- CVS Health (Springfield, IL)
- …meetings and/or trainings in Downers Grove IL as needed/requested by Management.** BH Clinical Case Manager is responsible for telephonically and/or face ... 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)
- …Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. **Position Summary** Our Case Managers use ... and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. + Utilizes case ...field. Work Experience: + Minimum of 3-5 years of clinical experience, preferably in behavioral health. +… more
- CVS Health (Springfield, IL)
- …can be anywhere within 8am -8pm as needed to meet business needs. The Care Manager BH coordinates all case management activities with members to evaluate medical ... Instructs programs and procedures in compliance with network management and clinical coverage policies. Essential Duties and Responsibilities: + Executes evaluation… more
- Humana (Springfield, IL)
- …licenses)** + Minimum of 2 years of post-degree clinical experience in behavioral health setting + Case management experience working with complex SMI, SUD, ... and help us put health first** Job Description Summary The Field Care Manager , Behavioral Health performs primarily face to face and telephonic assessments… more
- Humana (Springfield, IL)
- …Licensed Masters Social Worker (LMSW-ACP), Clinical Psychologist** with; + Clinical experience in: pediatrics, behavioral health, and/or ASD; a healthcare ... and Family Therapist (LCMFT), Licensed Mental Health Counselor (LMHC)** with; + Clinical experience in: pediatrics, behavioral health, and/or ASD; a healthcare… more
- CVS Health (Springfield, IL)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Molina Healthcare (Mason City, IL)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and… more
- CenterWell (Springfield, IL)
- …and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal ... Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization… more
- Centene Corporation (Springfield, IL)
- …family space, (3) who have a combination of experience in service coordination, case management, community advocacy, behavioral health while using varius office ... * Line of Business: Illinois Health Plan * Department: MED-Medical Management ( Case Management) * Caseload: Youth Care/Foster Care (ages 0-21) * Schedule: Monday… more
- Molina Healthcare (Springfield, IL)
- …Preferred Qualifications * Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). * Hospital discharge planning or home ... services, and advance directives. * Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.… more