- Evolent (St. Paul, MN)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Highmark Health (St. Paul, MN)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- The Cigna Group (Bloomington, MN)
- …Supervisors and/or managers of clinical quality, non- clinical quality and Behavioral External Audit teams. The Sr. Manager is expected to lead effective ... will develop and execute a comprehensive operational quality and coaching program for non- clinical and clinical behavioral health staff. This program is… more
- Fairview Health Services (Maplewood, MN)
- …trains new team members, conducts performance reviews, and provides direct care . Applies evidence-based clinical interventions, facilitates therapy and provides ... needs. Partners with Manager and/or Director to evaluate, develop, and revise clinical systems and to enhance clinical effectiveness as needed. Monitors and… more
- Sharecare (St. Paul, MN)
- …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
- The Cigna Group (Bloomington, MN)
- **JOB DESCRIPTION** The Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who is looking to leverage their pharmacy and ... the Health Plan client's strategic goals and drive improved clinical and financial outcomes for their membership. In this...Acts in concert with assigned Account Executive and Account Manager to service the health management consultative needs of… more
- Elevance Health (Mendota Heights, MN)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... depression, and insightful analytics to improve the delivery of care . The ** Clinical Ops Associate Medical Director...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Highmark Health (St. Paul, MN)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- State of Minnesota (Vadnais Heights, MN)
- … clinical social worker (LICSW). AND Three (3) years behavioral healthcare administration, healthcare administration or management experience. Experience must ... **Working Title: Community Based Services Transition Services Manager ** **Job Class: State Program Administrator Manager...: Department of Human Services + **Division/Unit** : Direct Care & Treatment / Community Based Services / Performance… more
- Bluestone Physician Services (St. Paul, MN)
- …day-to-day operations of the GUIDE Model across assigned markets. The Program Manager oversees the Care Navigators throughout the organization, providing support ... health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of...processes, and systems to optimize the role of the Care Navigator. The Program Manager is expected… more
- Bluestone Physician Services (Stillwater, MN)
- Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, ... robust model of care goes beyond primary care services -...health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of… more
- Highmark Health (St. Paul, MN)
- …Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
- BrightSpring Health Services (St. Paul, MN)
- …receives, and writes information clearly and accurately + Reads and interprets clinical assessments and findings + Writes crisis/treatment/ behavioral plans with ... Our Company SpringPath Mental Health Services Overview The Mental Health Practitioner/Case Manager works as part of an Assertive Community Team that provides care… more
- Evolent (St. Paul, MN)
- …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Bluestone Physician Services (Stillwater, MN)
- Bluestone Physician Services delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, ... robust model of care goes beyond primary care services -...health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of… more
- CenterWell (South Saint Paul, MN)
- …of patients. + Report patient status and progress to the physician, rehabilitation staff, Clinical Manager , patient and family members. + Participate in care ... + Confer with the patient's physician and other health care team members and participate in development/revision of the...the retraining programs in a manner consistent with the behavioral goals of each patient and within the guidelines… more
- Evolent (St. Paul, MN)
- …people with most complex and costly health conditions. 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 and compassion we would want for our loved...The Coordinator, Intake Utilization Management reports directly to the Manager , Intake Utilization Management. In support of our daily… more
- Fairview Health Services (Burnsville, MN)
- …12 hours, day shift, every third weekend (F, S, S. The RN reports to the Nurse Manager or Patient Care Supervisor. The Nursing care team includes RN, advance ... variety of patients to include cardiac needs, telemetry needs, behavioral distress, complex medical needs, and intermediate ICU stepdown...good standing by start date + BLS for health care providers + Training in medical clinical … more
- Elevance Health (Mendota Heights, MN)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... depression, and insightful analytics to improve the delivery of care . The ** Clinical Ops Associate Medical Director**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Highmark Health (St. Paul, MN)
- …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more