- CVS Health (St. Paul, MN)
- …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... Master's degree in Behavioral /Mental Health or related field** -Unencumbered Independent Behavioral Health clinical license in the state where they work:… more
- Elevance Health (Mendota Heights, MN)
- ** Behavioral Health Care Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... work-life integration, and ensures essential face-to-face onboarding and skill development. The ** Behavioral Health Care Manager II** is responsible for managing… 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 (Minneapolis, MN)
- …an intensive rehabilitation treatment program. Under the supervision of the Program Operations Manager , the Clinical Director will also provide clinical ... Our Company SpringPath Mental Health Services Overview The Clinical Director of Mental Health will be responsible...when needed + Maintains the development of individual plans, case coordination, and compliance with license and accreditation +… more
- Humana (St. Paul, MN)
- …the Director, Case Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government Business ... Puerto Rico. + Current valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/management experience,… more
- Highmark Health (St. Paul, MN)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- BrightSpring Health Services (Minneapolis, MN)
- Our Company SpringPath Mental Health Services Overview The Mental Health Practitioner/ Case Manager works as part of an Assertive Community Team that provides ... receives, and writes information clearly and accurately + Reads and interprets clinical assessments and findings + Writes crisis/treatment/ behavioral plans with… 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
- Good Samaritan (St. Paul, 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