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Medical %26 health service manager Jobs in Pueblo, CO

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Medical %26 health service manager • pueblo co

Last updated: 17 hours ago
Medical Director - Behavioral Health

Medical Director - Behavioral Health

CVS HealthWork from home, CO, US
Remote
Full-time
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago
  • Promoted
CDOC HEALTH CARE TECH I / MEDICAL ASSISTANT - (DENVER)

CDOC HEALTH CARE TECH I / MEDICAL ASSISTANT - (DENVER)

State of ColoradoCO, United States
$3,409.00–$4,773.00 monthly
Full-time
This position is open only to Colorado state residents.Primary Physical Work Address : .Denver, COThis posting may be used to fill future vacancies at this location. Non-Exempt; position is eligible f...Show moreLast updated: 9 days ago
  • Promoted
LPN Homecare - $20-$26 / visit

LPN Homecare - $20-$26 / visit

Maxim HealthcareCO, United States
Full-time +1
Salary : $20 - $26 / visitMaxim Healthcare in La Junta, CO is hiring for a Licensed Practical Nurse (LPN) to work with Adult patients in their own homes. Full-time, Flexible part-time and PRN availab...Show moreLast updated: 10 days ago
  • Promoted
MEDICAL ASSISTANT, CANYON VIEW WOMEN'S HEALTH, FULL-TIME

MEDICAL ASSISTANT, CANYON VIEW WOMEN'S HEALTH, FULL-TIME

Community HospitalCO, United States
$20.00–$23.00 hourly
Full-time
Provides patient care to assigned patients in the practice per hospital standards and procedures.Interviews patients, measures all vital signs as required for meaningful use.To include but not limi...Show moreLast updated: 1 day ago
  • Promoted
PRN Mental Health Nurse Case Manager

PRN Mental Health Nurse Case Manager

ClinicaCO, United States
Full-time
As our PRN Nurse Case Manager you will facilitate optimum health care for clients in conjunction with and under the license of prescribers (Advanced Practice Nurse, Physician Assistant or Psychiatr...Show moreLast updated: 8 days ago
  • Promoted
PRN MENTAL HEALTH NURSE CASE MANAGER

PRN MENTAL HEALTH NURSE CASE MANAGER

Clinica Family HealthCO, United States
Full-time
As our PRN Nurse Case Manager you will facilitate optimum health care for clients in conjunction with and under the license of prescribers (Advanced Practice Nurse, Physician Assistant or Psychiatr...Show moreLast updated: 13 days ago
  • Promoted
MEDICAL SUPPORT ASSISTANT (MEDICAL RECEPTIONIST)

MEDICAL SUPPORT ASSISTANT (MEDICAL RECEPTIONIST)

Ansible Government SolutionsCO, United States
$22.29–$27.22 hourly
Full-time
Ansible Government Solutions, LLC (Ansible) is currently recruiting Medical Support Assistants (MSA) to support the VHA Office of Community Care located at 4100 E Mississippi Ave, Glendale, CO 8024...Show moreLast updated: 6 days ago
  • Promoted
RN Clinical Manager, Home Health

RN Clinical Manager, Home Health

Humana Inc.CO, United States
$77,200.00–$106,200.00 yearly
Full-time
Become a part of our caring community and help us put health firstDenver AreaThe Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel.Develops, ...Show moreLast updated: 8 days ago
  • Promoted
Customer Service Representative - Health and Benefits

Customer Service Representative - Health and Benefits

WTWCO, United States
$21.64–$24.00 hourly
Full-time
Description • •Health Benefit Customer Service Representatives are passionate about developing strong, positive client relationships and ensuring customer satisfaction. The Benefit plan team takes pri...Show moreLast updated: 8 days ago
  • Promoted
RESTAURANT SERVICE MANAGER

RESTAURANT SERVICE MANAGER

Perkins Restaurant & Bakery - CyHawk HospitalityCO, United States
$50,000.00–$55,000.00 yearly
Full-time
Perkins Restaurant and Bakery, is now hiring a front-of-the-house.Weekends are required with a 50-hour typical workweek.Salary range is $50,000 - $55,000. Benefits include 2 weeks of vacation, healt...Show moreLast updated: 1 day ago
  • Promoted
HOME HEALTH RN CASE MANAGER

HOME HEALTH RN CASE MANAGER

Abby CareCO, United States
$80,000.00–$84,000.00 yearly
Full-time
Our mission is to redefine care for the most vulnerable families.We are transforming home health through purpose-built, thoughtful technology and a unique care model with families at the core.What ...Show moreLast updated: 13 days ago
  • Promoted
MEDICAL ASSISTANT - WOMENS HEALTH

MEDICAL ASSISTANT - WOMENS HEALTH

Peak Vista Community Health CentersCO, United States
$21.43–$31.07 hourly
Full-time
Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and educat...Show moreLast updated: 8 days ago
  • Promoted
RESTORATIVE AIDE (CNA) - SKILLED NURSING COMMUNITY - $19.26 - 26.75 / HR

