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Clinical Case Manager Behavioral Health Jobs

Manager, Clinical Programs / Case Mgt
By Premera Blue Cross At , Remote $82,700 - $140,700 a year
Participate in Total Quality Management activities and processes to assure operational compliance with regulatory requirements, including NCQA, NEMIS, HCFA, and OIC.
Certified in CCM (Certified Case Management) or obtain certification within 24 months of date of hire. (Required)
Five (5) years case management or health care experience. (Required)
Three (3) years management experience. (Required)
Experience managing case management teams and integrated case management model
Participate in the establishment and implementation of Care Management policies as required.
Clinical Case Manager Behavioral Health
By CVS Health At , $58,760 - $125,840 a year
1+ year(s) of experience with personal computers, keyboard, multi-systems navigation, and MS Office Suite applications.
Unencumbered Behavioral Health clinical license in Ohio is required (ex: LMFT, LSW, LPC, LISW).
An Independent Behavioral Health clinical license is preferred (LPCC, LMFT, LISW)
Manager, Um Clinical Services - Behavioral Health
By CVS Health At , $84,500 - $182,000 a year
2+ years of healthcare management experience required (preferably in a managed care setting)
Will be accountable for the day-to-day management of team(s) for appropriate implementation and adherence with established practices, policies and procedures.
2+ years managed care experience is required
2+ Utilization review experience required.
5+ years of clinical practice experience in physical or behavioral healthcare.
2+ years of experience with personal computer, keyboard navigation, and MS Office Suite applications.
Behavioral Health Case Manager
By The Hartford At ,
Preference for case management and discharge experience
Organizational and Change Management Skills
Leverages resources such as vocational rehabilitation, risk management unit, physician reviews, home assessments, etc.
Collaborates with Ability Benefits Manager and other key players (Vocational Rehabilitation, Consultants, Medical Nurse
Preference for managed care/utilization review/insurance experience
Manages risk and resources on highly complex behavioral health claims
Cham Behavioral Coaching And Support Case Manager - Evernorth Health Services - Remote
By The Cigna Group At , Hartford, 06152 $62,400 - $104,000 a year

Behavioral Coaching and Support Case Manager -Custom High Acuity Model (CHAM) Team The specialty case management programs help individuals make the behavioral changes and first steps necessary to ...

