- Elevance Health (Chicago, IL)
- …a 1-hour commute each way of one of our Elevance Health PulsePoint locations. The Behavioral Health Case Manager II position is primarily member facing and ... involves complete clinical assessment. Also, they will be responsible for performing case management telephonically and/or by home visits within the scope of… more
- CVS Health (Downers Grove, IL)
- …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... reside in Cook County. Monday-Friday 8-5pm. Position Summary Utilizes advanced clinical judgement and critical thinking skills to facilitate appropriate member… more
- Elevance Health (Chicago, IL)
- …and depression, and insightful analytics to improve the delivery of care. The BH Case Manager I is responsible for performing case management telephonically ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… 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
- Elevance Health (Gary, IN)
- …4-5 days per week in-person with patients, members or providers The **RN Case Manager ** **(LTSS Service Coordinator- RN)** is responsible for overall management ... of member's case within the scope of licensure; provides supervision and...an impact:** + Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management… more
- Elevance Health (Merrillville, IN)
- …spend 4-5 days per week in-person with patients, members or providers. The ** Case Manager - LCSW/LSW/MSW** (also called the **LTSS Service Coordinator - ... Clinician)** has overall responsibility for the member's case , as required by the IN PathWays for Aging...coordination and management of member's needs, including physical health, behavioral health, social services and long term services and… more
- Kepro (Chicago, IL)
- …in Nursing. + 5+ years of clinical experience in a medical or behavioral health setting. + 3+ years of Case Management and/or Utilization Review experience. ... health solutions in the public sector. Acentra seeks a Clinical Operations Manager - RN (Hybrid within...Case review and utilization review teams within the clinical domain of case review and dispute… more
- Elevance Health (Merrillville, IN)
- …circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable state law and contract, ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- Elevance Health (Chicago, IL)
- …provided for 4 weeks during regular business hours.** The Clinical Care Manager is responsible for performing case management telephonically within the scope ... Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee… more
- Molina Healthcare (Downers Grove, IL)
- …and assigns cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the ... experience with increasing responsibility. **Preferred License, Certification, Association** Certified Case Manager (CCM), Certified Professional in Healthcare… 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
- 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
- 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