- CVS Health (Springfield, IL)
- …solutions to make health care more personal, convenient and affordable. Position Summary The Clinical Case Manager , Behavioral Health, is responsible for ... coordinating, monitoring, and evaluating). The CCM, BH, utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member… more
- CVS Health (Springfield, IL)
- …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 (Springfield, IL)
- …to make health care more personal, convenient and affordable. Position SummaryAs a Clinical Case Manager you will facilitate appropriate healthcare outcomes ... outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as...Qualifications + Minimum of 2 years of experience in behavioral health, social services or Human services field +… more
- 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
- Elevance Health (Chicago, IL)
- Clinical Social Work Case Manager (9am - 6pm CST) JR115053 **Location** : Telephonic role. Must reside within 50 miles / 1 hour commute of a relevant ... **Eastern Time** , Monday - Friday The **Social Work Case Manager (Telephonic)** is responsible for ensuring...behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions.… more
- CVS Health (Springfield, IL)
- …impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates ... BH clinical license - LCSW, LCPC, LMFT Preferred Qualifications - Case Management and Discharge Planning experience preferred -Managed Care experience preferred… more
- CVS Health (Springfield, IL)
- …human services field - Minimum 2 years of experience working with children with Behavioral Health needs - Current Active unrestricted Clinical BH licensure (LCSW ... Support Meetings. The Comprehensive Care Coordinator will coordinate with Family, Clinical services, treatment team and Supervisors on the development, planning and… more
- Molina Healthcare (Quincy, IL)
- **JOB DESCRIPTION** **Opportunity for a Bachelors or Masters trained Case Manager to join our Medicare Team in the Quincy, IL Service Area. Meeting with members ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Little City Foundation (Palatine, IL)
- Case Manager | Adult Residential Services Job Details Level Experienced Job Location Main Campus - Palatine, IL Remote Type N/A Position Type Full Time Education ... which encompasses all aspects of the participant's life. The Case Manager is responsible for ensuring residents... coordinates and leads the multidisciplinary team (ISC/ISSA, medical, clinical & behavioral , home & day program… more
- Molina Healthcare (Peoria, IL)
- **JOB DESCRIPTION** **Opportunity for Bachelors or Masters trained Case Manager in the Peoria, IL area to work as a Field Case Manager for our Medicare ... services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license… more
- Molina Healthcare (Peoria, IL)
- …for an IL licensed RN in the Peoria, IL area to work as a Field Case Manager for our Medicare members in this area. Position will require making face-to-face ... waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Elevance Health (Chicago, IL)
- …and depression, and insightful analytics to improve the delivery of care. The BH Case Manager II is responsible for performing case management telephonically ... Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a...providers. + Serves as a resource to other BH Case Mgrs. + Participates in cross-functional teams projects and… more
- CVS Health (Springfield, IL)
- …area. Schedule is Monday-Friday, standard business hours, 8:00am-5:00pm CST. Nurse Case Manager is responsible for telephonically and/or face to ... face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical...policies and programs are comprised of network management and clinical coverage policies. - Through the use of … more
- CVS Health (Springfield, IL)
- …remote role. Schedule: Monday - Friday 8am-5pm CST. Position Summary The Care Manager RN is responsible for driving and supporting care management and care ... implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member… more
- Carle (Urbana, IL)
- Behavioral Health Clinician - Community Behavioral Health 6 West + Department: Community Beh Hlth 6W- CMH + Entity: Peoria Service Area + Job Category: Mental ... psychotherapy/counseling, and discharge planning for patients on the inpatient behavioral health units. Qualifications: EDUCATIONAL REQUIREMENTS Master's Degree in… 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
- Elevance Health (Chicago, IL)
- **Social Work Case Manager ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of ... our Elevance Health PulsePoint locations. The **Social Work Case Manager ** will be responsible for ensuring...behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions.… more
- Merck (Springfield, IL)
- …reporting requirements internally and externally. Acts as primary site contact and site manager throughout all phases of a clinical research study, taking ... in a country. Under the oversight of the CRA manager or CRD, the person ensures compliance of study...allocated sites. Actively develops and expands the territory for clinical research, finding and developing new sites. Participates in… more
- HealthEdge Software Inc (Springfield, IL)
- …designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + Maintain deep ... for effective delivery to the client **What you bring:** + ** Behavioral :** + Leadership skills + Mentorcross-functional teamson various technical and non-technical… more
- Elevance Health (Deerfield, 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