- CVS Health (Springfield, IL)
- …offices.** **Potential for quarterly meetings in Chicago/Downer's Grove area.** **Position Summary** The Clinical Case Manager , Behavioral Health, is ... treatment and services. + Applies and interprets applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Springfield, IL)
- …needed/requested by Management.** Preference for candidates residing in the Chicago area. BH Clinical Case Manager is responsible for telephonically and/or ... Care: - Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies,...direct clinical practice experience post masters in Behavioral Health *Minimum 1+ year of Case … more
- CVS Health (Springfield, IL)
- …and strategies, policies and programs are comprised of network management, clinical coverage, and policies. **Position** **Summary/Mission** Our Case Managers ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Springfield, IL)
- …Management.** Preference for candidates residing in the Chicago, Cook County area. Nurse Case Manager is responsible for telephonically and/or face to face ... of Care: - Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- Humana (Springfield, IL)
- …us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs and ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** an… more
- Highmark Health (Springfield, IL)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Molina Healthcare (Decatur, 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
- Highmark Health (Springfield, IL)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel… 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 (Decatur, IL)
- …position with 50-75% travel requirement to meet members face to face. As a Case Manager Analyst you will facilitate appropriate healthcare outcomes for members ... impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates… more
- CVS Health (Springfield, IL)
- …care more personal, convenient and affordable. **Position Summary** As a Analyst, Case Manager you will facilitate appropriate healthcare outcomes for members ... outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as...**Required Qualifications** + Minimum 2 years of experience in behavioral health, social services or human services field +… 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