- 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
- 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
- Highmark Health (Jackson, MS)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- Humana (Jackson, MS)
- …Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government Business (HGB). Leads clinical ... valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/management experience,...millions of people we serve to achieve their best health - delivering the care and service… more
- Centene Corporation (Jackson, MS)
- …and/or Compact State Licensure required **Magnolia Health Plan:** Experience with foster care and behavioral health preferred Pay Range: $55,100.00 - ... the needs of the member, barriers to accessing the appropriate care , social determinants of health needs, focusing on what the member identifies as priority and… more
- Centene Corporation (Jackson, MS)
- …compact license, or willing to obtain. **Education/Experience:** Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....compact license, or willing to obtain.** **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects… 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 ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers,… 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)
- …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
- 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
- Prime Therapeutics (Jackson, MS)
- …analysis tasks, activities, techniques, and requirements process **Preferred Qualifications** + PBM/ health care experience + Business unit/domain knowledge of ... drives every decision we make. **Job Posting Title** Issue Manager **Job Description** The Issue Management Analyst works as...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved,… more
- Centene Corporation (Jackson, MS)
- …of Mississippi. Preferred experience in social work/case management as well as Behavioral Health /Mental Health . _** **Position Purpose:** Develops, assesses, ... members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care … 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 ... career development and contribute to driving disruption in the health care industry. The PCO provides primary...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
- 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 ... health first** The Physician serves as a health - care professional and capable of handling a...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 ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Jackson, MS)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … 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 ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Jackson, MS)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... + Bilingual; English & Spanish + Experience in managed care or health care administration...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more