- Elevance Health (Wilmington, DE)
- ** Medical Director - Medicare** Location: This...** is responsible for the administration of physical and/or behavioral health medical services, to ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Highmark Health (Dover, DE)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Otsuka America Pharmaceutical Inc. (Dover, DE)
- …education, and activation, ultimately improving patient access and adherence. The Director will work cross-functionally with medical affairs, market access, ... The Director , Consumer Marketing is responsible for leading the...deep expertise in direct-to-consumer (DTC) marketing, omnichannel engagement, and behavioral insights to create impactful and compliant consumer campaigns.… more
- Humana (Dover, DE)
- **Become a part of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and ... planning support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how… more
- Compass Group, North America (Wilmington, DE)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... this position. Job Summary We are seeking an Assistant Director of Clinical & Patient Services to join our...food services and clinical nutrition services needs based upon medical direction and patient population + Hires, trains, coaches,… more
- CenterWell (Dover, DE)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** The IPA Coding Leader manages a diverse...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying… more
- Magellan Health Services (Dover AFB, DE)
- …personnel at child development centers, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB counselors ... - Required Clinical Work Experience - Preferred Education - Required Master's - Behavioral Health Education - Preferred License and Certifications - Required… more
- AmeriHealth Caritas (Dover, DE)
- … Medical Director for further review. The reviewer independently applies medical and behavioral health guidelines to authorize services, ensuring they ... managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover… more
- Kelly Services (Newark, DE)
- …a 1099 Independent contracting position, allowing for greater flexibility.? + Access to our Behavioral Health Director for overall clinical support + We ... experience working with children or adolescents with developmental disabilities and/or mental health disorders in a school-based setting + Master's in ABA or related… more
- Sunrise Senior Living (Wilmington, DE)
- …a variety of dementia appropriate activities. + Partners with the Resident Care Director (RCD) to ensure that the residents clinical needs are addressed. + Reviews, ... and learn about pertinent information and any resident's physical and behavioral changes. + Establishes a cooperative relationship with the local Alzheimer's… more
- St John's Community Services (Newark, DE)
- …policies and procedures. Ensure routing of incident reports to appropriate. + Ensure all medical care required to maintain optimal health and maximum benefit is ... accordance with the Support Plans of individuals served. Recognize and respond to any health or behavioral changes in individuals served and refer to the proper… more
- University of Delaware (Newark, DE)
- …maintain a clinical caseload and perform duties such as conduct mental/ behavioral health assessments, provide psychotherapy, attend administrative meetings, and ... totaling more than $38.6M per fiscal year. Under the direction of the Executive Director , Institute for Community Mental Health , the Psychologist will… more