- Humana (Springfield, IL)
- **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,** **Masters level, social worker** who… more
- CVS Health (Springfield, IL)
- …management for members, up to age 20, who have experienced a behavioral health crisis event. The Clinical Case Manager - BH: Utilizes advanced clinical ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...outpatient clinic, PCP office, or member's residence. The Clinical Care Manager - BH is responsible for… more
- CVS Health (Springfield, IL)
- …management for members, up to age 20, who have experienced a behavioral health crisis event. The Clinical Case Manager - BH: Utilizes advanced clinical ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....outpatient clinic, PCP office, or member's residence. The Clinical Care Manager - BH is responsible for… more
- Centene Corporation (Springfield, IL)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Intermountain Health (Springfield, IL)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
- CVS Health (Springfield, IL)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... **Required Qualifications** + 5+ years post master's degree clinical experience for Behavioral Health License and 5 years post bachelor's clinical experience… more
- CVS Health (Springfield, IL)
- …channels. Ability to speak to medical and behavioral health professionals to influence appropriate member care . -Utilizes influencing/motivational ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
- CAI (Springfield, IL)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
- Highmark Health (Springfield, IL)
- …, 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 (Springfield, IL)
- …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
- Highmark Health (Springfield, IL)
- …management and performance **Preferred** + 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
- Highmark Health (Springfield, IL)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
- Humana (Springfield, IL)
- …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
- Highmark Health (Springfield, IL)
- …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
- CenterWell (Springfield, IL)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Springfield, IL)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CVS Health (Springfield, IL)
- …includes acting as a care manager , rehabilitation specialist, health specialist, social services coordinator, or licensed behavioral health ... care managers, leadership, medical directors and other physical/ behavioral health support staff and providers to...services. + Facilitates clinical hand offs during transitions of care . **Reports to:** Manager , Clinical Health… more
- Centene Corporation (Springfield, IL)
- …members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care ... with providers or resources, as appropriate + May provide education to care manager and/or members and their families/caregivers on procedures, healthcare… more
- CVS Health (Springfield, IL)
- …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 ability to innovate and deliver solutions to make health care more personal, convenient and affordable....reimbursement policy + Minimum 2 years of experience in behavioral health , social services, or human services… more
- CVS Health (Springfield, IL)
- …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 ability to innovate and deliver solutions to make health care more personal, convenient and affordable....**Required Qualifications** - Minimum 2 years of experience in behavioral health , social services or human services… more