- 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
- Molina Healthcare (Oak Brook, IL)
- **_We are seeking a TRANSITIONS SPECIALIST Case Manager for our ILLINOIS Health Plan. Candidates must live in COOK COUNTY in the state of ILLINOIS, for ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Molina Healthcare (Des Plaines, IL)
- …Bachelors/Masters trained social worker to join our Illinois Health plan as a Field Case Manager . The service area for this position covers southern/central Lake ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Little City Foundation (Schaumburg, IL)
- Case Manager | Adult Residential Services Job Details Level Experienced Job Location Countryside Center - Schaumburg, IL Remote Type N/A Position Type Full Time ... which encompasses all aspects of the participant's life. The Case Manager is responsible for ensuring residents... coordinates and leads the multidisciplinary team (ISC/ISSA, medical, clinical & behavioral , home & day program… more
- Elevance Health (Chicago, IL)
- …you a check, or ask you for payment as part of consideration for employment. **BH Case Manager II** + Job Family: MED > Licensed/Certified Behavioral Health ... Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a...analytics to improve the delivery of care. The BH Case Manager II is responsible for performing… more
- Molina Healthcare (Chicago, IL)
- **JOB DESCRIPTION** **Opportunity for a Bachelors or Masters trained Case Manager to join our Illinois Health Plan. The position is Monday - Friday, 8 AM - 5 PM ... services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license… more
- Molina Healthcare (Chicago, IL)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... as part of our benefit package. Experience with Waiver Case Management of Medicaid members who are aging and/or...an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- Elevance Health (Westchester, 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
- 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
- Little City Foundation (Palatine, IL)
- …Full Time Description NEW BASE SALARY: EFF 1/1/24 $ 27/HR Under the clinical supervision of Behavior Therapist Coordinator and/or a Board Certified Behavior Analyst ... (BCBA) and administrative supervision of a Home Manager the primary duty of a Residential Behavior Specialist is assisting youth with maximizing skill-acquisition in… more
- Little City Foundation (Palatine, IL)
- …Schedules available $$ 1,500 $$ EMPLOYEE REFERRAL BONUS PURPOSE:Under the clinical supervision of Behavior Therapist Coordinator and/or a Board Certified Behavior ... Analyst (BCBA) and administrative supervision of a Home Manager the primary duty of a Residential Behavior Specialist is assisting youth with maximizing… 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 ... plan modifications and determines need for additional services, in conjunction with case management and provider. + Coordinates identification of and referral to… 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
- Trinity Health (Maywood, IL)
- …third party payers. **Position Responsibilities:** Under the direction of the Director/ Manager develops, implements and monitors administrative and clinical ... make a lasting impact. Under the direction of the Director/ Manager oversees the daily caseloads of the UR/UM teams....teams. This includes utilization review of inpatient medical and behavioral health services to assess appropriateness of level of… more
- Elevance Health (Chicago, IL)
- …under the direction/supervision of an RN, with overall responsibility for the member's case , as required by applicable state law and contract, contributes to the ... evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and community services and supports. **How… more