- MetroPlusHealth (New York, NY)
- …trends to ensue formulary appropriateness Administers and manages all pharmacy case management programs, including the Behavioral Health Pharmacy Program ... Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If...for identifying criteria and medications to continuously improve drug utilization management strategies for the pharmacy and… more
- Monte Nido (Miami, FL)
- …Business Administration, Nursing or related field. Master's Degree preferred. + Previous utilization management experience in a behavioral healthcare ... for people to realize their healthy selves. **Director of Utilization Management ** **Monte Nido** **Remote** Monte Nido...Assistance Program (EAP) + Flexible Spending Account (FSA) + Health Savings Account (HSA) + Paid time off +… more
- Commonwealth Care Alliance (Boston, MA)
- …Utilization Mgmt - Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and ... of health plan QI Committee. Co-chair of health plan Utilization Management Committee...five (5) years of clinical experience in medical or behavioral health care delivery Required Knowledge, Skills… more
- Commonwealth Care Alliance (Springfield, MA)
- …patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and closing quality gaps. Additionally, the SBHC ... care and care management experience with patients with complex medical, behavioral health , and social needs; preferred experience in community settings. in… more
- Commonwealth Care Alliance (Springfield, MA)
- …team for care delivery and care coordination for the most complex medical and behavioral health patients. The CHW participates in aiding the patients around all ... reducing gaps in preventive care interventions, optimize patients' engagement with primary care, behavioral health , and substance use services. The CHW will play… more
- Commonwealth Care Alliance (Boston, MA)
- …Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management , Utilization Management , and Business ... Education (nice to have):** + Bachelor's degree in public health , health management , social work,...& Language (nice to have):** + Familiarity with care management and utilization management systems… more
- Stanford Health Care (Palo Alto, CA)
- …+ Knowledge of social work and the needs of service line (oncology, behavioral health , inpatient surgical and medical) patients and families + Knowledge ... systems and services. Oversees service line efficiencies to ensure appropriate utilization of Health System resources including patient financial assistance.… more
- Commonwealth Care Alliance (Boston, MA)
- …utilization , closing care quality gaps, and optimizing member connection to medical, behavioral health , and substance use disorder resources. CHWs play an ... Team and Primary Care Provider (PCP) or specialty care providers (eg, behavioral health clinician). + CHWs utilize recovery-centered strategies, harm reduction… more
- Washington Metropolitan Area Transit Authority (Alexandria, VA)
- Senior Financial Management Analyst - Payroll Job ID: 250923 Location: VA - Metro Bldg At Eisenhower Full/Part Time: Full-Time Posting Open-Close 10/10/2025 - ... 10/19/2025 Union NRP Regular/Temporary: Regular **Job Description** **Senior Financial Management Analyst ? Payroll Marketing Statement:** The Washington Metropolitan… more
- Commonwealth Care Alliance (Boston, MA)
- …delegated partnerships programs, working with clinical community partners responsible for care management and utilization management across CCA's One Care ... - Bachelor's degree Desired Education (nice to have): - Master's degree in public health , business administration, health management , social work, or a… more
- Somatus (Utica, NY)
- …+ Monitors and coaches patients using techniques of motivational interviewing and behavioral change to maximize self- management . + Oversees provisions for ... to health plan. + Participates actively in assigned Care Management Coordination Committee (CMCC) meetings. + Documents pertinent patient information and Care… more
- Alameda Health System (San Leandro, CA)
- …staff, visitors, and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, AHS, and ... Physicians JGP ER + Full Time - Day + Management + $96.70 - $161.16 / Hour + Req...care. 3. Liaison with Alameda County Healthcare Services Agency, Behavioral Healthcare Services, Office of Patients' Rights and other… more
- Moses/Weitzman Health System (Middletown, CT)
- …Officer is a key leadership position, along with the Chiefs of Medicine, Dentistry, Behavioral Health and Nursing, and has the opportunity to participate in ... in establishing and reaching targets for clinical capacity and utilization and ensure financial success of the department +...Patient Centered Medical Home, with its focus on population health management , integration of all health… more
- Commonwealth Care Alliance (Boston, MA)
- …or home care, OR - 2+ years caring for patients/members with complex medical, behavioral health , and social needs - Primary Care experience Desired Experience ... of education to patients and caregivers regarding chronic disease management and follow-up, preventive health maintenance. -... team, shared accountability for reductions in acute care utilization - Attend team meetings and huddles to provide… more
- Monte Nido (Waltham, MA)
- …the opportunity for people to realize their healthy selves. **Family Therapist** **Walden Behavioral Care** **Waltham, MA** Walden Behavioral Care is one of the ... Assistance Program (EAP) + Flexible Spending Account (FSA) + Health Savings Account (HSA) + Paid time off +...Treatment (FBT) methods. + Provide clinical care and case management in a manner consistent with the philosophy and… more
- Zeiders Enterprises, Inc (Woodbridge, VA)
- …in Woodbridge, VA, Zeiders has employees supporting clients worldwide in behavioral health , military family resiliency, work-life education programs, and ... employee of Zeiders responsible for overseeing workforce planning and management processes, including forecasting staffing needs, scheduling service delivery within… more
- Commonwealth Care Alliance (Boston, MA)
- …management setting + 2+ years caring for patients/members with complex medical, behavioral health , and social needs; preferred experience in community setting ... medical, behavioral , and social complexities that require intensive care management and care delivery. Within the CIC Program, the Manager, Clinical APC… more
- Somatus (Mclean, VA)
- …+ Monitors and coaches patients using techniques of motivational interviewing and behavioral change to maximize self- management . + Oversees provisions for ... Coordination Committee (CMCC) meetings. + Documents pertinent patient information and Care Management Plan in Electronic Health Record and Care Management … more
- Battelle Memorial Institute (Columbus, OH)
- …measures to mitigate risks. Works closely with internal teams, including Emergency Management , Health Services, Battelle Aviation, Insider Threat, and Security ... alignment of executive protection strategies with internal teams, including Emergency Management , Health Services, Battelle Aviation, Insider Threat, and… more
- Monte Nido (Dedham, MA)
- …RN experience, and 2 years of Supervisor experience in a general inpatient or behavioral health care setting preferred. + Massachusetts RN license. CPR Certified ... the opportunity for people to realize their healthy selves. **Nursing Supervisor** **Walden Behavioral Care** **Dedham, MA** Walden Behavioral Care is one of the… more
