- CVS Health (Chicago, IL)
- …for placement into custodial care. Responsible for implementing and coordinating all case management, psychosocial, and quality of life activities relating to cases ... care services to the members, and to those in case and disease management. Provides psychosocial interventions through resource...2+ years of experience in medical social work or case management experience + 1+ year(s) of experience working… more
- Molina Healthcare (Chicago, IL)
- **JOB DESCRIPTION** Non-RN Case Manager position available in Chicago, IL service delivery area. Applicants should reside in the community and have experience ... working as a case manager in nursing facilities. Part of...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- National Youth Advocate Program (Chicago, IL)
- …trainings/education + Why Work with Us? Exciting Benefits and Opportunities at NYAP The Case Manager is responsible for the completion and submission of timely ... compliant with ORR Policy and NYAP's CQI Team. The Case Manager I is required to maintain...pre staffing process with multidisciplinary team of professionals including case managers, clinical counselors, medical coordinators and… more
- CVS Health (Chicago, IL)
- …60616, 60804.** Schedule is Monday-Friday, standard business hours, 8:00am-5:00pm CST. Nurse Case Manager is responsible for telephonically and/or face to face ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical...policies and programs are comprised of network management and clinical coverage policies. - Through the use of … more
- Elevance Health (Gary, IN)
- …4-5 days per week in-person with patients, members or providers The **RN Case Manager ** **(LTSS Service Coordinator- RN)** is responsible for overall management ... of member's case within the scope of licensure; provides supervision and...an impact:** + Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management… more
- Elevance Health (Merrillville, IN)
- …circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable state law and contract, ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- Molina Healthcare (Chicago, IL)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...+ Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify… more
- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics. **Position** Manager Clinical Veterinarian, CRC - Full-time **Location** US:IL:Chicago ... for the position. Offers may vary depending on the circumstances of each case . **Summary:** Under administrative direction of the Senior Director of the Comparative… more
- AdventHealth (Hinsdale, IL)
- … Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing ... and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtains appropriate...* Demonstrates extending the healing ministry of Christ, through behavioral whole care standards of love me, make it… more
- Molina Healthcare (Chicago, IL)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... or home health experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Case Manager (CCM), **PHYSICAL DEMANDS:** Working environment is… more
- The Cigna Group (Chicago, IL)
- …innovation and a commitment to delivering impactful solutions in the pharmacy and clinical space. This Product Manager will work closely with pharmacy product ... at hom_** The Business Development Lead on the Pharmacy Clinical Strategy Team will play a key role in...go-forward project scope and approach. + Finalize project business case , using research, data and scenario modeling to demonstrate… more
- Elevance Health (Chicago, IL)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... Director** will be supporting our clients in operations with utilization and case management reviews. In addition, the medical director will leverage oncology… more
- Molina Healthcare (Chicago, IL)
- …levels are maintained + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...clinical gaps in care from a medical and/or behavioral perspective to ensure member needs are being met.… more
- Little City Foundation (Chicago, IL)
- …transitioning from residential care to foster homes by working closely with the assigned case manager . + In conjunction with a youth's treatment team assists ... the matching process of prospective intakes. + Makes sound clinical decisions regarding the acceptance or denial of a...needed placements for children in consultation with the child's case manager . Licensing and Training: + Is… more
- Little City Foundation (Chicago, IL)
- …from residential care to foster homes by working closely with the assigned case manager .5. In conjunction with a youth's treatment team assists with ... monitors the matching process of prospective intakes.3. Makes sound clinical decisions regarding the acceptance or denial of a...needed placements for children in consultation with the child's case manager . Licensing and Training:1. Is fully… more
- Elevance Health (Chicago, IL)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more