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)
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 ...

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)
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)
Behavioral Health Case Manager
By UnifyWork At , Cleveland
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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.
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
Social Worker- Behavioral Health Case Manager (Upper Chesapeake)
By University of Maryland Medical System At Havre de Grace, MD, United States

Full time day shift 501 S Union Ave Harve de Grace, MD Every Patient. Every Encounter. Every Day. At University of Maryland Upper Chesapeake Health (UM UCH), you will join a highly dedicated and ...

Senior Case Manager Jobs
By ACLAMO At Norristown, PA, United States

The Senior Case Manager will provide direct case management services to community members. She/he will provide care efficiently, handle case assignments, document case plans, and review the progress ...

Behavioral Health Case Coordinator
By Tempus Unlimited, Inc. At Stoughton, MA, United States
Significant experience in Personal Care Attendant (PCA) services, case management services, and disability service delivery systems is preferred.
Bachelor's degree and/or experience serving people with disabilities.
Assist in the training of staff as requested by supervisor or manager
Assist consumers in setting up and maintaining appropriate records regarding Personal Care Attendants (PCA), finances and medical issues.
Assist consumers with accessing community resources such as health care, recreation, transportation and adult education.
Possess advanced knowledge of service provision and community resources
Behavioral Health Case Manager
By The Hartford At Sunrise, FL, United States
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
This is a 100% remote, work from home opportunity.
Behavioral Health Case Manager
By Marimn Health At Spokane, WA, United States
Maintains current knowledge of in-patient treatment facilities admission requirements.
Engages in case management staffing to represent and support patient needs appropriately.
Engages case management model appropriately with patients in all settings.
Maintains current knowledge in ASAM criteria for treatment as well as any other applicable tools identified and utilized in clinical judgment.
Medical, Dental, Prescription, and Vision for employee and all legal dependents.
401(k) plan with 5% employer match after 1 year of employment.
Senior Behavioral Health Representative
By Premera Blue Cross At United States
Healthcare, benefits, call center, claims processing or Facets experience.
Work with highly sensitive information while maintaining Personal Protected Information (PPI) requirements.
Respond to member calls regarding benefits, billing, eligibility, enrollment, appeals, prior authorization, and prescription questions.
(18) months of previous customer service experience. (Required)
Completion of formal Premera customer service training program.(2) years of college level courses or equivalent experience preferred.
Phone related customer service experience.
Behavioral Health Ur Case Manager - Behavioral Health - Full Time/Days - Req# 1929682765
By Antelope Valley Medical Center At Lancaster, CA, United States
Planning including implementation and annual review of the Utilization Management
Ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work
On occasion, will be called upon to assist in the physical management of assaultive patients.
Manages the process to review and, as appropriate, appeal denials received from payers.
Knowledgeable of resident’s financial status, diagnosis and discharge needs.
Maintain regulatory requirements, including all state, federal and local regulations.