The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases for medical necessity, appropriate class and level of care (LOC). The UM completes utilization reviews in accordance with federal regulations and the health system's Utilization Review Plan. Communicates ...
Performing Health Risk Assessments (HRA): a comprehensive bio-psycho-social assessment addressing social determinants of health, mental health history and needs, physical health history and needs, activities of daily living, access to resources, and other areas to ensure a whole person approach to c...
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...
Performing Health Risk Assessments (HRA): a comprehensive bio-psycho-social assessment addressing social determinants of health, mental health history and needs, physical health history and needs, activities of daily living, access to resources, and other areas to ensure a whole person approach to c...
Sanstone Health and Rehabilitation, one of the leading North Carolina skilled nursing facility providers with multiple locations is currently seeking to fill the position of a “Traveling Business Office Manager. SanStone Health & Rehabilitation -. Sanstone values a Work-Life balance for our em...
Acceptable licenses for incumbents with a Master’s Degree in a field related to health, psychology, sociology, social work, or another relevant human services field include Licensed Clinical Social Worker (LCSW), Licensed Clinical Social Worker Associate (LCSWA), Licensed Clinical Mental Health Coun...
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 Provider Education and Communications Manager’s role is to develop, coordinate, and manage activities related to the communications and trainings of behavioral health, intellectual and/or developmental disability and physical health providers contracting or working with Vaya Health, oversight an...
Encompass Health - Home Health & Hospice is searching for an experienced account executive to join our team as an Area Sales Manager. As a national leader across home health, hospice, and inpatient rehabilitation hospitals, Encompass Health is consistently ranked as a top best-place-to-work in the c...
Performing Health Risk Assessments (HRA): a comprehensive bio-psycho-social assessment addressing social determinants of health, mental health history and needs, physical health history and needs, activities of daily living, access to resources, and other areas to ensure a whole person approach to c...
Are you an outside sales professional experienced in Home Medical Equipment (HME)? Journey has an exciting new opportunity for a talented, aggressive Territory Sales Representative to join our team selling our curated and innovative healthcare products to HME providers. At Journey our mission is to ...
Performing Health Risk Assessments (HRA): a comprehensive bio-psycho-social assessment addressing social determinants of health, mental health history and needs, physical health history and needs, activities of daily living, access to resources, and other areas to ensure a whole person approach to c...
Blue Ridge Health is currently seeking a Behavioral Health RN Case Manager to be part of our Behavioral Health Team. Facilitates referrals to primary care providers, specialists, healthcare facilities, and community resources and communication with providers and healthcare organizations as appropria...
Orchard Valley Health and Rehabilitation is a member of the Ascent Healthcare Management family of skilled nursing facilities and rehabilitation centers in Western North Carolina. Orchard Valley Health and Rehabilitation -. If you are looking for a healthcare organization where you can bring your be...
The Care Manager cares for a caseload of home health patients by evaluating the patient for appropriateness of home health and developing the home care plan in conjunction with the physician. The Home Health Registered Nurse (RN) Care Manager is a professional nurse who coordinates and directs the h...
Looking for qualified Unit Manager RN to join our team!. Our Learning Management System offers over 1,500 courses for senior care, health and human services industry. Provide innovative, responsible healthcare with the creation and implementation of new ideas and concepts that continually improve sy...
Acceptable licenses for incumbents with a Master’s Degree in a field related to health, psychology, sociology, social work, or another relevant human services field include Licensed Clinical Social Worker (LCSW), Licensed Clinical Social Worker Associate (LCSWA), Licensed Clinical Mental Health Coun...
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 ...
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...
Acceptable licenses for incumbents with a Master’s Degree in a field related to health, psychology, sociology, social work, or another relevant human services field include Licensed Clinical Social Worker (LCSW), Licensed Clinical Social Worker Associate (LCSWA), Licensed Clinical Mental Health Coun...
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...
The Care Management Extender Manager, hereafter referred to as Extender Manager, will oversee the operation, communication/team dynamics, problem solving, and oversight of the Care Management Extenders who support care managers in delivering Tailored Care Management and fulfilling the member contact...
Engage, motivate, and lead team in a positive manner that fosters teamwork and excellence, including planning and organizing work in a managerial role. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the...
Acceptable licenses for incumbents with a Master’s Degree in a field related to health, psychology, sociology, social work, or another relevant human services field include Licensed Clinical Social Worker (LCSW), Licensed Clinical Social Worker Associate (LCSWA), Licensed Clinical Mental Health Coun...
Performing Health Risk Assessments (HRA): a comprehensive bio-psycho-social assessment addressing social determinants of health, mental health history and needs, physical health history and needs, activities of daily living, access to resources, and other areas to ensure a whole person approach to c...