- 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 (Blaine, 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
- Highmark Health (St. Paul, MN)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
- Good Samaritan (St. Paul, 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