Responsibilities of the Case Manager: The Case Manager needs to demonstrate initiative, confidence, and a focus on making positive connections to coordinate care management services for the Behavioral Health Home clients. Case Manager for the Behavioral Health Homes Program. Integrating, overseeing ...
Following the Children’s Health Homes Care Management program guidelines as set forth by the NYS Department of Health, the Health Homes Care Manager provides comprehensive care planning, ongoing care coordination, and community linkage to Medicaid eligible children with complex physical and be...
DescriptionGENERAL RESPONSIBILITIES:Using principles of Patient Centered Medical Home (PCMH), the Registered Nurse Care Manager (RN) at Whitney Young Health (WYH) will demonstrate professional nursing practice, excellent communication and critical thinking skills, self-management expertise along wit...
The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management p...
Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members, act as a proactive partner to provide appropriate education, resources, and healthcare coaching. MVP Health Care is a nationally recognized, not-for-profit health insurer caring fo...
Understanding of healthcare costs and the broader healthcare service delivery system. This job has primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel an...
Experience the future of healthcare with us today!As a product manager for Health Data Intelligence, you will orchestrate the development of brand new products. Job DescriptionDo you want to work on pioneering technologies and build a product that can impact the health outcome for billions of people...
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...
Hiring for an Environmental Health and Safety Manager responsible for managing and maintaining the Company’s EHS programs, guided by corporate EHS policies to include sustainable improvement, prevention, and compliance. Will coordinate and/or facilitate programs to train employees and managers in si...
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 ...
As an Associate Account Manager, you'll join a team dedicated to improving the lives of patients by delivering essential medical equipment and supplies. You'll build relationships with healthcare professionals in skilled nursing and long-term care settings, working alongside a dynamic team to unders...
As a senior health information technology (HIT) project and planning manager, you will a lead a team of technology subject matter experts (SME) and strategic planners supporting the New York State Department of Health (NYSDOH), Office of Health Insurance Programs (OHIP), to conceptualize, develop, a...
Fulton Center is hiring a Registered Nurse (RN) Unit Manager in Gloversville, NY. Fulton Center for Rehabilitation and Healthcare. Centers Health Care Consortium. ...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Certification as a Case Manager and a BS in a health or human services related field preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies...
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 Clinical Audit & Appeals Nurse Manager is responsible for overseeing the clinical audit and/or appeals process for Intermountain Health. The manager leads a team of nurses who review medical records, conduct audits, and respond to appeals from payers, regulators, and other stakeholders. The ...
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...
We're hiring a Senior Manager, Strategic Growth to join our Strategic Growth team. Oscar is the first health insurance company built around a full stack technology platform & a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for our...
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...
Prior experience in Health Insurance (Individual and/or Small Employer) and/or Healthcare industry . BS/BA degree in a quantitative or healthcare field such as Business, Healthcare, Economics, Mathematics, Statistics, Actuarial Science and Finance or equivalent years of experience. We're hiring a Ma...
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...
If you are a compassionate and organized healthcare professional with a passion for ensuring positive patient outcomes, consider joining our team as a Case Manager! Make a real difference in people's lives in an organization where your expertise and dedication are valued and appreciated. Heartwood i...
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 ...
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. The **Nurse Case Manager I** is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, impleme...
Please note that any communication from our recruiters and hiring managers at Stellar Health about a job opportunity will only be made by a Stellar Health employee with an. Historically, US Healthcare has relied on a fee-for-service reimbursement system where providers are paid based on the quantity...