- Centene Corporation (Springfield, IL)
- …working with providers and healthcare teams to review care services for behavioral health services. **Position Purpose:** Performs a clinical review and ... regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Elevance Health (Deerfield, IL)
- **A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... Requires MA/MS in social work counseling or a related behavioral health field or a degree in...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure… more
- Elevance Health (Chicago, IL)
- …responsible for appeals reviews within our Medicaid and Medicare programs.** The ** Behavioral Health Medical Director** is responsible for the administration of ... behavioral health medical services, to ensure the...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- 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
- Carle (Urbana, IL)
- Behavioral Health Clinician - CTP Behavioral Health Atrium + Department: Behavioral Health Atrium - CTP + Entity: Peoria Service Area + Job ... REQUIREMENTS 1-3 year experience in working with patients in the addiction setting, behavioral health setting, or related setting. ADDITIONAL REQUIREMENTS + Must… more
- 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 (Urbana, IL)
- Behavioral Health Therapist - Addiction Recovery Center + Department: Addiction Recovery Cntr - CTP + Entity: Peoria Service Area + Job Category: + Employment ... 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
- Centene Corporation (Springfield, IL)
- …for 10% travel into office for mandatory meetings. **Education/Experience:** Master's degree in behavioral health and an unrestricted license as a LCSW, LMFT or ... everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team....achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members'… more
- Trinity Health (Berwyn, IL)
- …, and MacNeal Hospital (https://www.loyolamedicine.org/location/macneal-hospital) . **The Behavioral Health team is seeking a ... Clinic.** This future colleague should have the passion to provide advanced behavioral health knowledge and skills including direct and indirect assessment… more
- 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
- Humana (Springfield, IL)
- …+ Administer new innovative VBP models for range of provider types, such as behavioral health , maternity, specialists, and social determinants of health , ... part of our caring community and help us put health first** The Sr. Value-Based Programs professional ...move providers from volume to value + Analyze financial, utilization , and performance data to identify opportunities to drive… more
- 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
- 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
- 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
- US Marine Corps (Marine, IL)
- …to anxiety, depression, stress, coping and other factors which detract from an individual?s behavioral health . Serves as Subject Matter Expert (SME) on all ... Behavioral Health services, to include conducting risk...Evaluates community resources to determine availability, applicability and best utilization of services for potential implementation Marine Corps wide.… more
- 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
- Kepro (IL)
- …clinical outcomes. You will play a key role in supporting both medical and behavioral health departments in delivering high-quality care. ** This role preferred ... in a health -related field. + Solutioning and problem-solving experience in utilization and case management programs. + 2+ years of case management experience. +… more
- 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
- Compass Group, North America (Hinsdale, IL)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... and has more than 1,200 registered dietitians, 300 executive chefs, and 17,000 professional food service team members. Job Summary Job Summary: Working as the… more
- 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