- Highmark Health (Madison, WI)
- …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
- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate ... as defined by the ACD. Job Description The **Telephonic Care Manager (Autism Care Navigator)**...(LMSW-ACP), Clinical Psychologist** with; + Clinical experience in: pediatrics, behavioral health , and/or ASD; a healthcare environment;… more
- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
- Molina Healthcare (Madison, WI)
- …under productivity and outcome standards * Promotes integration of services for members including behavioral health care and long term services and supports ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need… more
- CenterWell (Madison, WI)
- …across a complex health care organization. + Knowledge of health care regulations and policies related to behavioral health + Computer skills in ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Meriter-UnityPoint Health (Madison, WI)
- …EEO/M/F/D/V Auto req ID:13113BRWeekends:NoZip Code:53719Compensation:Commensurate with experience.Job Title:Addictions/ Behavioral Health IOP Therapist; New Start ... Newstart- Adult Location:Meriter NewStart Job Description:The Addictions and Mental Health Therapist applies evidence-based therapies, principles, techniques and strategies… more
- Meriter-UnityPoint Health (Madison, WI)
- …EEO/M/F/D/V Auto req ID:13111BRWeekends:NoZip Code:53719Compensation:Commensurate with experience.Job Title:Addictions/ Behavioral Health Therapist; New Start ... effected family members. This position is the primary case manager for patients receiving Addiction Medicine services. When applicable,...Behavioral Therapy. $7,500 SIGN ON BONUS! Why UnityPoint Health ? + Commitment to our Team - For the… more
- Highmark Health (Madison, WI)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... 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. + Function in… more
- Highmark Health (Madison, WI)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Madison, WI)
- …, 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
- Molina Healthcare (Madison, WI)
- …and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need… more
- Molina Healthcare (Madison, WI)
- …and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, ... delivery of care across the continuum, including behavioral health and long-term care ,...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Molina Healthcare (Madison, WI)
- …and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, ... delivery of care across the continuum, including behavioral health and long-term care ,...**Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
- Highmark Health (Madison, WI)
- …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Madison, WI)
- …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
- National Youth Advocate Program (Madison, WI)
- …a sincere desire and ability to advocate for children facing behavioral health , immigration, educational, legal, development, and socio-economic challenges. ... Refugee Resettlement (ORR). NYAP is looking for a Bi-lingual Case Manager I for a Transitional Foster Care (TFC) Program, to work with children who are fleeing… more
- Highmark Health (Madison, WI)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- CVS Health (Madison, WI)
- …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 ... our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** he … more
- Takeda Pharmaceuticals (Madison, WI)
- …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Cincinnati, Ohio region. Here, everyone matters, and you will be a vital ... contributor to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive… more
- CenterWell (Madison, WI)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on… more