Clinical Care Manager Behavioral Health (Field)
By CVS Health At , $58,760 - $125,840 a year
Case management and discharge planning experience
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health
Identifies and escalates quality of care issues through established channels
Ability to speak to medical and behavioral health professionals to influence appropriate member care.
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Behavioral Health Case Coordinator - Elko
By Nevada Health Centers At Elko, NV, United States
Case Coordination or Billing Experience preferred.
Behavior Health front or back office experience preferred.
Minimum one year work experience in an outpatient (or Inpatient) behavioral health setting preferred
Must meet one of the following qualifications
High School Diploma or GED equivalent required.
Bilingual Spanish and English preferred
Licensed Behavioral Health Case Manager - Remote
By Optum At , Detroit, 48202
1+ year of case management experience
Proficient computer skills and good working knowledge of Microsoft Word
Medical/Behavioral setting experience (i.e. hospital, managed care organization, or joint medical/behavioral outpatient practice)
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Facilitate member education and involvement of caregiver in the delivery of interventions
Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support)
Behavioral Health - Utilization/Case Manager
By Mercy At , Chesterfield, 63017
Position can be done Remote (work from home)
Education: Registered Nurse or Masters in Social Work, Counseling or Psychology.
Broad Knowledge of mental illness/substance use diagnosis and treatment protocols required.
Computer skills and an advanced understanding of the Electronic Health Records used by the department required.
The abilities to work independently to triage incoming requests and clearly communicate work assignments and priorities to the department are essential.
Overview: Behavioral Health (Utilization/Case Manager)
Clinical Behavioral Health Specialist
By Sedgwick At ,
Creates a case management plan based on the assessment with measurable goals and objectives utilizing evidence-based criteria.
Monitors ongoing progress toward these goals and objectives; implements plan through case management interventions.
Manages assigned cases timely and facilitates claim closure based on treatment goals and return-to-work issues.
Solid clinical knowledge of psychiatric disease processes including familiarity with DSM-5 guidelines
Excellent oral and written communication, including presentation skills
Identifies claimant's psychosocial issues/needs, related barriers, and post traumatic injury/incident.
Case Manager - Behavioral Health
By Superior HealthPlan At , Dallas
Comply with established referral, pre-certification and authorization policies, procedures and processes by related medical management staff.
Experience in field-based case management roles
Update database regularly with most recent Service Management Plan of Care.
Coordinate service management functions with other departmental functions.
Proficient computer skills and experience working within large databases or provider information systems and Microsoft Office applications.
Experience working in managed care environment (Federal and State Sponsored Govt Programs)
Clinical Case Manager Jobs
By The Village Network At Kettering, OH, United States
Excellent verbal and written communication skills; strong teamwork and organization/time management skills.
TVN offers a generous retirement contribution and contributed nearly $1.5 million into employee 403(b) accounts this fiscal year!
Bachelors Degree in Social Work, Counseling or related field required; LSW or LPC and two years previous experience desired.
Ability to comply with The Village Network requirements for using restraints including sufficient strength and completion of extensive training.
Job Title: Clinical Case Manager
Reports To: Clinical Supervisor, Program Supervisor or Program Manager
Behavioral Health Case Manager
By UnifyWork At , Cleveland
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*Career coach available during business hours only (EST).
*Our employer partners are equal opportunity employers.*
Clinical Case Manager Behavioral Health Field
By CVS Health At , , Il $58,760 - $125,840 a year
Case management and discharge planning experience
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health
Identifies and escalates quality of care issues through established channels
Ability to speak to medical and behavioral health professionals to influence appropriate member care.
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
Sr Behavioral Health Clinical Auditor - Remote In Idaho
By Optum At , Boise, 83702, Id
Proven knowledge/experience with Behavioral Health evidence-based practices
Provide education and support to providers regarding operational and treatment record documentation standards
3+ years of behavioral health experience
When working from home, you must have access to high-speed internet and a dedicated, distraction-free workspace
Experience with Medicaid service delivery
Proven knowledge of Joint Commission survey processes
Clinical Case Manager Jobs
By Voices for a Second Chance (VSC) At Washington DC-Baltimore Area, United States

Check website for position description

Behavioral Health Assistant Case Manager
By Ally Waste Services At Carrollton, TX, United States
full-time Behavioral Health Assistant Case Manager
competitive compensation, great benefits, and plenty of opportunities for personal and professional growth
OUR IDEAL BEHAVIORAL HEALTH ASSISTANT CASE MANAGER
Passionate - excited about the behavioral health field and always striving to learn more
Dependable - committed to helping your clients succeed
Team player - able to work well and collaborate with others
Behavioral Health Case Manager - Central Virginia (Field-Based)
By Optum At , Richmond, 23235, Va
Proficient computer skills and good working knowledge of Microsoft Word and Outlook
Medical / Behavioral setting experience (i.e., hospital, managed care organization, or joint medical / behavioral outpatient practice)
Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
Support members with condition education, medication reviews, and connections to resources such as Home Health Aides or Meals on Wheels
1+ years of experience in a related mental health environment
Access to high-speed internet and a dedicated, distraction-free workspace at home
Case Manager Behavioral Health (Remote)
By Independence Blue Cross At , Philadelphia, 19103, Pa
Strong computer skills and experience with Microsoft Office Suite.
Excellent assessment and engagement skills and ability to adapt clinical skills while using telephonic and virtual means.
Exceptional problem-solving and organizational skills required.
Provides appropriate clinical assessment, intervention and support to members who actively seek behavioral health support via inbound calls.
Active PA Registered Nurse (B.S.N. Preferred) LCSW, LSW or LPC required
Ability to work independently using critical thinking to resolve complex behavioral, medical, and psychosocial issues with our members.
Homeless Case Manager - Behavioral Health 135
By Telecare Corporation At Modesto, CA, United States
Specialized knowledge/experience in vocational, housing, or dual diagnosis services
Provides individual and group education and training
Completes the service plan, including assessing educational, substance abuse, and vocational needs of members served
Demonstrates knowledge and proper use of equipment and supplies, including:
Promotes and assists members served in developing self-help skills
Knowledge of process of mental illness