- 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 (Springfield, IL)
- …members, up to age 20, who have experienced a behavioral health crisis event. The Clinical Case Manager - BH: Utilizes advanced clinical judgment and ... setting, outpatient clinic, PCP office, or member's residence. The Clinical Care Manager - BH is responsible...clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to… more
- CVS Health (Downers Grove, IL)
- …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
- CVS Health (Morton, IL)
- …And we do it all with heart, each and every day. **Position Summary** This Clinical Case Manager BH position is with Aetna's Long-Term Services and ... out of Peoria and Tazewell IL. An active Illinois Behavioral Health License is required (LCSW/LCPC). Travel: 50-75% required...Peoria and Tazwell Counties and surrounding areas As a Clinical Case Manager you will… more
- CVS Health (Springfield, IL)
- …for placement into custodial care. Responsible for implementing and coordinating all case management, psychosocial, and quality of life activities relating to cases ... and long-term care services to the members, and to those in case and disease management. Provides psychosocial interventions through resource identification, program… more
- CVS Health (Springfield, IL)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Molina Healthcare (Rockford, 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 (Rockford, 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
- CVS Health (Chicago, IL)
- …And we do it all with heart, each and every day. **Position Summary** The RN Case Manager is responsible for coordinating all case management activities with ... activities with members to ensure that their medical and behavioral health needs are met and to enhance the...member needs. + Applies and interprets applicable criteria and clinical guidelines, standardized case management plans, policies,… more
- Molina Healthcare (Jerome, IL)
- …position we are seeking a Behavioral Health Professional who lives in Illinois. Case Manager will work in remote and field setting supporting our Medicaid ... Population within Nursing Facilties. 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 (Peoria, 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
- Highmark Health (Springfield, IL)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Molina Healthcare (Freeport, IL)
- …waiver services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Clinical Social Worker license ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- Somatus (Springfield, IL)
- …can leverage existing high-speed internet service Preferred Qualifications: * BSN * Certified Case Manager (CCM) * Diabetic educator experience * ICU, Cardiology ... management programs and approved by medical management in order to optimize clinical outcomes. + Monitors and coaches patients using techniques of motivational… more
- CVS Health (Kewanee, IL)
- …50-75% of the time to meet with members face to face. As a Analyst, Case Manager you will facilitate appropriate healthcare outcomes for members by providing ... outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as...reimbursement policy + Minimum 2 years of experience in behavioral health, social services or human services field +… 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
- Centene Corporation (Springfield, IL)
- …or youth foster care or post adoption families as well as case management. **Position Purpose:** Develops, assesses, and facilitates complex care management ... activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and… more
- Centene Corporation (Springfield, IL)
- …including a fresh perspective on workplace flexibility. **On-Site Opportunity | Senior Care Manager - Transition of Care | Chicago, IL** **Are you a Licensed ... Our Illinois Health Plan is hiring a Senior Care Manager - Transition of Care to work on-site at...etc.) in the state of Illinois** + **Experience in case management and/or utilization management** + **Background in an… more