- Elevance Health (Manchester, NH)
- …work-life integration, and ensures essential face-to-face onboarding and skill development. The ** Behavioral Health Care Manager II** is responsible for managing ... you will make an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary… more
- Highmark Health (Concord, NH)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... Nurse (RN) Case Manager for Hospital at Home Care...determine appropriateness for inpatient and outpatient care. 3) Utilizes clinical expertise to determine the appropriate level of care… more
- Dartmouth Health (Hampstead, NH)
- …oversees and provides unit staff, administrative supervisor and/or unit administrative manager , and educational staff regarding clinical / behavioral ... Overview The Behavioral Analyst is responsible for the administration and clinical oversight of the behavior treatment programs for an assigned unit or units in… more
- Covenant Health (Nashua, NH)
- …the goal of decreasing fragmentation and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, ... and delegates care to, the High-Risk Social Worker/ Behavioral Health Clinician for the assessment and determination of...Education and Experience + Minimum of five years broad clinical experience preferred + Case management and/or… more
- Northeast Family Services (Londonderry, NH)
- …opportunity to join a rapidly growing and well-regarded organization. The Case Manager will report to the Clinical Supervisor. In collaboration with other ... members of the clinical team, the case manager .... Interfaces with DCYF, the NH court system, schools, behavioral health providers, and any other involved members of… more
- Beth Israel Lahey Health (Exeter, NH)
- …illness and disability. The Social Worker upholds the current standards of social work case management practice and reports to the Manager of Care Management ... illnesses as well as vulnerable populations with complex medical, social, and behavioral health needs. This position is responsible for supporting Beth Israel Lahey… more
- Molina Healthcare (Lowell, MA)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- Molina Healthcare (Lowell, MA)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- Beth Israel Lahey Health (Burlington, MA)
- …a job, you're making a difference in people's lives.** Endoscopy Operations Manager Position Summary: Under supervision of Executive Director and Medical Director ... and in collaboration with the Nurse Manager , manage endoscopy unit daily operations including the supervision of the unit coordinators and endoscopy schedulers.… more
- Tufts Medicine (Burlington, MA)
- …Location: Remote with occasional onsite travel **Job Overview** This position utilizes the case management process and works closely with other members of the care ... is an integral member of the care team who conducts comprehensive clinical assessments, develops a patient-centered care plan, and engages the patient through… more
- Beth Israel Lahey Health (Burlington, MA)
- …Coding & UR: Receives direction regarding priorities, assignment, coordination and outcome. Clinical Leaders: Receives direction and training from Case Managers: ... and workflows and works closely with other administrative and clinical areas under the direction of the Executive Director...activities. + Complies with all LHMC Policies. Complies with behavioral expectations of the department and LHMC Clinic. +… more
- Somatus (Manchester, NH)
- …and mental well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member of the care team consisting of nurses, dietitians, ... care. Responsibilities + Conduct comprehensive assessments that include the medical, behavioral , pharmaceutical, and social needs of the patient, identify gaps in… more
- Beth Israel Lahey Health (Burlington, MA)
- …meetings, dietician meetings, and case presentations. Collaborates with the clinical operations manager and the membership coordinator to develop and ... difference in people's lives.** Position Summary: Under the general supervision of the Clinical Operations Manager and in collaboration with the Chair, Division… more
- Beth Israel Lahey Health (Burlington, MA)
- …and goals into daily activities. + Complies with all Lahey Health policies and clinical protocols. + Complies with behavioral expectations of the department and ... designated supervisor (depending on the location) and in collaboration with a clinical overseer, where applicable, the Medical Assistant is responsible for assisting… more
- HCA Healthcare (Manchester, NH)
- …RESPONSIBILITIES: Under the general direction of the Clinical Director OR and/or Clinical Nurse Manager and in accordance with standards of care and practice ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- CenterWell (Concord, NH)
- …Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more
- Highmark Health (Concord, NH)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more