- Fallon Health (Worcester, MA)
- …for member experience and service and clinical quality. **Brief Summary of Purpose:** The Behavioral Health Case Manager (BHCM) is responsible for assessing ... with a special focus on those who qualify for Medicare and Medicaid. We also serve as a provider...member's primary care physician, medical providers, behavioral health providers, state agencies and/or internal nurse case… more
- Fallon Health (Leominster, MA)
- … Medicare , Medicaid, and PACE- in the region. **Brief Summary of Purpose:** The Behavioral Health Clinician provides Behavioral Health services in ... caregivers and SE staff. **Responsibilities** **Primary Job Responsibilities:** * Provides behavioral health support to Summit participants as referred by… more
- Fallon Health (Worcester, MA)
- …approves their care plan o Manages NaviCare members in conjunction with the Navigator, Behavioral Health Case Manager, Aging Service Access Point Geriatric ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE...or her health needs, social needs or behavioral health needs o Collaborates with appropriate… more
- Fenway Health (Boston, MA)
- …Consults with a variety of health center and community staff (Nutritionists, Home Health Aides, Nurses, Behavioral Health staff and Medical staff) about ... Coordination Nurse Manager and High Acuity Social Worker, the High Acuity Community Health Worker provides low barrier case management, health navigation… more
- Fallon Health (Springfield, MA)
- …care including but not limited to working with providers to arrange medical and behavioral health appointments and following up with members afterwards to ensure ... If working on the NaviCare Member Population: Facilitates transportation to medical, behavioral health , and social appointments by educating the member about… more
- Highmark Health (Boston, MA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine...works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs… more
- State of Massachusetts (Fall River, MA)
- …of Public Health , Board of Health , Department of Mental Health , Centers for Medicare and Medicaid Services. *_Working Conditions:_* * While performing ... The Dr. John C. Corrigan Mental Health Center is seeking dedicated and compassionate individuals...* Experience working with individuals with serious mental illness, behavioral or mood disturbances in an inpatient setting. *… more