• Telephonic Case Manager , Ltss (RN)…

    Molina Healthcare (TX)
    …with a strong background in Behavior Health to work with our Medicaid members as a telephonic Case Manager in Texas. Candidates must reside in the state of TX to ... to RNs who have been employed by another managed care organization as a case manager .** **Solid...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health… more
    Molina Healthcare (10/30/24)
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  • Behavioral Health Care

    AmeriHealth Caritas (Greenville, SC)
    Behavioral Health ID**: 37969 **Job Brief** This position is a telephonic Behavioral Health Care Manager , open to candidates in the SC Upstate ... ** Behavioral Health Care Manager SC** Location: Greenville, SC Primary Job Function:… more
    AmeriHealth Caritas (11/08/24)
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  • Telephonic Case Manager - Social…

    Molina Healthcare (IL)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... **JOB DESCRIPTION** **Exciting remote, telephonic opening for a Social Worker residing in...management. + Promotes integration of services for members including behavioral health care and long term services… more
    Molina Healthcare (11/02/24)
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  • Remote Telephonic Case Manager RN

    Molina Healthcare (WA)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
    Molina Healthcare (11/07/24)
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  • Behavioral Health 24/7 Clinical Navigation…

    The Cigna Group (Bloomfield, CT)
    …shifts, weekends and holiday time.** As a 24/7 Clinical Navigation & Support (CN&S) Care Manager (CM) you will deliver a guided, predictable and streamlined ... care experience for customers. The CN&S team is the... Consultation for employees and members of household + Behavioral Telephonic Consultation + Confide Services Assessment… more
    The Cigna Group (10/29/24)
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  • Behavioral Health Care

    Elevance Health (St. Louis, MO)
    **JR130079 Behavioral Health Care Manager I (** **Overnight and Weekend Team)** The Behavioral Health Care Manager I is responsible for managing ... abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Also provides telephonic support for… more
    Elevance Health (11/02/24)
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  • BH Care Manager I - Applied…

    Elevance Health (Durham, NC)
    …and depression, and insightful analytics to improve the delivery of care . **BH Care Manager I (Applied Behavioral Analysis) - North Carolina** Candidate ... pm (EST) and with rotating Holiday coverage.** The **BH Care Manager I (Applied Behavioral ...for managing psychiatric and substance abuse health benefits through telephonic or written review and providing clinical crisis support… more
    Elevance Health (11/07/24)
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  • Behavioral Care Manager

    Centene Corporation (Topeka, KS)
    …with all policies and standards **Must reside in Kansas!** **Centene is hiring a Care Manager 's to cover the Northwest, Southwest, North Central, South Central, ... on workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health… more
    Centene Corporation (11/02/24)
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  • ACO Behavioral Health Care

    Fallon Health (Waltham, MA)
    …interact with members with the goal to enhance the Behavioral Health Case Manager 's and Social Care Manager 's ability to manage a larger member ... **Overview** **The ACO Behavioral Health Care Coordinator position is...and able to recognize triggers requiring escalation to a Behavioral Health Case Manager and/or crisis team.… more
    Fallon Health (10/25/24)
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  • Behavioral Health Care

    Elevance Health (Norfolk, VA)
    …abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. **How you will make an impact:** + ... member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance...+ Will serve as a resource to other BH Care Managers. + Assists with more complex cases and… more
    Elevance Health (10/23/24)
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  • Integrated Care Coordinator (SCRBH) - Youth…

    Spokane County (Spokane, WA)
    …meetings. + Attends regular supervision with the Integrated Behavioral Healthcare Manager to maintain quality of care ; responds to requests from supervisors ... Integrated Care Coordinator (SCRBH) - Youth Behavioral ...reviewing clinical documentation for required Medical Necessity Criteria; through telephonic consultation and record review; offers clinical opinions regarding… more
    Spokane County (10/13/24)
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  • Behavioral Health Care

    Elevance Health (FL)
    The ** Behavioral Health Care Manager ** **II** is responsible for managing psychiatric and substance use disorder, facility-based and outpatient professional ... treatment health benefits through telephonic or written review. **Location:** **Must reside and be...member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance… more
    Elevance Health (11/05/24)
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  • Behavioral Health Case Manager ll…

    Elevance Health (Washington, DC)
    Behavioral Health Case Manager ll - Substance Abuse (JR132209) **Location:** This position requires work in our Washington, DC, 609 H Street NE office a minimum ... 1 hour commute of our DC office. **Washington, DC residents preferred.** The ** Behavioral Health Case Manager ll** is responsible for performing case management… more
    Elevance Health (10/24/24)
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  • Clinical Case Manager Behavioral

    CVS Health (Lansing, MI)
    …and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... am - 5:00 pm EST. This role is a telephonic clinical case management position working with our Medicaid...established channels + Ability to speak to medical and behavioral health professionals to influence appropriate member care more
    CVS Health (11/01/24)
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  • Behavioral Health Case Manager I

    Elevance Health (Las Vegas, NV)
    …- 7:00pm Mountain Time** . Some flexibility for earlier shifts at times. The ** Behavioral Health Case Manager l** is responsible for performing case management ... visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder...+ Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified… more
    Elevance Health (11/02/24)
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  • Behavioral Health Case Manager

    Molina Healthcare (Richmond, VA)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and must be licensed...management. + Promotes integration of services for members including behavioral health care and long term services… more
    Molina Healthcare (11/07/24)
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  • Licensed Social Worker - Behavioral Health…

    Molina Healthcare (Scranton, SC)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... **JOB DESCRIPTION** Licensed Social Worker Case Manager will work in remote and field setting...management. + Promotes integration of services for members including behavioral health care and long term services… more
    Molina Healthcare (11/02/24)
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  • Manager II Behavioral Health…

    Elevance Health (Cerritos, CA)
    The ** Manager II Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management ... Support, and Education (RISE). Key interventions such as assessment, care planning, service coordination, and resource identification will be implemented… more
    Elevance Health (10/09/24)
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  • Behavioral Health Case Manager II

    Elevance Health (OH)
    …ET Candidate must live and be licensed within the state of Ohio The ** Behavioral Health Case Manager II** is responsible for performing case management ... clinical areas of expertise such as co-occurring conditions, youth with complex behavioral health needs, and addressing high utilizers of the emergency department… more
    Elevance Health (11/05/24)
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  • Behavioral Health Case Manager II

    Elevance Health (CA)
    …experience are encouraged to apply. Hours: Monday - Friday 10am-6:30pm EST The ** Behavioral Health Case Manager II** is responsible for performing case ... management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter… more
    Elevance Health (11/02/24)
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