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BH CARE MANAGER II

Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines...

CompanyElevance Health
AddressATLANTA, GA
CategoryInformation Technology
Date Posted 3 weeks ago See detail

BH Care Manager II

Elevance Health

ATLANTA, GA

Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines...

3 weeks ago seen See more...

BH Care Manager II

Elevance Health

DENVER, CO

Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines...

3 weeks ago seen See more...

BH Care Manager II

Elevance Health

DENVER, CO

Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines...

3 weeks ago seen See more...

Registered Nurse(Nurse Manager) Patient Aligned Care Team(PACT) - Polk Street

Department Of Veterans Affairs

Dallas, TX

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

7 days ago seen See more...

Registered Nurse - Specialty Care Services Nurse Manager

Department Of Veterans Affairs

Beckley, WV

Competitive

Assesses, plans, implements, and evaluates delivery of care based on age specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout...

7 days ago seen See more...

Case Manager Continuing Care Coord RN

Kaiser Permanente

San Diego, CA

Plans, develops, assesses and evaluates care provided to members. In conjunction with primary care and specialist physicians, evaluates and develops baseline medical and psychosocial evaluations and individualized patient care/tre...

a week ago seen See more...

BH Care Manager II

Elevance Health

WOODLAND HILLS, CA

Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelin...

4 weeks ago seen See more...

Behavioral Health Care Manager I Overnight and Weekend Team- Indiana Market

Elevance Health

INDIANAPOLIS, IN

Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality Behavioral Healthcare in a cost-effective setting in accordance with UM Clinical Guideline...

4 weeks ago seen See more...

Behavioral Health Care Manager II

Elevance Health

ROCKY HILL, CT

Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality Behavioral Healthcare in a cost effective setting in accordance with UM Clinical Guideline...

a month ago seen See more...

Care Manager (BCBA)

Impresiv Health

Orange, CA

Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. ssists the team in carrying out department responsibilities and collaborates w...

a month ago seen See more...

Registered Nurse, Care Manager, Day Shift [on site position]

Nyu Langone Health

New York, NY

$111,899.99 - $119,000.00 per year

Identifies cases that require peer review in accordance with the clinical indicators and criteria developed by the clinical department. Identifies trends in care, processes or services that may provide opportunities for improvemen...

a month ago seen See more...

Care Manager-Outpatient Complex Care (Remote)

Gillette Children's Specialty Healthcare

Saint Paul, MN

Associate degree in Nursing or another healthcare-related field. Current licensure in appropriate discipline. Bachelors in nursing, Social Work, or another healthcare-related field. Prior care management experience in a health-rel...

2 months ago seen See more...

Care Management RN (Bilingual) - Diabetes/Hypertension/Cardio

Kaiser Permanente

Orange, CA

Evaluates and identifies members needs. Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs. Monitors and evaluates the effectiveness of the case manage...

2 months ago seen See more...

Care Manager

Pix11

New York, NY

Works under general direction.Compensation:$23.17 - $28.96 Hourly Utilizes approved assessments to identify clients/members needs and develop initial and ongoing clinical plan of care. Works with clients/members, Peer Specialist,...

2 months ago seen See more...

IP Care Management Consultant II

Genesis Healthcare System

Ohio, United States

Current Ohio RN licensure. Must also have BSN with 3 years of clinical RN experience or ADN with 7 years of clinical RN experience. Three years clinical experience and 2+ years of CM/UR/Navigator/Coordinator/leadership experience...

2 months ago seen See more...

Behavioral Health Care Management Clinician

Koin

Salem, OR

Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation.. Assessment: collection of in-depth information about a member's situation and functi...

2 months ago seen See more...

Care Management Advanced Practice Provider: PA, NP

Lakewood Health System

Staples, MN

Join our team!

Advocate for and lead change in value-based, care coordination initiatives across the system. Coordinate the care of a variety of patients with a focus on preventative care and disease management within a value-based framework. Co...

2 months ago seen See more...

Travel Nurse RN - Care Manager - $1,875 per week

Cbs17

Olin, NC

Specialty: Care Manager. Discipline: RN. Start Date: 05/28/2024. Duration: 13 weeks. 40 hours per week. Shift: 8 hours, days. Employment Type: Travel. Health Insurance, Including a Buy-up Option Dental Insurance Vision Insurance....

2 months ago seen See more...

Care Manager

Minuteman Senior Services

Haverhill, MA

Conduct functional assessments of consumers living in the community. Develop service plans with the consumer and their support network, monitor plan on an ongoing basis through calls, visits, and case conferences to ensure consume...

2 months ago seen See more...

Care Manager - Transition in Care (Remote) - Now Hiring

Houston Methodist

Houston, TX

Serves as a clinical expert for hospital patients post discharge and in the ambulatory setting, working collaboratively and maintaining active communication with physicians, nurses, office staff and other members of the interprofe...

2 months ago seen See more...

RN Care Manager WFH

Work From Home

Nashville, TN

Serves as a subject matter expert in quality and value-based care programs such as MIPS, ACOs, and payor pay-for-performance contracts. Assists in educating practice staff on quality, payor, and government program requirements. De...

2 months ago seen See more...

Manager Nursing - Wound Care - Now Hiring

Houston Methodist Hospital

Houston, TX

Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turn...

2 weeks ago seen See more...

Associate Managed Care Analyst

Highmark Health

Remote - Pennsylvania, United States

Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%). Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts.(25%). Collaborates wit...

2 weeks ago seen See more...

Assistant Nurse Manager - Medical Progressive Care, Jefferson

Highmark Health

Pennsylvania, United States

Role model mission, vision, and values within their defined areas of responsibility. Demonstrates and role models professional behavior with all staff interactions. Serves as change agent and role model for change to assist staff...

2 weeks ago seen See more...

Case Manager (Managed Care Coordinator)

Elevance Health

Arlington, VA

Performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. Using tools and pre-def...

2 weeks ago seen See more...

Nurse Manager (Acute Care)

Department Of Veterans Affairs

Charleston, SC

Competitive

Planning work to be accomplished by subordinates, setting priorities and preparing schedules for completion of work. assigning work to the subordinates based on priorities, selective consideration of the difficulty and the require...

2 weeks ago seen See more...

Dialysis Clinical Nurse Manager- Specialty Care

Department Of Veterans Affairs

Tucson, AZ

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

2 weeks ago seen See more...

Registered Nurse Case Manager - Home Base Primary Care (Yuma)

Department Of Veterans Affairs

Yuma, AZ

Competitive

Will be expected to cover other Registered Nurses and/or duties as assigned. May enter homes with a variety of uncleanness. Lifting required. U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit...

3 weeks ago seen See more...

Managed Care Billing Specialist*

The New Jewish Home

Bronx, NY

$65,000 - $68,900 a year

Must be able to understand Managed Care contracts, create project spreadsheets for submission to payers, write reconsideration appeals and send to MCOs, and be able to communicate both internally and externally for resolution of c...

3 weeks ago seen See more...

Nurse Manager (Acute Care)

Department Of Veterans Affairs

Wilmington, DE

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

3 weeks ago seen See more...

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