- 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)
- …for placement into custodial care. Responsible for implementing and coordinating all case management, psychosocial, and quality of life activities relating to cases ... care services to the members, and to those in case and disease management. Provides psychosocial interventions through resource...2+ years of experience in medical social work or case management experience + 1+ year(s) of experience working… 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 (Springfield, 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