- CVS Health (Springfield, IL)
- …members, up to age 20, who have experienced a behavioral health crisis event. The Clinical Case Manager - BH: Utilizes advanced clinical judgment and ... setting, outpatient clinic, PCP office, or member's residence. The Clinical Care Manager - BH is responsible...clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to… more
- CVS Health (Springfield, IL)
- …members, up to age 20, who have experienced a behavioral health crisis event. The Clinical Case Manager - BH: Utilizes advanced clinical judgment and ... setting, outpatient clinic, PCP office, or member's residence. The Clinical Care Manager - BH is responsible...clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to… more
- Humana (Springfield, IL)
- …resources, schedules and goals. The Manager , Utilization Management Behavioral Health uses clinical knowledge, communication skills, and independent ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
- CAI (Springfield, IL)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If you ... apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care...referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management +… more
- CVS Health (Springfield, IL)
- …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... **Monday- Friday 8:00 am-5:00 pm.** **Position Summary** Utilizes advanced clinical judgement and critical thinking skills to facilitate appropriate member… more
- Highmark Health (Springfield, IL)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- CVS Health (Springfield, IL)
- …that may impact member outcomes and care planning with appropriate referral to clinical case management or crisis intervention as appropriate. + Utilizes ... with clinical care managers, leadership, medical directors and other physical/ behavioral health support staff and providers to overcome barriers to meeting… more
- CVS Health (Springfield, IL)
- …face to face. Candidate must live in Northside of Chicago/Evanston. As a Analyst, Case Manager you will facilitate appropriate healthcare outcomes for members by ... outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as...reimbursement policy + Minimum 2 years of experience in behavioral health, social services, or human services field +… more
- CVS Health (Springfield, IL)
- …time 40 hour work week. **Required Qualifications** + 5+ years post master's degree clinical experience for Behavioral Health License and 5 years post bachelor's ... Summary** The Supervisor is responsible for oversight of LTSS/Waiver healthcare case management staff including the organization and development of high performing… more
- Centene Corporation (Springfield, IL)
- …or youth foster care or post adoption families as well as case management. **Position Purpose:** Develops, assesses, and facilitates complex care management ... activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and… more
- Intermountain Health (Springfield, IL)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case ... psychosocial functioning for the purpose of diagnosing mental, emotional, behavioral , addictive and developmental disorders and disabilities, implementing appropriate… more
- Highmark Health (Springfield, IL)
- …**LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than English):** None **Travel ... **EXPERIENCE** **Required** + 5 years with Any combination of clinical , case management, and/or disease/condition management experience,...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Springfield, IL)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more