- CVS Health (Monroe, LA)
- …services to promote effective utilization of available resources and optimal, cost-effective outcomes. The Clinical Case Manager BH is a full time ... our people to transform health care. **Position Summary:** The Clinical Case Manager Behavioral Health (CM- BH ) utilizes advanced clinical judgement… more
- CVS Health (Neptune, NJ)
- …Strong assessment, writing and communication skills are required. **Fundamental Components/Job Description:** The Clinical Case Manager BH is responsible ... are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires advanced ... manager must work normal business hours. The Case Manager will also be expected, to… more
- CVS Health (New Orleans, LA)
- …Strong assessment, writing and communication skills are required. Fundamental Components/Job Description: The Clinical Case Manager BH is responsible for ... programs are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires advanced clinical … more
- BayCare Health System (Spring Hill, FL)
- …Psychology** _Equal Opportunity Employer Veterans/Disabled_ **Position** Case Manager - BH **Location** Spring Hill | Clinical | Full Time **Req ID** ... Call:** No How often will this team member be working remotely? Hybrid **Responsibilities - Case Manager - BH :** + Provide linkage, monitoring, planning and… more
- Elevance Health (KS)
- …Junction City, Manhattan, and all other cities within Kansas are encouraged to apply.** The BH Case Manager I - Kansas is responsible for performing ... limited to: + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments...the scope of licensure in Kansas. + Experience in case management and telephonic and/or in person coaching with… more
- Elevance Health (Chicago, IL)
- …the members and collaborates with providers. + Serves as a resource to other BH Case Mgrs. + Participates in cross-functional teams projects and initiatives. ... Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a...to improve the delivery of care. **Field Behavioral Health Case Mgr II - Illinois** Candidate must live AND… more
- Molina Healthcare (Vancouver, WA)
- …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
- Molina Healthcare (Belfair, WA)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and… more
- BlueCross BlueShield of Tennessee (Jackson, TN)
- **The Behavioral Health Case Manager for Intermediate Care Facilities offers care coordination services for all members residing and referred to an Intermediate ... of behavioral health care available\. _Skills\\Certifications_ + Currently has a Certified Case Manager \(CCM\) credential or must obtain certification within 2… more
- Elara Caring (Webster, MA)
- …+ Previous experience with Homecare HomeBase is preferred You will report to the Clinical Manager or Clinical Supervisor _This is not a comprehensive ... you'll contribute to our success in the following ways: + Assesses assigned case load of behavioral health care patients and families to identify the physical,… more
- Elevance Health (St. Rose, LA)
- **JR142090 BH Clinical Quality Audit Analyst Sr** Responsible for participating in on-site quality external audits such as NCQA, AAHC and EQRO, and prepares ... Conducts quality of care investigations and using criteria closes case appropriately or refers to BH Medical...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Olympia, WA)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... needed. + Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services. +… more
- Adecco US, Inc. (San Jose, CA)
- Adecco Healthcare & Life Science is hiring for an IBH Manager in San Jose, CA. Apply today if you meet the qualifications listed below. Location: San Jose, CA ... a clinic setting to IBH clients. The IBH program manager collaborates programs to ensure an integrated program delivery...performance of the staff to ensure capacity and appropriate case assignment. + Monitor and evaluates outcome data and… more
- Molina Healthcare (Columbia, SC)
- … Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), ... care planning. + Typically works with members with moderate to complex clinical needs. + Conducts standardized Health Risk Appraisals (HRA) and applicable… more
- CVS Health (Springfield, IL)
- …**Potential for quarterly meetings in Chicago/Downer's Grove area.** **Position Summary** The Clinical Case Manager , Behavioral Health, is responsible for ... care (assessing, planning, implementing, coordinating, monitoring, and evaluating). The CCM, BH , utilizes advanced clinical judgment and critical thinking skills… more
- CVS Health (Lansing, MI)
- …in interventions that optimize member participation in case management programs. BH CM utilizes advanced clinical judgment and critical thinking skills to ... visits up to 15% of your week. This role is a telephonic clinical case management position working with our Medicaid population. Use of Motivational Interviewing… more
- CVS Health (Columbus, OH)
- …working schedule, paid holidays, and flexibility as you coordinate the care of your members. Case Manager BH is responsible for telephonically and/or face to ... oriented, highly organized, tech-savvy Licensed Independent Social Worker to join our Case Management team. This opportunity offers a competitive salary and full… more
- Molina Healthcare (Tacoma, WA)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... program. We are seeking candidates with previous experience in Case Management, navigating the BH system of...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Elevance Health (Lafayette, IN)
- …support and overall management of the individuals physical health (PH)/behavioral health ( BH )/LTSS needs, as required by applicable state law and contract, and ... management of an individual's waiver (such as LTSS/IDD), and BH or PH needs. + Uses tools and pre-defined...tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to,… more
- Elevance Health (Walnut Creek, CA)
- …depression, and insightful analytics to improve the delivery of care. **Behavioral Health Case Manager ** **Location:** 50 Beale St., San Francisco, CA 94105 ... day physically in office per week. The **Behavioral Health Case Manager II** is responsible for performing...complex cases. + Serves as a resource to other BH Case Managers. + Participates in cross-functional… more