- CVS Health (Chicago, IL)
- …And we do it all with heart, each and every day. This Clinical Case Manager - Behavioral Health position is with Aetna's Long-Term Services and ... 60653, 60804, 60651, 60642, 60622, 60654, 60647, 60639. **Position Summary** The Clinical Case Manager , Behavioral Health, is responsible for driving… more
- CVS Health (Chicago, IL)
- …any language , must be able to pass a proficiency exam.** **Position Summary** The Clinical Case Manager , Behavioral Health, is responsible for driving ... treatment and services. + Applies and interprets applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Chicago, IL)
- …needed/requested by Management.** Preference for candidates residing in the Chicago area. BH Clinical Case Manager is responsible for telephonically and/or ... Care: - Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies,...direct clinical practice experience post masters in Behavioral Health *Minimum 1+ year of Case … more
- Molina Healthcare (Chicago, IL)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Molina Healthcare (Chicago, IL)
- …DESCRIPTION** Opportunity to join Molina Healthcare working with our Medicaid members as a Case Manager . This is open to Illinois licensed RNs across the state ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Rosemont, IL)
- …Professional who lives in Illinois and must be licensed for the state of Illinois Case Manager will work in remote and field setting supporting our Medicaid ... Population with. Case Manager will be required to physically...an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- Molina Healthcare (Rosemont, IL)
- …Nurse who lives in Illinois and must be licensed for the state of Illinois Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically...an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- Molina Healthcare (Chicago, IL)
- **JOB DESCRIPTION** Opportunity for Illinois licensed RN to join Molina as a Field Case Manager working with our Medicare members in Cook County. This position ... we will also consider well-seasoned RNs with a strong clinical background. Hours are Monday - Friday, 8 AM...services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina… more
- AdventHealth (Hinsdale, IL)
- … Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing ... and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtains appropriate...* Demonstrates extending the healing ministry of Christ, through behavioral whole care standards of love me, make it… more
- United Airlines (Chicago, IL)
- …the HIMS (Human Intervention Motivation Study) Pilot Monitoring program + Providing clinical supervision and case consultation to Employee Assistance Program ... program + SAP - Oversee the Substance Abuse Professional (SAP) program, offering clinical oversight and case consultation for SAP services, including Mandated or… 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 ... Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective… more
- Elevance Health (Chicago, IL)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more