- Commonwealth Care Alliance (Springfield, MA)
- …gap closures, including: + RN Clinical Care Manager + BH Clinical Care Manager + Medication Reconciliation + Follow up after Hospitalization (FUH) ... in nursing + Active RN license, in good standing, in state of assignment. + BH Clinical Care Managers must have: + Master's degree in social work or mental… more
- Elevance Health (Woodbridge, NJ)
- …in a behavioral health related field and a minimum of 3 years behavioral health clinical and managed care or clinical quality improvement experience; or any ... ** Clinical Quality Management Analyst Sr. Behavioral Health** **Location:**...adequacy. Implementation of processes designed to improve access to care for special needs populations including, but not limited… more
- Humana (Winchester, VA)
- …that hinder effective care . Through a holistic, person-centered approach, the BH Care Manager remains dedicated to enhancing behavioral health outcomes, ... community and help us put health first** The Field Care Manager, Behavioral Health performs primarily face to face...provisional licenses)** + Minimum of 2 years of post-degree clinical experience in behavioral health setting + Case management… more
- Centene Corporation (Wichita, KS)
- …status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based ... the remaining time. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
- Idaho Division of Human Resources (ID)
- Clinician - BH Posting Begin Date: 2025/01/14 Posting End Date: 2025/06/03 Category: Human Services Sub Category: Mental Health Work Type: Full Time Remote: Flexible ... Hybrid Location: Multiple Locations, ID, United States Minimum Salary:...community providers, hospitals, law enforcement, and the courts. The Clinical Services Bureau works to transform Idaho's behavioral health… more
- Elevance Health (KS)
- …Hugoton, Great Bend, Marysville, Junction City, Manhattan, are encouraged to apply.** The BH Case Manager I - Western Kansas is responsible for performing case ... but are not limited to: + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments to identify individual… more
- East Boston Neighborhood Health Center (MA)
- …with a high degree of integrity and efficiency. 17.Specific to NeighborHealth South End BH , coordinates BH system of care design in collaboration with ... procedures. 20.Participates in required departmental activities and meetings. Collaborate with clinical teams to integrate services and improve care … more
- Centene Corporation (Tallahassee, FL)
- …and efficiency standards + Works with BH utilization management team to resolve complex BH care member issues related to BH + Maintains knowledge of ... home.** **Must Reside in Florida.** **Position Purpose:** Supervises the behavioral health ( BH ) utilization review clinicians to ensure appropriate care for… more
- Elevance Health (Los Angeles, CA)
- … support staff responsible to ensure medical necessity and appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of ... BH services through level of care determination, accurate interpretation/application of benefits, corporate medical policy...and works to ensure quality outcomes and cost effective care ; assists in developing clinical guidelines and… more
- AmeriHealth Caritas (Harrisburg, PA)
- …information, visit www.performcare.org and https://pa.performcare.org/ The **PerformCare** -PA Behavioral Health Clinical Care Manager ( BH -CCM) is a core ... Managed Care Organization (MCO) and medical Providers when applicable. The BH -CCM approves care coordination, utilization management, and some types of case… more
- Humana (Solon, OH)
- …by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The ** BH CM** must perform the ... Management Entity, or who choose to receive their care management from the MCO. The BH ...field of study with no disciplinary action: Licensed Masters Clinical Social Worker (LCSW), Clinical Social Worker… more
- Lane County (OR)
- …team. We are seeking candidates for our newest Behavioral Health Clinical Care Manager position. This licensed BH clinician will work in partnership with ... meetings; and provide BH consultation to RN care management, non- clinical care coordination...off and 12 paid public holidays + Option for hybrid telework after probation + Lots of training and… more
- Cornell Scott Hill Health Corporation (New Haven, CT)
- …CT (Adult BH ) Essential Duties and Responsibilities: + Provides professional clinical services to individual clients, groups of clients, and/or families in the ... Title: Clinician Departments: Adult BH , Child & Family Guidance, South Central Rehab...client. Direct services may include assessment and diagnosis, urgent care , individual, group and/or family therapy. The Clinician is… more
- Elevance Health (Walnut Creek, CA)
- …Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of ... include, but are not limited to: + Establishes relationships and engages with BH providers and ensures measurable improvements in clinical and quality outcomes… more
- Centene Corporation (Carson City, NV)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...substance abuse. Monitors and determines if level of care and services related to mental health and substance… more
- BJC HealthCare (Florissant, MO)
- City/State: Florissant, Missouri Categories: Clinical Services and Support Shift: Days Job Status: Full-Time Req ID: 86737 Pay Range: $47,361.60 - $77,126.40 / year ... on Bonus** + **Shift information:** The Behavioral Health Urgent Care is open Monday - Saturday from 9am to..._(this is an person position - no remote or hybrid )_ + **Ideal Skill Set:** Comfort collaborating across two… more
- Beth Israel Lahey Health (Wakefield, MA)
- …ACO (BILHPN-ACO) is responsible for improving coordination of patient care , reducing unnecessary hospitalizations and readmissions, emergency department visits and ... revisits, and reducing total cost of care over time. BILHPN-ACO will provide services in collaboration... Management, Medicare Shared Savings Program-ACO. **Job Description:** + ** Hybrid / Remote Schedule** + **M-F (business hours)** **Essential… more
- Point32Health (MA)
- …interventions, and disease/chronic condition management per department guidelines. The nurse care manager possesses strong clinical knowledge, critical thinking ... outcomes (ie, Utilization Management, Medical Director, pharmacy, community health workers, dementia care specialists, wellness, and BH CM) + Attend and present… more
- Centene Corporation (Lansing, MI)
- …Michigan, hold a valid MI RN license with experience in leadership, family care planning, clinical administration, and clinical data management.** ... including a fresh perspective on workplace flexibility. **Position Purpose:** Manages the care management team and the care coordination of behavioral health… more
- Centene Corporation (Newark, DE)
- …status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based ... **Must reside within the state of Delaware - this is a hybrid field/remote position.** **Position Purpose:** Develops, assesses, and facilitates complex care… more