function as a primary contact for members with behavioral health needs with the depth of...The overall goal is to help members navigate the health care system and develop condition self-management… more
- Elevance Health (Nashville, TN)
- ** Behavioral Health Care Manager...is responsible for managing Applied Behavioral Analysis behavioral health benefits through telephonic ... granted as required by law._ **Shift & Hours:** Monday - Friday, 8:00AM-5:00PM The ** Behavioral Health Care Manager II - Licensed Behavioral Analyst,**… more
- Elevance Health (Cerritos, CA)
- …depression, and insightful analytics to improve the delivery of care . **Title:** Behavioral Health Care Manager I **Locations:** CA - Cerritos, Walnut ... an accommodation is granted as required by law. The ** Behavioral Health Care Manager I**...or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.… more
- Elevance Health (Indianapolis, IN)
- ** Behavioral Health Care Manager I** Carelon Behavioral Health Shift: 9:00 AM to 6:00 PM EST, shift times may vary. Includes occasional Saturday (pm) ... to improve the delivery of care . The ** Behavioral Health Care Manager I**...or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.… more
- Elevance Health (FL)
- ** Behavioral Health - Care Manager II** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... an accommodation is granted as required by law. The ** Behavioral Health - Care Manager...or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.… more
- Elevance Health (NC)
- ** Behavioral Health Care Manager I (2nd Shift)- North Carolina** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... (Work every other weekend - Saturday and Sunday) The ** Behavioral Health Care Manager I...or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.… more
- Health Care Service Corporation (Chicago, IL)
- …+ Board certified in psychiatry in good standing. + 5 years clinical experience in behavioral health care management. + Located in a state or territory ... Medical Necessity Determinations With Respect To Behavioral Health Disorders At All Levels Of Care ... Health Disorders At All Levels Of Care Which Includes Telephonic Peer-To-Peer (Physician To… more
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