• Clinical Case Manager

    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
    CVS Health (03/16/24)
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  • BH Case Manager II

    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
    Elevance Health (04/25/24)
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  • Case Manager , LTSS - South Side of

    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 (03/20/24)
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  • Field Case Manager , Ltss (RN)…

    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
    Molina Healthcare (03/21/24)
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  • LTSS Service Coordinator ( Case

    Elevance Health (Merrillville, IN)
    …ask you for payment as part of consideration for employment. **LTSS Service Coordinator ( Case Manager )** + Job Family: MED > Medical Ops & Support (Non-Licensed) ... 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,… more
    Elevance Health (04/28/24)
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  • Medical Director

    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 (04/25/24)
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  • UM Medical Director - Cardiology

    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 (04/28/24)
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  • Family RecruitMatching Coord

    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 (04/24/24)
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  • Family Recruitment & Matching Coordinator

    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 (04/17/24)
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  • LTSS Service Coordinator - RN

    Elevance Health (Gary, IN)
    …**LTSS Service Coordinator- RN** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case , as required by the IN PathWays for Aging...an impact:** + Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management… more
    Elevance Health (02/09/24)
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  • Outreach Care Specialist

    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
    Elevance Health (04/26/24)
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  • LTSS Concierge Coordinator (Remote in Indiana)

    Elevance Health (Gary, IN)
    …coordination and management of an individual's waiver (such as LTSS/IDD), behavioral health or physical health needs. + Submits utilization/authorization requests to ... a risk is identified related to the members LTSS, physical or behavioral health supports (including, but not limited to, potential for high-risk complications).… more
    Elevance Health (04/28/24)
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  • LTSS Care Coordinator - Clinician (LPN, LCSW)

    Elevance Health (Merrillville, IN)
    …under the direction/supervision of an RN, with overall responsibility for the member's case , as required by the IN PathWays for Aging program, contributes to the ... evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. **How… more
    Elevance Health (04/16/24)
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  • Managed Care Coordinator Clinician Non RN

    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
    Elevance Health (04/20/24)
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