- Elevance Health (Waukesha, WI)
- ** Behavioral Health Case Manager I** Schedule: Monday-Friday, 8:00am-5:00pm CST **_Virtual: _** _ _ This role enables associates to work virtually ... and depression, and insightful analytics to improve the delivery of care. The ** Behavioral Health Case Manager I** responsible for performing case… more
- Bluestone Physician Services (Franklin, WI)
- …as measured by the overall savings per Medicare beneficiary. Position Overview: The Geriatric Behavioral Health Case Manager is a core member ... Care Providers, Nurses, Care Managers and other medical professionals. The Behavioral Health Care Manager is a patient-focused role, primarily working… more
- Molina Healthcare (Kenosha, WI)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with… more
- Centers for Independence (Milwaukee, WI)
- ** Case Manager III - ACT** **Job Details** **Description** Job Purpose: To facilitate the improved wellbeing of individuals with severe mental illness and/or ... substance use disorders. The Case Manager will work collaboratively with an...utilization of various community resources, day programs, and outside health care providers. + Assists clients in financial planning… more
- National Youth Advocate Program (Madison, WI)
- …trainings/education. + Why Work with Us? Exciting Benefits and Opportunities at NYAP! The Case Manager I for La Jornada is responsible for the completion and ... files compliant with ORR Policy and NYAP's CQI Team. Case Manager I is required to maintain...sincere desire and ability to advocate for children facing behavioral health , immigration, educational, legal, development, and… more
- Advanced Correctional Healthcare (Sheboygan, WI)
- Site Mental Health Manager Job Details Job Location Sheboygan County Jail and Detention Center - WI - Sheboygan, WI Position Type Full Time Education Level ... Hourly Travel Percentage None Job Shift Day Job Category Behavioral Health Description + Referral program +...health services for continuity of care and discharge planning/ case management via sharing of pertinent patient information. +… more
- Molina Healthcare (Kenosha, WI)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
- Molina Healthcare (WI)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, home and… more
- Molina Healthcare (Hudson, WI)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home and… more
- Centers for Independence (Milwaukee, WI)
- …and DHS 35 administrative codes. **Reporting Relationships** **Reports To** : Senior Program Manager **Direct Reports** : Behavioral Health Technicians, ... ** Manager - Clinical Service - CRC South** **Job...referral sources and continuing to cultivate relationships with hospitals, case management agencies, and the criminal justice system. +… more
- Molina Healthcare (Wauwatosa, WI)
- …and suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and ... year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and… more
- Molina Healthcare (Green Bay, WI)
- …more of the following areas: utilization management, care management, care transitions, behavioral health , or equivalent combination of relevant education and ... to navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM),… more
- Highmark Health (Madison, WI)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Elevance Health (Waukesha, WI)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... vision and implementation to deliver an improvement in the health of the people we serve. The medical director...clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to… more
- Molina Healthcare (Milwaukee, WI)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and assigns cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the… more
- Molina Healthcare (Madison, WI)
- …* Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified Health Education Specialist (CHES), ... integrated delivery of member care across the continuum, including behavioral health and long-term care for members with high-need potential. Strives… more
- Elevance Health (Waukesha, WI)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... AA/AS and minimum of 2 years of experience in health services or behavioral health ...Skills, Capabilities, and Experiences:** + Knowledge of care-coordination and case management concepts strongly preferred. + BA/BS or MBA… more
- Highmark Health (Madison, WI)
- **Company :** Allegheny Health Network **Job Description :** **_*This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials._** **GENERAL ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- Highmark Health (Madison, WI)
- …+ Healthcare experience + Project Management experience **Preferred** + 2 years Health Plan, Pharmacy Benefit Manager (PBM) or Pharmaceutical manufacturer ... to understand business needs, processes project specifications and business case development. Translate business needs into clearly defined and...environment + Experience in a Health Plan or PBM pharmacy department supporting strategic care… more
- Molina Healthcare (Kenosha, WI)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team members as… more