RESTORATIVE AIDE (CNA) - SKILLED NURSING COMMUNITY - $19.26 - 26.75 / HR

Willow Tree Care CenterCO, United States
$19.26–$26.75 hourly
Full-time
Willow Tree Care Center - Delta, Colorado.We are seeking an outstanding CNA to join our team of dedicated, smart, and caring professionals as they work together to care for our seniors and provide ...Show moreLast updated: 1 day ago
  • Promoted
LPN Homecare - $20-$26 / visit

LPN Homecare - $20-$26 / visit

Maxim Healthcare ServicesCO, United States
Full-time +1
Salary : $20 - $26 / visit Maxim Healthcare in La Junta, CO is hiring for a Licensed Practical Nurse (LPN) to work with Adult patients in their own homes. Full-time, Flexible part-time and PRN avail...Show moreLast updated: 10 days ago
  • Promoted
  • New!
SCHOOL SOCIAL WORKER 2025-26

SCHOOL SOCIAL WORKER 2025-26

AnthroMed EducationCO, United States
$60,000.00–$85,000.00 yearly
Full-time
Trusted by over 100+ school districts, AnthroMed Education is a therapy group that is dedicated to your success as a Social Worker within schools. We are rapidly growing our team of school-based cli...Show moreLast updated: 17 hours ago
  • Promoted
Home Health Clinical Manager (RN)

Home Health Clinical Manager (RN)

Interim HealthCarePueblo, CO, USA
$80,000.00–$90,000.00 yearly
Full-time +1
Location : Pueblo, CO Status : Full Time Salary : $80K-$90K Shifts : M...Show moreLast updated: 8 days ago
  • Promoted
HOME HEALTH RN CASE MANAGER

HOME HEALTH RN CASE MANAGER

Aura Staffing PartnersCO, United States
$42.00–$67.00 hourly
Full-time
Flexible schedule, Monday through Friday.We are currently seeking a Registered Nurse (RN) to join our team as a Home Health Case Manager in the Denver Metro Area. As a Case Manager, you will be resp...Show moreLast updated: 13 days ago
  • Promoted
Medical Assistant - Medical Assistant

Medical Assistant - Medical Assistant

Vail Valley Colorado Mountain MedicalCO, United States
Full-time
Vail Valley Colorado Mountain Medical.Medical Assistant - Medical Assistant.Medical Assistant Job Description.Job Description : Medical Assistant. The Medical Assistant will provide.Assist healthcare...Show moreLast updated: 1 day ago
  • Promoted
CLINICAL CARE MANAGER - YOUTH BEHAVIORAL HEALTH

CLINICAL CARE MANAGER - YOUTH BEHAVIORAL HEALTH

ROCKY MOUNTAIN HUMAN SERVICESCO, United States
$52,000.00–$63,000.00 yearly
Full-time
We value an equitable and inclusive workplace and seek candidates with diverse backgrounds and abilities.Why work at Rocky Mountain Human Services?. You will have the opportunity to contribute to an...Show moreLast updated: 13 days ago
Medical Screener - Reception Technician (Customer Service)

Medical Screener - Reception Technician (Customer Service)

CSLAmericas, US, CO, Colorado Springs277, CSL Plasma
$18.35 hourly
Part-time
In compliance with Standard Operating Procedures (SOPs), assists qualified donors in completing the screening process.The screening procedures includes but are not limited to : assessing the self-ad...Show moreLast updated: 30+ days ago
Medical Director - Behavioral Health

Medical Director - Behavioral Health

CVS HealthWork from home, CO, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. 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 care more personal, convenient and affordable.

Position Summary

Aetna, a CVS Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources.

  • This is a remote based (work from home) role.

In this role has Medical Director (Behavioral Health) you will :

  • Provide comprehensive behavioral health care management to facilitate delivery of appropriate quality care and improve program / operational efficiency involving clinical issues
  • Provide leadership and day-to-day physician oversight for utilization management team, including the management of high-risk cases and medical necessity decisions
  • Participate in the development, implementation, and evaluation of clinical / medical programs
  • Provide psychiatric leadership to an interdisciplinary utilization management team, including medical / clinical oversight, consultation and training
  • Provide day-to-day physician oversight including management of high-risk cases throughout treatment / levels of care and medical necessity decisions
  • Assist with the development, implementation, monitoring and evaluation of the utilization management program and action plan, ensuring quality and appropriateness of care
  • Assist with the development, implementation and interpretation of medical policy including medical necessity criteria, clinical practice guidelines and new technology assessments
  • Confer with behavioral health practitioners regarding the care of patients with severe, complex and / or treatment resistant illnesses
  • Identify and address quality of care concerns with providers involved in a member's care
  • Participate in the appeals process, including the investigation of adverse events and quality of care concerns
  • Provide psychiatric leadership for NCQA-compliant clinical quality improvement activities in collaboration with clinical and quality improvement staff
  • Participate in the triage and referral for care management
  • provide coverage for appeals as neede
  • Required Qualifications

  • Board Certification in Psychiatry
  • Minimum 5 years of clinical practice experience in the health care delivery field as a psychiatrist.
  • Preferred Qualifications

  • Experience with managed care, as a provider and manager of care
  • utilization review or physician advisor experience.

    Education

  • Active and current state medical license without encumbrances
  • MD or DO.

    Pay Range

    The typical pay range for this role is :

    174,070.00 - $374,900.00

    This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

    In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.