Ensures that unit(s) services meet members, physician and internal clients needs in a changing, competitive health care market. Works with health care providers outside of the unit(s) to achieve optimal patient care across the continuum. ...
The Behavioral Care Manager (BCM) has the exciting opportunity to build and grow Integral Health’s innovative mental health brand in an emerging market under the direction of the Clinical Operations Manager. If you’re a clinician who wants to strengthen care for patients across the spectrum, who wan...
Collaborates with the patient and their families, the patient’s physicians, and all care providers in coordinating the care of the patient, utilizing skills of advocacy, communication and education.Identifies, facilitates and coordinates the appropriate services, resources, providers and facil...
Full Circle is looking for a CalAIM Program Manager to support the development of core service delivery models for enhanced care management, community health worker and community supports. Represent Full Circle and providers at key meetings to inform and shape ongoing policy development in this spac...
Collaborates with the patient and their families, the patient's physicians, and all care providers in coordinating the care of the patient, utilizing skills of advocacy, communication and education.Identifies, facilitates and coordinates the appropriate services, resources, providers and facilities ...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those sub...
Hospitals on Incredible Health are actively hiring and accepting applications in the Mission Viejo, CA area for the following position: Registered Nurse - Case Manager. News best hospital Qualifications: ADN/ASN degree or higher from an accredited school of nursing Active and unencumbered Registered...
Lead Project Managers and/or Program team in the development and maintenance of comprehensive plans for a defined program. Healthcare Insurance industry business and operational knowledge. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Ac...
As a Manager, Global Clinical Quality, you will be joining the world’s largest & most comprehensive clinical research organisation, powered by healthcare intelligence. ...
Ensures that unit(s) services meet members, physician and internal clients needs in a changing, competitive health care market. Works with health care providers outside of the unit(s) to achieve optimal patient care across the continuum. ...
The Behavioral Health Registered Nurse Case Managerwill report to the FEP Department Manager. Research and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type . Recognize the cli...
Acts as Case Manager when assigned by Clinical Manager and assumes responsibility to. Uses health assessment data to determine nursing diagnosis. Provides health care instructions to the patient as appropriate per assessment and plan of. Communicates with community health related persons to coordina...
The Senior Manager, Pharma Services Growth is a critical member of the Trade Strategy team, which is tasked with leveraging CVS Health’s size and scale to create differentiated, one-of-a-kind solutions for pharmaceutical manufacturers that reduce the costs of goods and make pharmaceuticals more acce...
This position supports the California Department of Public Health’s (CDPH) mission and strategic plan by advancing the health and well-being of California’s diverse people and communities. The incumbent works under the general direction of the Chief, Program Integrity and Audits Section, Staff Servi...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
The Health Facilities Evaluator Manager I (HFEM I) is responsible for ensuring consumer complainant appeals and federal independent informal dispute resolution review processes related to long-term health care facilities are resolved as required by state and/or federal laws. This position supports t...
Healthcare or Health Insurance Experience. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, relig...
The RSM supports public health informatics needs within the Center for Infectious Diseases (CID); provides technical leadership and acts as the informatics subject matter expert (SME) to the IB and CID information systems; advises CID leadership on strategic questions related to informatics and syst...
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Under direct supervision, serves as a primary support and case manager for individuals with mental illness by assisting them to live as independe...
Understanding of healthcare costs and the broader healthcare service delivery system. This job has primary ownership and oversight over a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member...
Oversees the overall management of a medium size health center (2+ regularly scheduled employees). Acts as health center’s infection control lead and collaborates with the corporate Director of Quality and Infection Control Officer. Certification in Occupational Health (COHN/COHN-S) may be required ...
This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and res...
Participates, collaborates with, and supports the respective managers of the inpatient acute care management team and works with other healthcare professionals to provide quality patient care and maintains safety and educational needs. Ensures efficient and effective operations through highly engage...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Behavioral Health Case Manager I. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsoli...
Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the business strategy and shaping Procurement strategic direction. Certified Purchasing Manager (CPM). Highmark Health and its affiliates prohibit discrimination against qualified individu...