- Staffing Now (Carson City, NV)
- …expertise to ensure our members are directed to the appropriate level of care . Will be Responsible for managing psychiatric and substance abuse or substance abuse ... disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. Will use appropriate screening criteria knowledge… more
- Accounting Now (Carson City, NV)
- …disorder facility-based and outpatient professional treatment health benefits through telephonic or written review Will use appropriate screening criteria knowledge ... would provide an equivalent backgroundCurrent active unrestricted license such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or Clinical… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... the care and wellbeing of members The Care Manager , Telephonic Behavioral Health...an accredited university + Current, unincumbered, social work license; ** LMSW , LCSW, LICSW** + Must have passed Master, Advanced… more
- HonorHealth (Scottsdale, AZ)
- …discharge from either an acute care setting or post-acute setting. The LMSW - Transitional Case Manager collaborates with the primary physician and other ... care continuum and stabilize the transitional periods. The LMSW - Transitional Case Manager identifies and...of complications Conduct or arrange for effective home visits, telephonic monitoring, or both depending on the tier level… more
- Elevance Health (Franklin, IN)
- …days per week in-person with patients, members or providers. The **Case Manager - LCSW/LSW/ LMSW /LMHC/LMFT** (also called the **LTSS Service Coordinator - ... required by the IN PathWays for Aging program, contributes to the LTSS care coordination process by performing activities within the scope of licensure including,… more
- Molina Healthcare (Bronx, NY)
- …LCSW, or LMSW licensure. Experience with Case management and managed care is strongly preferred.** **Remote position** **Work Hours: Monday through Friday 8:30am ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...to address the member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Opportunity for an experienced Case Manager in Texas who has worked to request DME equipment for patients. This is a fully telephonic ... be considered. Ideal candidate would hold LVN, LBSW, of LMSW , but candidates who have at least three years...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term… more
- CDPHP (Albany, NY)
- …health services across the health care continuum. The Care Manager provides "face to face" and/or telephonic assessments, referrals, and benefit-related ... a part of that experience. The Outpatient Behavioral Health Care Manager is responsible and accountable for...variety of locations including, but not limited to, a telephonic managed care setting, a primary … more
- Centene Corporation (Oklahoma City, OK)
- …MUST RESIDE IN THE STATE OF OKLAHOMA.** **POSITIONS ARE REMOTE/WORK FROM HOME TELEPHONIC CARE MANAGEMENT FOR TANIF AND MEDICAID EXPANSION MEMBERS.** **WORK ... OR WEEKEND WORK.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
- AmeriHealth Caritas (New Castle, DE)
- ** Care Manager II- Bright Start Maternity...+ 3 to 5 years' experience as a case manager , preferably providing telephonic case management. + ... OR NEAR KENT COUNTY, DELAWARE, TO QUALIFY FOR CONSIDERATION** **Responsibilities:** The Care Manager /Coordinator (RN/SW) assists members appropriate for care … more
- Elevance Health (Tampa, FL)
- …area of Integrated Behavioral Health Case Management (BH CM) The ** Manager Behavioral Health Services** is responsible for Behavioral Health Utilization Management ... + Supports quality improvement activities. + May assist with implementation of cost of care initiatives. + May attend meetings to review UM and/or CM process and… more
- Banner Health (Tucson, AZ)
- …remote and hybrid work settings. In the role of a Behavioral Health Utilization Care Manager , you will be tasked with assignments at various hospitals to ... their care , facilitating options and services to meet the member's health care needs. This position provides telephonic or electronic document review. This… more
- Highmark Health (Dover, DE)
- …as the single point of contact for members to coordinate all of the member's care needs across the various service delivery systems and community supports. This is a ... to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state...and protocols. + Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health… more
- Elevance Health (Olathe, KS)
- …must live within 50 miles of our Kansas PulsePoint offices. Please note: The BH Care Manager (UM) job progression is primarily a provider facing role although it ... our members are directed to the appropriate level of care . Whereas the BH Case Mgr (CM) job progression...disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. **How you will make an… more
- Centene Corporation (Sacramento, CA)
- …& 10am-7pm shifts.** **This is a remote position.** **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects of medical and ... supporting services across the continuum of care for post-discharge members, promoting quality and...and socio economic needs of members + May perform telephonic , digital, home and/or other site outreach to assess… more
- Elevance Health (Olathe, KS)
- … coordinators (CM) and one will be responsible for overseeing a team of care managers (UM).** The ** Manager of Behavioral Health** is responsible for Behavioral ... activities. + May assist with implementation of cost of care initiatives. + May attend meetings to review UM...of licensed clinicians and non-clinical support staff engaged in telephonic outreach to members. + Oversees staff assessing, developing,… more
- Elevance Health (Greensboro, NC)
- **LTSS Service** **Coordinator-Clinician (Case Manager - LCSW)** **$1,000 Sign On Bonus** **Location: North Carolina; will be required to travel up to 60% of the ... and contract, the **LTS Service** **Coordinator-Clinician** contributes to the LTSS care coordination process by performing activities within the scope of licensure… more
- ManpowerGroup (Columbia, SC)
- …+ Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). + ... **Title: Coordinator, Managed Care I** **Location: Columbia SC** **Duration: 06 Month's...programs and/or health and disease management programs. + Provides telephonic support for members with chronic conditions, high risk… more
- Elevance Health (Evansville, IN)
- …per week in-person with patients, members or providers The **RN Case Manager ** **(LTSS Service Coordinator- RN)** is responsible for overall management of member's ... the IN PathWays for Aging program; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member… more
- Elevance Health (Olathe, KS)
- The **Behavioral Health Case Manager Lead - Kansas** is responsible for coordinating operations and workflows related to care management activities that support ... support to member facing BH Case Mgrs and other Care management associates. + Provides oversight of program referrals...and may conduct quality audits. + Works with the manager to ensure individual team and overall operational metrics… more
