- Highmark Health (Madison, WI)
- …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
- Evolent (Madison, WI)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
- Molina Healthcare (Madison, WI)
- …under productivity and outcome standards * Promotes integration of services for members including behavioral health care and long term services and supports ... delivery of care across the continuum, including behavioral health and long term care...assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
- Meriter-UnityPoint Health (Madison, WI)
- …EEO/M/F/D/V Auto req ID:13111BRWeekends:NoZip Code:53719Compensation:Commensurate with experience.Job Title:Addictions/ Behavioral Health Therapist; New Start ... effected family members. This position is the primary case manager for patients receiving Addiction Medicine services. When applicable,...Behavioral Therapy. $7,500 SIGN ON BONUS! Why UnityPoint Health ? + Commitment to our Team - For the… more
- Meriter-UnityPoint Health (Madison, WI)
- …EEO/M/F/D/V Auto req ID:13113BRWeekends:NoZip Code:53719Compensation:Commensurate with experience.Job Title:Addictions/ Behavioral Health IOP Therapist; New Start ... Newstart- Adult Location:Meriter NewStart Job Description:The Addictions and Mental Health Therapist applies evidence-based therapies, principles, techniques and strategies… more
- Highmark Health (Madison, WI)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Madison, WI)
- …, 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
- Molina Healthcare (Madison, WI)
- …and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need… more
- Molina Healthcare (Madison, WI)
- …and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, ... delivery of care across the continuum, including behavioral health and long-term care ,...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Highmark Health (Madison, WI)
- …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
- National Youth Advocate Program (Madison, WI)
- …a sincere desire and ability to advocate for children facing behavioral health , immigration, educational, legal, development, and socio-economic challenges. ... Refugee Resettlement (ORR). NYAP is looking for a Bi-lingual Case Manager I for a Transitional Foster Care (TFC) Program, to work with children who are fleeing… more
- Highmark Health (Madison, WI)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- Meriter-UnityPoint Health (Madison, WI)
- …Hospital Job Description: + The Clinical Program Supervisor has accountability for the Behavioral Health Therapy and the Clinical Supervisor teams under the ... and tracking of the clinical supervision program for all members of the Behavioral Health Therapist and Clinical Coordinator teams. + Plans annual and… more
- J&J Family of Companies (Madison, WI)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- Sharecare (Madison, WI)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- CenterWell (Madison, WI)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... minimum of three years experience post Master's level training, health care actuarial experience, health ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Highmark Health (Madison, WI)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Madison, WI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
- Highmark Health (Madison, WI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr level role… more