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 - Assessor
By BHPN, LLC (dba Catalight Care Services) At , Remote $85,000 - $127,000 a year
Knowledgeable and skilled in computer/word processing software and excel.
Demonstrated expertise in crisis management.
Minimum Education, Experience & Training Equivalent to:
Use working knowledge of assessing and addressing risk to escalate high risk clinical concerns to supervisor.
As appropriate, coordinate with CCS Clinical Case Managers to ensure appropriate BHT services.
Document client complaints and grievances, and submit them to the Quality department, per policy requirements.
Behavioral Health Case Manager
By City of Tacoma At , Tacoma, 98402, Wa $97,157 - $136,781 a year
Offer liaison support to people seen on a recurring basis that require short-term intensive case management.
Equivalency: 1 year of experience = 1 year of education
The City of Tacoma offers a generous program of employee benefits:
Licensing, Certifications and Other Requirements
Coordinate problem-solving and engagement activities among the team with similar and different specialties and skillsets.
Vision care with VSP for employees and eligible dependents enrolled in the Regence PPO medical plan with vision benefits.
Assessor/Clinical Case Manager
By Catalight Foundation At , Remote $51 - $62 an hour
Knowledgeable and skilled in computer/word processing software and excel
Minimum Education, Experience & Training Equivalent to:
Have working knowledge of assessing and addressing risk and the ability to escalate high risk clinical concerns to supervisor
As appropriate, coordinate with BHPN Clinical Case Managers to ensure appropriate BHT services
Document client complaints and grievances, and submit to the Quality department, per policy requirements
Have working knowledge of assessing and addressing risk and dangerous behaviors.
Behavioral Health Case Manager Ii - Fieldwork
By Hi-Quality Recruits At Kailua-Kona, HI, United States
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
Serves as a resource to other Behavioral Health Case Managers.
Experience in health coaching and motivational interviewing techniques.
Responds to more complex cases and account specific requests.
Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during assessment.
Monitors and evaluates effectiveness of care plan and modifies plan as needed.