- CVS Health (Chicago, IL)
- …and every day. **Position Summary** **This position offers a $5,000 New Hire Bonus!** This Clinical Case Manager Behavioral Health position is with ... Illinois. The requirements is for candidates to hold a Behavioral Health License (specifically LCSW, LCPC, or LMFT), and...outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as… more
- CVS Health (Chicago, IL)
- …every day. **Position Summary** **This position offers a $5,000 New Hire Bonus!** This position Clinical Case Manager Behavioral Health is with Aetna's ... manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues Determines medical necessity/ appropriateness Facilitates optimal outcomes… more
- National Youth Advocate Program (Bolingbrook, IL)
- …trainings/education. + Why Work with Us? Exciting Benefits and Opportunities at NYAP! The Case Manager I for La Jornada is responsible for the completion and ... files compliant with ORR Policy and NYAP's CQI Team. Case Manager I is required to maintain...pre staffing process with multidisciplinary team of professionals including case managers, clinical counselors, medical coordinators and… more
- Elevance Health (Chicago, IL)
- …for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role...manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews.… more
- Maxim Healthcare (Crown Point, IN)
- Maxim Healthcare is hiring for a RN Case Manager to oversee the clinical care of homecare clients. Why This Role? + Balanced Responsibilities + Work-Life ... + Recognition Programs + Expense Reimbursement Key Responsibilities: + Oversee the clinical care of homecare clients from admission through discharge + Manage care… more
- Molina Healthcare (Chicago, IL)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Molina Healthcare (Joliet, IL)
- …waiver services **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, LSW (Licensed Social Worker) or ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- Molina Healthcare (Bellwood, IL)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- Molina Healthcare (Joliet, IL)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and… more
- Elevance Health (Chicago, IL)
- …director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting ... medical policies used for operational reviews. + Leading multidisciplinary rounds for case management /complex clinical management. + Peer-to-peer outreach for… more
- Molina Healthcare (Downers Grove, IL)
- …License must be active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other… more
- Rush University Medical Center (Chicago, IL)
- …Opportunity Specifics * 10 APPs and 10 Physicians in the practice * Role is 85% Clinical and 15% Administrative * 4 - 10-hour days per week * Rotating call 1:8-10 ... Responsibilities **ESSENTIAL RESPONSIBILITIES / DUTIES:** The Lead APP is a clinical level APP Leader, whose responsibilities include both clinical … more