• Case Manager - Behavioral

    Molina Healthcare (Racine, WI)
    …**RED E** **X** **PE** **R** **I** **E** **N** **C** **E:** + 3+ years in behavioral health case management, disease management, managed care settings. + ... case managers/supervisors as needed or required * Case managers in Behavioral Health ...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
    Molina Healthcare (12/25/24)
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  • Case Manager , Ltss (RN) - Field…

    Molina Healthcare (Walworth, WI)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, home and… more
    Molina Healthcare (12/04/24)
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  • Case Manager , LTSS - Field travel…

    Molina Healthcare (Waukesha, WI)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home and… more
    Molina Healthcare (12/06/24)
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  • Case Management Processor - Remote (must…

    Molina Healthcare (Racine, WI)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team members as… more
    Molina Healthcare (01/04/25)
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  • Program Manager - Clinical Program Design…

    Molina Healthcare (Racine, WI)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... STARs._ **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
    Molina Healthcare (12/05/24)
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  • Telephonic Licensed Social Worker, BH…

    Molina Healthcare (Woodstock, IL)
    …state or locality with reliable transportation. **PREFERRED EXPERIENCE:** + 3+ years in behavioral health case management, disease management, managed care ... concerns. * Collaborates with RN case managers/supervisors as needed or required * Case managers in Behavioral Health and Social Science fields may… more
    Molina Healthcare (12/21/24)
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  • Peer Support Specialist (Certification Required)

    Elevance Health (Waukesha, WI)
    …in forming a supportive, peer recovery network. + Assist members in working with their case manager or treatment team in determining the steps he/she needs to ... AA/AS and minimum of 2 years of experience in health services or behavioral health ...both written and verbal. + Knowledge of care-coordination and case management concepts strongly preferred. + BA/BS or MBA… more
    Elevance Health (11/09/24)
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  • Clin Ops Associate Medical Director

    Elevance Health (Waukesha, WI)
    …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** **Work schedule: Monday - Friday...make an impact:** + Ensures timely completion of clinical case reviews for their board-certified specialty. + Makes physician… more
    Elevance Health (12/10/24)
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  • Associate Medical Director - Orthopedic Surgery

    Elevance Health (Waukesha, WI)
    …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location. **Work schedule:** Monday - Friday 8:00am to 5:00pm depending… more
    Elevance Health (12/17/24)
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  • Advanced Practice Psychiatric Nurse Practitioner…

    Walworth County (Elkhorn, WI)
    …for supervision of the nursing clerical staff members in conjunction with the Behavioral Health Case Management Supervisor. SCHEDULE Division: Behavioral ... 2024-00138 Department Health & Human Services Division Behavioral Health Services Opening Date 10/30/2024 Closing...accepting supervision both from the Medical Director and a Health and Human Services manager . Oversight of… more
    Walworth County (11/27/24)
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  • Lead, Auditor (RN) Remote

    Molina Healthcare (Racine, WI)
    …years in case management, disease management, managed care or medical or behavioral health settings. + One year of auditing/ clinical review experience. + ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health more
    Molina Healthcare (01/04/25)
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