• Director Of Utilization Management

    Universal Health Services (Streamwood, IL)
    …and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access ... Responsibilities Director of Utilization Management Full-Time The Director of Utilization...development opportunities within UHS and its 300+ Subsidiaries! Streamwood Behavioral Healthcare System (SBHS) is a 178-bed acute care… more
    Universal Health Services (05/31/24)
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  • Utilization Review (UR) Specialist

    Spectrum Billing Solutions (Skokie, IL)
    …Strong computer skills (Word, Excel, billing software). + Understanding of mental and behavioral health treatment services. At Spectrum, you receive: + A ... appropriate level of care. + Interact with insurance companies in a respectful, professional manner that facilitates the utilization review process and follows… more
    Spectrum Billing Solutions (05/28/24)
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  • Manager Behavioral Health Clinical…

    Elevance Health (Chicago, IL)
    **Manager Behavioral Health Clinical Services** **Location:** This position will work in a hybrid model (remote and office). The ideal candidate must live within ... department. Manages the delivery of quality care management, clinical utilization , and referral services. **How you will make an...of practice), MHC, LPC, etc. to practice as a health professional within the scope of licensure… more
    Elevance Health (06/19/24)
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  • Licensed Social Worker Staff - Care Facilitation…

    Carle (Urbana, IL)
    Licensed Social Worker Staff - Care Facilitation and Utilization Management + Department: IP Clinical Case Mgmt - CMH + Entity: Peoria Service Area + Job Category: ... Mental Health + Employment Type: Full - Time + Job...Summary: As a member of the interdisciplinary team, contributes professional social work knowledge and skills in the provision… more
    Carle (05/18/24)
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  • Behavioral Health Clinician…

    Carle (Urbana, IL)
    Behavioral Health Clinician - Behavioral Health Atrium + Department: Behavioral Health Atrium - CTP + Entity: Peoria Service Area + Job Category: ... REQUIREMENTS 1-3 year experience in working with patients in the addiction setting, behavioral health setting, or related setting. ADDITIONAL REQUIREMENTS + Must… more
    Carle (05/22/24)
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  • Behavioral Health Therapist…

    Carle (Urbana, IL)
    Behavioral Health Therapist - Addiction Recovery Center + Department: Addiction Recovery Cntr - CTP + Entity: Peoria Service Area + Job Category: Mental ... Drug Abuse Counselor (CADC) within 2 years and Licensed Professional Counselor Illinois within 2 years or Licensed Social...experience in working with patients in the addiction setting, behavioral health setting, or related setting. SKILLS… more
    Carle (06/13/24)
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  • RN Care Coordinator - Population Health

    Trinity Health (Maywood, IL)
    …them in their care journey. Provide comprehensive and individualized access to physical health , behavioral health , and supportive community and social ... and monitoring a patient's/family's needs, including prevention, wellness, medical and behavioral health treatment, care transitions, and access to social… more
    Trinity Health (05/09/24)
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  • Clinical Supervisor - Experienced BCBA

    BrightSpring Health Services (Springfield, IL)
    Our Company SpringHealth Behavioral Health and Integrated Care Overview Behavior Clinic Supervisor for Youth Clinic We are seeking a Youth Behavioral Clinic ... program development + Meet with school districts to provide current information on Spring Health Behavioral Health and Integrated Care Services + Explore… more
    BrightSpring Health Services (06/14/24)
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  • Senior Provider Education Professional

    Humana (Springfield, IL)
    … plan operations, such as provider relations, claims submission and payment, utilization management processes, behavioral health processes, and dispute ... part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Senior...Healthy Horizons is seeking a Senior Medicaid Provider Education Professional who is responsible for provider education materials for… more
    Humana (06/15/24)
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  • Senior Vice President, Population Health

    Centene Corporation (Burr Ridge, IL)
    …Management and Care Coordination activities and monitor utilization of Enrollees' physical health and behavioral health . Will be responsible for all ... and related issues, including population health activities and coordination between Behavioral Health services. Pay Range: $217,000.00 - $412,300.00 per year… more
    Centene Corporation (06/06/24)
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  • Mental Health Associate - Addiction…

    Carle (Urbana, IL)
    Mental Health Associate - Addiction Recovery Center + Department: Addiction Recovery Cntr - CTP + Entity: Peoria Service Area + Job Category: Mental Health + ... NA + Work Location: Trillium - ARC + Secondary Job Category: Mental Health + Weekend Requirements: rotating + Holiday Requirements: rotating Email a Friend Save… more
    Carle (05/23/24)
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  • UM Medical Director - Internal Medicine or Family…

    Elevance Health (Chicago, IL)
    …locations.** The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... state or territory of the United States when conducting utilization review or an appeals consideration and cannot be...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (05/10/24)
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  • National Director, Transitional Care & High-Risk…

    CenterWell (Springfield, IL)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** **National** **Director of Transitional Care and High-Risk...will play a pivotal role in reducing acute care utilization for top 5% of complex patients and ensuring… more
    CenterWell (05/03/24)
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  • Licensed Practitioner of the Healing Arts (LPHA)…

    Carle (Urbana, IL)
    …members, and ensure compliance with IATP standards. LPHA reviewer provides behavioral health assessment, intervention, and consultation to individuals and/or ... groups identified as having behavioral health needs, plans treatment modalities, coordinates...professional attitude and understands the ethical standards of behavioral healthcare. Able to interpret rules and regulations. Possesses… more
    Carle (03/28/24)
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  • Pharmacy Client Support Consultant

    Highmark Health (Springfield, IL)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job supports the retention of existing accounts and the acquisition of new members/contracts ... and quotes. Runs financial reports or performs basic financial analysis on utilization data and market research and analysis. Develop detailed specifications for… more
    Highmark Health (05/21/24)
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  • Collaborative Bridges Discharge Care Coordinator

    Universal Health Services (Chicago, IL)
    …of health care resources. Qualifications Minimum Qualifications: + Bachelor degree in Behavioral Health related field and a minimum of one year of related ... pilot program to connect individuals and families with substance abuse and mental health needs upon their discharge from Westside Safety Net hospitals and provide… more
    Universal Health Services (03/29/24)
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  • Substance Use Disorder Counselor - Addiction…

    Carle (Urbana, IL)
    …Summary: The Substance Use Disorder Counselor is an important part of high-quality behavioral health services provided to both inpatients or/and outpatients of ... within 2 years. EXPERIENCE REQUIREMENTS 1-3 years of experience in a behavioral health , addiction, hospital setting. SKILLS AND KNOWLEDGE Writes, reads,… more
    Carle (05/28/24)
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  • Senior Software Engineer (Digital)

    Highmark Health (Springfield, IL)
    …software engineers as needed on ETO Digital team. + Comprehension and utilization of the newest, emerging, innovative technologies and applications + Apply lead ... learn other programming languages as needed + Knowledge of professional software engineering practices & best practices for the...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (06/05/24)
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  • Associate VP, Complex Care

    CenterWell (Springfield, IL)
    health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management, care management, clinical information ... directly address the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
    CenterWell (05/04/24)
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  • Substance Use Disorder Counselor - Out Patient…

    Carle (Urbana, IL)
    …Apply Now Position Summary: The Counselor is an important part of high-quality behavioral health services provided to both inpatients or/and outpatients of Carle ... to learn and level of comprehension.* Consults appropriate resources within Behavioral Health Division to provide specialized education.* Demonstrates knowledge… more
    Carle (06/17/24)
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