- 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
- Evolent (Springfield, IL)
- …to providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... Behavioral Health experience + Experience with long term case planning and developing care plans + Experience working...in a collaborative, team-oriented system. + CCMC (Commission for Case Manager Certification) + Knowledge and experience… 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 (Jacksonville, 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
- CVS Health (Springfield, IL)
- …case management activities with members across the continuum of care. The RN Case Manager utilizes advanced clinical judgement and critical thinking ... manager for a selected member population. The RN Case Manager is responsible for telephonically assessing,...visits and acute admissions, and ensuring the members physical, behavioral , and social needs are being appropriately addressed by… more
- CVS Health (Springfield, 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 ... 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
- 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