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...
Reporting to the Nurse Manager, the RN Case Manager is a registered professional nurse who is responsible for providing safe, appropriate nursing care to patients in their place of residence. It is certified by The Joint Commission, employs more than 1,250 trained healthcare workers, and has a medic...
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...
BLS-Basic Life Support Healthcare Provider. Must be able to meet company productivity standards as indicated by organization and manager. This position may regularly work, store, prepare, receive, unpack, transport, dispose of, or administer drug(s) identified as hazardous, or potentially hazardous,...
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 incumbent will play a key role with IT product managers and product owners planning in facilitating budget and resource requests and follow through. Salesforce Data Cloud, Marketing Cloud, Marketing Cloud Intelligence, Adobe Experience Manager, and Workfront). Highmark Health and its affiliates ...
Interim Occupational Health Manager. This is a Interim occupational Health Manager role leading a team of 6+ staff to maintain the departments quality process while meeting the hospital mission. ...
In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Pr...
The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. The role of the Health Program Auditor I (Specialist) (HPAM I) is to preside over informal level of reviews, fair hearings, other administrative hearings and appeals involving financial assessments ...
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...
COPE Health Solutions is a national tech-enabled services firm, with a population health management analytics software solution Analytics for Risk Contracting (ARC), collaboratively implementing proven products with payer and provider clients to power success in risk arrangements and development of ...
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...
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...
Under the general direction of the Staff Services Manager III, Chief of the IT Fiscal and Administrative Branch, the Staff Services Manager II (SSM II) (Supervisory) has full supervisory responsibility for leading and directing activities for the Compliance and Financial Section. This position suppo...
Recognizing the patient's right to self-determination, the significance of the social determinants of health and the complexities of care. Join our team at Saint Johns Health Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect...
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...
The Department of Health Care Services (DHCS) is the backbone of California’s health care safety net. Under the direction of the CSB, the Staff Services Manager (SSM) II of the Behavioral Health Grants Section, is responsible for personnel management and to plan, organize, monitor, and oversee the f...
Rachelle-Béry health boutique, department manager. Become a Rachelle-Béry health boutique department manager !. As a Rachelle-Béry health boutique department manager, you will be responsible for :. ...
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 ...
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, religion, sex, national origin, sexual orientati...
The MCPS is comprised of one (1) Staff Services Manager II, one (1) Staff Services Manager I, one (1) Staff Services Manager Specialist, two (2) Health Program Specialist Is (HPS I), and four (4) Associate Governmental Program Analysts (AGPA). The CPAS is comprised of one (1) SSM II, one (1) Health ...
As a Digital Product Manager for My Highmark, a site for members to view claims, explore coverage, and find care, you'll play a pivotal role in representing the customer's voice throughout the product development lifecycle. Coordinate with other Product Managers to ensure cross-product alignment. Co...
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...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Behavioral Health Case Manager II. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsol...