- CVS Health (St. Paul, MN)
- …Using advanced clinical skills, performs crisis intervention with members experiencing behavioral health or medical crisis and refers them to the appropriate ... of Care: * Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (St. Paul, MN)
- …Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice per state regulations ... standard business hours. No weekends and no holidays.** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical… more
- Highmark Health (St. Paul, MN)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- BrightSpring Health Services (Woodbury, MN)
- …social service agency, and Preferred requirements: + One-year experience working as a case manager or service coordination + Excellent written and oral ... levels with third party payer. + Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for… more
- BrightSpring Health Services (St. Paul, MN)
- …in drug and alcohol rehabilitation. This position will provide and develop clinical services that promote consumer choice and facilitate independence for adult ... Assist with developing client treatment plans based on research, clinical experience, and client histories + Review and evaluate...comply with changes in client status + Participate in case conferences or staff meetings + Provide clients or… more
- Elevance Health (Mendota Heights, MN)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (St. Paul, MN)
- …Medicare/Medicaid experience a plus + Previous experience in utilization management, case management, discharge planning and/or home health or rehab + Certification ... in Case Management a plus (CCM) + Experience working with...go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'… more
- Good Samaritan (Stillwater, MN)
- …for clients/patients/residents who have functional, cognitive or behavioral impairments. Occupational Therapist evaluate physical, cognitive, developmental ... provided to their clients/patients/residents. Follows and adheres to accepted clinical practice guidelines of professional organization. Exhibits flexibility with… more
- CenterWell (St. Paul, MN)
- …Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more
- Highmark Health (St. Paul, MN)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more