- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Master level, Social Worker** who… more
- Highmark Health (Topeka, KS)
- …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
- Centene Corporation (Topeka, KS)
- …Evaluates the needs of the most complex and high risk members with mental/ behavioral health needs, and recommends a plan of care for the best outcome + Acts ... activities, with primary focus and support towards populations with significant mental/ behavioral health needs, to enable quality, cost-effective healthcare… more
- Centene Corporation (Topeka, KS)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... standards **Must reside in Kansas!** **Centene is hiring a Care Manager 's to cover the Northwest, Southwest,...care population.** **Education/Experience:** Requires a Master's degree in Behavioral Health or Social Work or a… more
- Elevance Health (Topeka, KS)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies… more
- Centene Corporation (Topeka, KS)
- …members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....or resources, as appropriate + May provide education to care manager and/or members and their families/caregivers… more
- Elevance Health (Topeka, KS)
- …needs of the member in terms of integrated (physical and behavioral ) whole person care . + Coordinates social determinants of health to meet the needs of the ... live within 50 miles of our Topeka, Kansas Elevance Health PulsePoint location. The **Special Programs Case Manager...healthcare costs for the designated population via integrated (physical health / behavioral health ) case management and… more
- Evolent Health (Topeka, KS)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
- Elevance Health (Topeka, KS)
- …and Experiences:** + Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. + RN, LSW, ... a team responsible for coordination of Healthy Blue's comprehensive health care program in which Kansas long-term...and supports (LTSS) members' needs are identified, including physical health , behavioral health , and social… more
- Elevance Health (Topeka, KS)
- …and Experiences:** + Service delivery coordination, discharge planning, or behavioral health experience in a managed care setting preferred. + RN, LSW, ... a team responsible for coordination of Healthy Blue's comprehensive health care program in which Kansas long-term...and supports (LTSS) members' needs are identified, including physical health , behavioral health , and social… more
- CVS Health (Topeka, KS)
- …thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with… more
- Elevance Health (Topeka, KS)
- …and implements plans in support of case decisions. + Facilitates and coordinates behavioral health resources as individual member needs are identified. **Minimum ... ET with occasional evening availability The **Social Work Case Manager ** is responsible for ensuring effective psychosocial intervention, positively...3 years of experience in case management in a health care environment; or any combination of… more
- Highmark Health (Topeka, KS)
- …, 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
- Highmark Health (Topeka, KS)
- …in marketing research with insurance is a plus. **Preferred** + Prior experience in Health Insurance or a Health Care Environment + Proven expertise in ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** If you...is defined as having worked as either a project manager or lead research analyst for a minimum of… more
- Highmark Health (Topeka, KS)
- …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
- University of Kansas (Lawrence, KS)
- …CAPS mental health services, Student Support and Case Management, Watkins Health Services, Care Services, MOCSA (Metropolitan Organization to Counter Sexual ... **28872BR** **Job Title:** Student Service Manager **Department:** Academic Success **Primary Campus:** University of Kansas Lawrence Campus **Job Description:**… more
- Prime Therapeutics (Topeka, KS)
- …+ Where applicable, achieves objectives regarding the EAP re-seller agreement. + Supports health plan with behavioral health retail sales. + Identifies ... work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded… more
- US Tech Solutions (Topeka, KS)
- …with regulatory and accreditation guidelines and company policies and procedures **Education:** behavioral health , social services, or human services field. Case ... is Monday-Friday, standard business hours. Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the… more
- Elevance Health (Topeka, KS)
- …review, and appeals of Behavioral Health OP services. + Mentors Behavioral Health Care Management staff by assisting in training, attending ... and Medical Directors to determine appropriateness of level of care based on Medical Necessity Criteria. Outpatient levels of...to: + Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate and… more
- Elevance Health (Topeka, KS)
- …in local community organizations to acquire knowledge and insight regarding the special health care needs of Members. + Analyze systems functions through ... of developing programs and services for either LTSS or Behavioral Health populations **Preferred Skills, Capabilities and...Experiences** : + 2 years of experience in a health care related field with requisite experience… more