- Equiliem (Orange, CA)
- Summary:We are seeking a highly motivated and experienced Care Manager , with Behavioral Health experience. The Care Manager is responsible for the oversight and ... Applied Behavior Analysis (ABA) services offered to eligible members. The Care Manager will screen, triage and assess members to determine the appropriate level… more
- CVS Health (Trenton, NJ)
- …Strong assessment, writing and communication skills are required. **Fundamental Components/Job Description:** The Clinical Case Manager BH is responsible ... care more personal, convenient and affordable. **Position Summary** This is a **remote** Clinical Case Manager opportunity with 50 to 75% field travel in… more
- CVS Health (Topeka, KS)
- …utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses Motivational ... business hours Monday-Friday. No nights and no weekends.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- CVS Health (Columbus, OH)
- …treatment/services. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, ... OH (Includes West, Central, South and Northeast regions). Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- CVS Health (Raleigh, NC)
- …of Care:** * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... is fully telework role. Anywhere in Continental US.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- CVS Health (Phoenix, AZ)
- …role is work from home and travel required within Maricopa. + Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit ... evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and… more
- CVS Health (Rockford, IL)
- …2-3 days being onsite at a facility in Rockford, IL.** **Standard business hours Monday-Friday.** The Clinical Case Manager BH coordinates all case ... procedures in compliance with network management and clinical coverage policies. The Clinical Case Manager BH will have onsite presence at a… more
- Elevance Health (Olathe, KS)
- The **Behavioral Health Case Manager Lead - Kansas** is...not limited to: + Provides support to member facing BH Case Mgrs and other Care management ... for coordinating operations and workflows related to care management activities that support the Case Management Program. Primary duties may include but are… more
- Elevance Health (Walnut Creek, CA)
- …of the members and collaborates with providers. Serves as a resource to other BH Case Mgrs. + Participates in cross-functional teams projects and initiatives. ... **Behavioral Health Manager II** **Location:** **Within 50 miles from pulse...the possibilities, make an extraordinary impact:** Responsible for performing case management telephonically within the scope of licensure for… more
- Molina Healthcare (Columbus, OH)
- …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
- Elevance Health (Olathe, KS)
- The Case Manager I - Kansas is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with ... 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
- Magellan Health Services (Honolulu, HI)
- …at provider, customer, UM and CM meetings as needed. + Audits and reviews case manager , Health guide, UM staff, vendor, and provider documentation and telephone ... health plan in conducting reviews of clinical interactions and clinical documentation including reviews of case management, utilization management, vendor,… more
- Meriter-UnityPoint Health (Madison, WI)
- …backgrounds and their effected family members. This position is the primary case manager for patients receiving Addiction Medicine services. When applicable, ... Administration of Narcan. Auto req ID:11979BRWeekends:NoZip Code:53719Compensation:Based on experience.Job Title:Addictions/ BH Therapist- Clinical Supervisor; 1.0FTE; Day ShiftSite Address:1015… more
- Apex Health Solutions (Houston, TX)
- …and support to improve health outcomes via a coordinated approach. The Care Manager works in collaboration and continuous partnership with patients and their family ... process to identify patients/members at risk for poor outcomes, the Care Manager establishes care plans and goals, and coordinates care and services throughout… more
- Elevance Health (Cary, NC)
- …include weekends and holidays, and starting at 5 pm or 10 pm EST.** The BH Care Manager I responsible for managing psychiatric and substance abuse or substance ... companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive… more
- Prime Healthcare (Boonton Township, NJ)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172404/ bh -discharge-care- manager ... categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Discharge Care Manager participates as a member of The Wellness and… more
- Elara Caring (Hartford, CT)
- …Previous experience with Homecare HomeBase is preferred You will report to the Clinical Manager or Clinical Supervisor **Apply Now!** **###@elara.com** _This ... 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
- Boston Health Care for the Homeless Program (Boston, MA)
- …Street Team and outpatient clinic at Massachusetts General Hospital (MGH). We are hiring a Case Manager (CM)/Team Coordinator (TC) to lead a small group of care ... medication. To that end, we are hiring a new non- clinical Team Coordinator to lead a small group of...(MGH). Responsibilities: In this hybrid role, as Street Team Case Manager you will: + Be part… more
- CVS Health (Springfield, IL)
- …to work between 5pm to meet member needs.** The Clinical Care Manager BH is responsible for care coordination and case management for members, up to age ... 20, who have experienced a crisis event and coordinates all case management activities with members to evaluate physical and behavioral health needs and to… more
- Elevance Health (Tampa, FL)
- …Behavioral Health treatment strongly preferred. + Certification as a Case Manager is preferred. **Additional requirements for BH EAP/Resource Center:** + MS ... is focused on the area of Integrated Behavioral Health Case Management ( BH CM) The ** Manager...include:** + Manages a team of licensed clinicians and non- clinical support staff responsible to ensure medical necessity and… more
