- CVS Health (Columbus, OH)
- …do it all with heart, each and every day. **Position Summary** The Care Plan Reviewer ( Clinical Case Manager BH ) utilizes advanced clinical judgment ... Quality of Care: + Application and/or interpretation of applicable criteria and clinical guidelines, + standardized case management plans, policies, procedures,… more
- CVS Health (Richmond, VA)
- …the Central Virginia area. Hours for this position are Monday-Friday 8:00am - 5:00pm EST. The Clinical Case Manager BH utilizes advanced clinical ... of Care: o Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Hoboken, NJ)
- …Strong assessment, writing and communication skills are required. **Fundamental Components/Job Description:** The Clinical Case Manager BH is responsible ... are comprised of utilization management, quality management, network management, clinical coverage and policies. The position requires advanced ... manager must work normal business hours. The Case Manager will also be expected, to… more
- CVS Health (Rantoul, IL)
- …and procedures in compliance with network management and clinical coverage policies. BH Case Manager is responsible for telephonically and/or face to ... with heart, each and every day. **Position Summary** This Case Management BH position is with Aetna's...policies and programs are comprised of network management and clinical coverage policies. - Through the use of … more
- Elevance Health (East Syracuse, NY)
- ** BH Case Manager II**...substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) ... **Must reside within 60 miles of Buffalo, NY** The ** BH Case Manager II** will...specific requests. + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments… more
- BayCare Health System (Brooksville, FL)
- …_Equal Opportunity Employer Veterans/Disabled_ **Position** Case Manager - BH **Location** Brooksville:Behavioral Hlth Hernando | Clinical | Full Time ... clinical excellence. BayCare Health Systems is currently seeking an experienced ** Case Manager ** to join our outstanding and compassionate team in **Pasco… more
- Elevance Health (KS)
- …This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** BH Case Manager I - Western Kansas** is responsible ... for performing case management telephonically and/or by home visits within the...limited to: + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. + Conducts assessments… more
- Elevance Health (NC)
- \#HealthyBlueCareTogetherCFSP ** Clinical Care Advisor - Behavioral Health ( BH ) and BH Crisis** **$2,000 SIGN ON BONUS** _We are partnering with North ... an accommodation is granted as required by law. The ** Clinical Care Advisor - Behavioral Health ( BH )...for coordinating operations and workflows related to complex medical case management activities in support of CFSP Foster Care.… more
- WellSense (Boston, MA)
- …+ **Two or more years related experience in Mental Health, BH Case Management, and/or substance abuse treatment** **Experience Preferred/Desirable:** ... BH Care Manager WellSense Health Plan...LCMHC, LMFT, or MLADC (with additional licensure)** + **Certified Case Manager (CCM) preferred** **Competencies, Skills, and… more
- Molina Healthcare (Essex, MA)
- …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...case management or home health experience. * Certified Case Manager (CCM) To all current Molina… more