- CVS Health (Springfield, IL)
- …with flexibility needed to work after 5pm to meet member needs. The Clinical Case Manager - Behavioral Health coordinates all case management ... activities with members to evaluate physical and behavioral health needs and to facilitate the overall wellness of members. Develops strategy to address issues to… more
- CVS Health (Springfield, IL)
- …solutions to make health care more personal, convenient and affordable. Position Summary The Clinical Case Manager , Behavioral Health, is responsible for ... coordinating, monitoring, and evaluating). The CCM, BH, utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member… 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 ... of Care: - Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Springfield, IL)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Springfield, IL)
- …meet members face to face. Standard business hours : Monday-Friday Position Summary As a Clinical Case Manager you will utilize advanced clinical ... of Care: - Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Springfield, IL)
- …days being onsite at a facility in Rockford, IL. Standard business hours Monday-Friday. The Clinical Case Manager BH coordinates all case management ... network management and clinical coverage policies. The Clinical Case Manager BH will...therapeutic services as they relate to the individual child's behavioral and emotional health. Essential Duties and Responsibilities: *… 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. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Highmark Health (Springfield, IL)
- …**Required** + 5 years of Post licensure experience in any combination of behavioral health clinical , case management and/or condition management ... clinical and motivational interviewing skills to assess both behavioral and physical health needs, and social determinants of...Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction… more
- Highmark Health (Springfield, IL)
- …Required + 5 years of Post licensure experience in any combination of behavioral health clinical , case management and/or condition management Preferred ... through behavior change. **ESSENTIAL RESPONSIBILITIES** + Function as a primary integrated case manager for members with mental health/substance use and… more
- Highmark Health (Springfield, IL)
- …year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management. +...Worker (LMSW) + Licensed Clinical Social Worker (LCSW) + Experience working with HIV/AIDS… 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 ... of oncology members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Molina Healthcare (Alexander, IL)
- **_We are seeking a NURSE OR SOCIAL WORK CASE MANAGER who must live in the state of ILLINOIS, and can travel in the following counties: Williamson, Alexander, ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- CVS Health (Springfield, IL)
- …Chicago area. Schedule is Monday-Friday, standard business hours, 8:00am-5:00pm CST. Nurse Case Manager is responsible for telephonically and/or face to face ... health care more personal, convenient and affordable. Position Summary Coordinates all case management activities with members to evaluate medical needs and to… more
- CVS Health (Springfield, IL)
- …with 50-75% travel requirement to meet members face to face. As a Analyst, Case Manager you will facilitate appropriate healthcare outcomes for members by ... outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as...members face to face-Minimum 2 years of experience in behavioral health, social services or human services field.-Minimum 2… more
- Highmark Health (Springfield, IL)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Highmark Health (Springfield, IL)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical , case /utilization management and/or disease/condition management experience, or… more
- CenterWell (Springfield, IL)
- …program support through active communication, education, and consultation with clinical staff and leaders. Responsible for communicating with key stakeholders ... reducing acute care utilization, safe transitions, readmission reduction, and other clinical programs as determined. **Major Duties and Responsibilities** * Build… more
- Centene Corporation (Springfield, IL)
- …or resources, as appropriate + May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, ... Illinois YouthCare Plan only: Bachelor's degree in Social Work, Nursing, Health Behavioral Science or equivalent experience. 2+ years of experience working within a… more