- Molina Healthcare (Jackson, MS)
- …for regular outreach and management. * Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...care settings. * Field-based case management or home health experience. * Certified Case Manager (CCM)… more
- CVS Health (Jackson, MS)
- …channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care . * Utilizes influencing/motivational ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
- Community Health Systems (Jackson, MS)
- …accounts + Life and disability insurance and more **Job Summary** Assisting the Behavioral Health (BH) Director in planning, supervising and evaluating the ... nursing care of psychiatric patients. Observe professional ethics in maintaining...adaptable to meet clients needs. + Strong understanding of health and wellness principles + Knowledge of medical and… more
- Molina Healthcare (Jackson, MS)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... + 1-3 years in case management, disease management, managed care or medical or behavioral health...+ Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health Education… more
- CVS Health (Jackson, MS)
- …medical conditions, and/or behavioral health . + Experience conducting health -related assessments and facilitating the care planning process. + Bilingual ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member… more
- CVS Health (Jackson, MS)
- …medical conditions, and/or behavioral health + Experience conducting health -related assessments and facilitating the care planning processes + Bilingual ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager… more
- Highmark Health (Jackson, MS)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- CVS Health (Jackson, MS)
- …the member's Individual Plan of Care . + **Risk Escalation:** Inform the assigned care manager of newly identified health /safety risks or service needs + ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ... for our members through close collaboration with the Care Manager , Social Worker, and other interdisciplinary… more
- Humana (Jackson, MS)
- …(SDOH). Plan shall include psychosocial issues, home environment and behavioral health needs across the full continuum of care . Maintain beneficiary's ... the beneficiary for all activities within the medical and behavioral health spectrum. They will also coordinate...management experience + An active designation as a Certified Care Manager (CCM). If no active designation… more
- Highmark Health (Jackson, MS)
- …**Required** + * Must be a US Citizen + 5 years of experience in Health Care Field + 3 years of experience in applicable government business compliance ... the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance &...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Jackson, MS)
- …or provider) and familiarity with key domains like CMS interoperability, Quality management, care & utilization management, and digital health + 3 years' ... support enGen's growing business, we're hiring a Sales Alliance Manager that will be responsible for supporting technology and...from lead to closure) + 3 years' experience in Health Plan Technology + 3 years' experience with solid… more
- Highmark Health (Jackson, MS)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Highmark is transforming the financial experience for clients and members - from building cost ... claims experience, to helping members afford and pay for care . This job will provide support for the development...proposition, vision, and execution plans. Working with the Product Manager , this position will analyze customer pain points to… more
- Highmark Health (Jackson, MS)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
- Humana (Jackson, MS)
- …of need for healthcare benefits, benefits selection, receiving healthcare benefits, getting behavioral health cues and renewing membership and each interaction ... part of our caring community and help us put health first** The Lead Product Manager conceives...millions of people we serve to achieve their best health - delivering the care and service… more
- Prime Therapeutics (Jackson, MS)
- …analysis tasks, activities, techniques, and requirements process **Preferred Qualifications** + PBM/ health care experience + Business unit/domain knowledge of ... work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded… more
- CenterWell (Jackson, MS)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... with lower acuity resources in their home. + Primary Care - Home Health care ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Highmark Health (Jackson, MS)
- …analyze data from office site visits and reviews to continually improve the care and service to members and provide recommendations to internal customer supporting ... **Preferred** + 3-5 years of experience as Dental Office Manager or Dental Hygienist LICENSES OR CERTIFICATIONS Required +...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Jackson, MS)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... deliver scalable, clinically impactful solutions that enhance patient engagement, health outcomes, and care coordination. This role...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Jackson, MS)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... an in-depth understanding of the healthcare industry, including value-based care , Medicare, population health , Accountable Care...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Sharecare (Jackson, MS)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more