- Highmark Health (Madison, WI)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- Molina Healthcare (Sun Prairie, WI)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, home and… more
- Elevance Health (Waukesha, WI)
- …overseeing a global workplace violence prevention program, and experience working in a behavioral health setting is strongly preferred. Please be advised that ... **Threat Management Program Manager ** **Location:** This role requires associates to be...practices and government requirements. + Conducts after-action reviews and case studies to continuously improve internal processes. + Partners… more
- Highmark Health (Madison, WI)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
- Molina Healthcare (Jefferson, WI)
- …and suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and ... management, managed care, and/or experience in a medical or behavioral health setting, and at least 1...individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with… more
- Molina Healthcare (Jefferson, WI)
- …and suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and ... year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and… more
- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** At Humana, our Medicaid Clinical Enablement team is dedicated to designing, developing, and ... innovative learning solutions for clinical associates across Medicaid markets. As a Manager of Learning ( Manager , Learning Design) within Clinical Operations,… more
- Elevance Health (Waukesha, WI)
- **LTSS Service Coordinator - RN Clinician (RN Case Manager )** **$5,000 Sign-on Bonus** **Hiring near:** Milwaukee County **Location** : This field-based role ... the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term… more
- Elevance Health (Waukesha, WI)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... AA/AS and minimum of 2 years of experience in health services or behavioral health ...Skills, Capabilities, and Experiences:** + Knowledge of care-coordination and case management concepts strongly preferred. + BA/BS or MBA… more
- Elevance Health (Waukesha, WI)
- **LTSS Service Coordinator ( Case Manager )** **$5,000 Sign-on Bonus** **Hiring near:** Milwaukee County **Location** : This field-based role enables associates to ... of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Highmark Health (Madison, WI)
- …points with examples of all three being an "ok" answer andmaygive a good use case argument where each may be the "best" answer) + 7+ years of experience with ... data movement platforms as an engineer, architect, or technical product manager /owner + Strong experience and knowledge ofthebelowrelevant platforms to this… more
- Molina Healthcare (Madison, WI)
- …all of the following functions: utilization management, care management, care transitions, behavioral health , long-term services and supports (LTSS), and other ... care services (HCS) functions: care management, care transitions, utilization management, behavioral health and/or nurse advice line. Demonstrates accountability… more