- 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
- Evolent (Madison, WI)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… more
- Elevance Health (Waukesha, WI)
- …for autism and depression, and insightful analytics to improve the delivery of care ._ ** Behavioral Health Care Manager II - Applied Behavioral ... Business Standard Hours. Must have a Clinical License Or BCBA certification The ** Behavioral Health Care Manager II** is responsible for managing… more
- Bluestone Physician Services (Mequon, WI)
- …as measured by the overall savings per Medicare beneficiary. Position Overview: The Behavioral Health Care Manager is a core ... Providers, Nurses, Care Managers and other medical professionals. The Behavioral Health Care Manager is a patient-focused role, primarily working… more
- Elevance Health (WI)
- …NY, IA, TX, WV, NJ, WI, MO **Shift:** Monday - Friday; 8:00am - 5:00pm The ** Behavioral Health Case Manager I** is responsible for performing case management ... visits within the scope of licensure for members with behavioral health and substance abuse or substance...+ Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified… more
- Molina Healthcare (Green Bay, WI)
- …under productivity and outcome standards * 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...assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… 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)
- …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
- CAI (Madison, WI)
- …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
- Molina Healthcare (WI)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… 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 (Racine, 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 (Kenosha, WI)
- …for regular outreach and management. + 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 (West Bend, 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)
- …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
- Bluestone Physician Services (Milwaukee, WI)
- …social determinants of health , manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care , ... of the GUIDE Model across assigned markets. The Program Manager oversees the Care Navigators throughout the...and understand the English language Bluestone Benefits : + Health Insurance + Dental Insurance + Vision Materials Insurance… 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
- Molina Healthcare (Milwaukee, WI)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED NURSE_** **Job...Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare… more