- CVS Health (St. Paul, MN)
- …of Care: + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... to take and manage crisis calls. **Required Qualifications:** + Unencumbered Independent Behavioral Health clinical license in the state where they reside… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Manager Clinical Care Management - Behavioral Health Location: ... cross functional and strategic partners. * Acts as a clinical , care management, and business case consultant...case /disease or utilization management * 3+ years of behavioral health experience * Bachelor's or Master's degree in… more
- Highmark Health (St. Paul, MN)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Bluestone Physician Services (Minneapolis, MN)
- …by the overall savings per Medicare beneficiary. Position Overview: As a GUIDE Model Dementia Case Manager , you will assist in delivering the 9 core elements ... with experience Responsibilities : + Conducting comprehensive assessments that include clinical , behavioral , psychosocial, and advance care planning domains +… more
- Elevance Health (Mendota Heights, MN)
- …for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role...manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews.… more
- BrightSpring Health Services (Minneapolis, MN)
- …external providers and natural supports, and monitoring of the civil commitment process + The Clinical Case Manager /PRP is part of crisis response at the ... Our Company SpringPath Mental Health Services Overview This Case Manager Float works with interdisciplinary teams intended to provide intensive, frequent,… more
- Intermountain Health (St. Paul, MN)
- …Plans, and fully funded and self-funded Commercial Employer plans. The Care Manager works with Select Health members, their family, caregivers, and a ... to access benefits, resources, and services to meet comprehensive medical, behavioral , and social needs of members while promoting self-management, quality, and… more
- Elevance Health (MN)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... from immediate manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews. The Medical Director typically… more
- Sevita (Thief River Falls, MN)
- …program participants, and PT/PTA students + Write service summaries as requested by case manager /program director and maintain daily billing summaries and turn ... teams of compassionate pediatric experts help children with medically complex, developmental, behavioral , educational, or other needs learn the skills they need to… more
- Good Samaritan (Pipestone, MN)
- …for clients/patients/residents who have functional, cognitive or behavioral impairments. Occupational Therapist evaluate physical, cognitive, developmental ... provided to their clients/patients/residents. Follows and adheres to accepted clinical practice guidelines of professional organization. Exhibits flexibility with… more