- CVS Health (Chicago, IL)
- …impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates ... evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and… more
- CVS Health (Downers Grove, IL)
- …Quality of Care: Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... such as ambulatory care or outpatient clinic/facility) -Must possess active and unrestricted Behavioral Health clinical license (LCSW or LCPC) in the state of… more
- Elevance Health (Chicago, IL)
- …a 1-hour commute each way of one of our Elevance Health PulsePoint locations. The Behavioral Health Case Manager II position is primarily member facing and ... involves complete clinical assessment. Also, they will be responsible for performing case management telephonically and/or by home visits within the scope of… more
- Elevance Health (Chicago, IL)
- …or other locations in the community as permitted. Responsible for performing case management telephonically and/or by home visits within the scope of licensure ... for members with behavioral health and substance abuse or substance abuse disorder...substance abuse disorder needs.** **Subject matter expert in targeted clinical areas of expertise such as Alcohol / Opioid… more
- CVS Health (Downers Grove, IL)
- …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... reside in Cook County. Monday-Friday 8-5pm. Position Summary Utilizes advanced clinical judgement and critical thinking skills to facilitate appropriate member… more
- Elevance Health (Chicago, IL)
- …and depression, and insightful analytics to improve the delivery of care. The BH Case Manager I is responsible for performing case management telephonically ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… more
- Kepro (Chicago, IL)
- …in Nursing. + 5+ years of clinical experience in a medical or behavioral health setting. + 3+ years of Case Management and/or Utilization Review experience. ... health solutions in the public sector. Acentra seeks a Clinical Operations Manager - RN (Hybrid within...Case review and utilization review teams within the clinical domain of case review and dispute… more
- Somatus (Chicago, IL)
- …+ Community engagement opportunities + And more! The RN Transition of Care RN Manager is a critical member of the care team consisting of nurses, dietitians, ... Conduct Transition of Care assessments that include the medical, behavioral , pharmaceutical, and social needs of the patient, identify...care and barriers to good health; the RN TOC Manager is expected to conduct approximately 12 - 15… more
- Ascension Health (Chicago, IL)
- …from the Illinois Department of Financial and rofessional Regulation preferred. + Certified Case Manager credentialed from the American Case Management ... your Talent Advisor for additional specifics._ **Responsibilities** Apply specialized clinical knowledge and advanced clinical skills in...Association (ACMA) preferred. + Certified Case Manager credentialed from the Commission for Case … more
- Elevance Health (Chicago, IL)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... oversight from immediate manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- Little City Foundation (Chicago, IL)
- …from residential care to foster homes by working closely with the assigned case manager .5. In conjunction with a youth's treatment team assists with ... monitors the matching process of prospective intakes.3. Makes sound clinical decisions regarding the acceptance or denial of a...needed placements for children in consultation with the child's case manager . Licensing and Training:1. Is fully… more
- Little City Foundation (Chicago, IL)
- …transitioning from residential care to foster homes by working closely with the assigned case manager . + In conjunction with a youth's treatment team assists ... the matching process of prospective intakes. + Makes sound clinical decisions regarding the acceptance or denial of a...needed placements for children in consultation with the child's case manager . Licensing and Training: + Is… more
- Trinity Health (Westchester, IL)
- …multidisciplinary healthcare team to include the primary care physician, specialists, nurse case manager , community health worker, pharmacist, to coordinate care ... and providers in the ambulatory setting seeking biopsychosocial and behavioral health services for their patients. Identification, assessment and treatment… more