- Elevance Health (Olathe, KS)
- …must live within 50 miles of our Kansas PulsePoint offices. Please note: The BH Care Manager (UM) job progression is primarily a provider facing role although it ... our members are directed to the appropriate level of care . Whereas the BH Case Mgr (CM) job progression...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Master level, Social Worker** who… more
- Highmark Health (Topeka, KS)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Centene Corporation (Topeka, KS)
- …Evaluates the needs of the most complex and high risk members with mental/ behavioral health needs, and recommends a plan of care for the best outcome + Acts ... activities, with primary focus and support towards populations with significant mental/ behavioral health needs, to enable quality, cost-effective healthcare… more
- Elevance Health (Olathe, KS)
- …one will be responsible for overseeing a team of care managers (UM).** The ** Manager of Behavioral Health ** is responsible for Behavioral Health ... specific details: We are currently hiring three Managers of Behavioral Health for our partnership with KanCare....evaluating care plans designed to optimize member health care across the care … more
- Elevance Health (Olathe, KS)
- The ** Behavioral Health Case Manager II - Kansas** is responsible for performing case management telephonically and/or by home visits within the scope of ... licensure for members with behavioral health and substance abuse or substance...Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified… more
- Centene Corporation (Topeka, KS)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... standards **Must reside in Kansas!** **Centene is hiring a Care Manager 's to cover the Northwest, Southwest,...care population.** **Education/Experience:** Requires a Master's degree in Behavioral Health or Social Work or a… more
- Elevance Health (Topeka, KS)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies… more
- Centene Corporation (Topeka, KS)
- …members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....or resources, as appropriate + May provide education to care manager and/or members and their families/caregivers… more
- Elevance Health (Topeka, KS)
- …needs of the member in terms of integrated (physical and behavioral ) whole person care . + Coordinates social determinants of health to meet the needs of the ... live within 50 miles of our Topeka, Kansas Elevance Health PulsePoint location. The **Special Programs Case Manager...healthcare costs for the designated population via integrated (physical health / behavioral health ) case management and… more
- Evolent Health (Topeka, KS)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
- Elevance Health (Topeka, KS)
- …and Experiences:** + Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. + RN, LSW, ... a team responsible for coordination of Healthy Blue's comprehensive health care program in which Kansas long-term...and supports (LTSS) members' needs are identified, including physical health , behavioral health , and social… more
- Elevance Health (Topeka, KS)
- …and Experiences:** + Service delivery coordination, discharge planning, or behavioral health experience in a managed care setting preferred. + RN, LSW, ... a team responsible for coordination of Healthy Blue's comprehensive health care program in which Kansas long-term...and supports (LTSS) members' needs are identified, including physical health , behavioral health , and social… more
- Elevance Health (Olathe, KS)
- The ** Behavioral Health Case Manager Lead - Kansas** is responsible for coordinating operations and workflows related to care management activities that ... support to member facing BH Case Mgrs and other Care management associates. + Provides oversight of program referrals...Requires MA/MS in social work counseling or a related behavioral health field or a degree in… more
- CVS Health (Topeka, KS)
- …thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... 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… more
- Elevance Health (Topeka, KS)
- …and implements plans in support of case decisions. + Facilitates and coordinates behavioral health resources as individual member needs are identified. **Minimum ... ET with occasional evening availability The **Social Work Case Manager ** is responsible for ensuring effective psychosocial intervention, positively...3 years of experience in case management in a health care environment; or any combination of… more
- Highmark Health (Topeka, KS)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Elevance Health (Overland Park, KS)
- …the member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- Highmark Health (Topeka, KS)
- …in marketing research with insurance is a plus. **Preferred** + Prior experience in Health Insurance or a Health Care Environment + Proven expertise in ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you...is defined as having worked as either a project manager or lead research analyst for a minimum of… more
- Highmark Health (Topeka, KS)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more