- CVS Health (Springfield, IL)
- …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... state RN licenses if needed, company will provide. + Certified Case Manager is preferred. + Additional national professional certification (CRC, CDMS, CRRN,… more
- CVS Health (Springfield, IL)
- …near: Northside Chicago, Niles, Skokie, Des Plaines. **Preferred Qualifications** + Certified Case Manager is preferred. + Confidence working at home/independent ... Standard business hours Monday-Friday 8:00am-5:00pm CST. **Position Summary** Our Case Managers use a collaborative process of assessment, planning, facilitation,… more
- CVS Health (Springfield, IL)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Sevita (Springfield, IL)
- …us all every day. Join us today, and experience a career well lived. ** Case Manager ** **$48,960 annually with bonus opportunities** Everybody needs a job but ... day in the lives of the people we serve. + Provide case management services including intake, assessment, crisis intervention, advocacy, referral, and monitoring… more
- US Tech Solutions (Springfield, IL)
- …+ Will + Kane + Winnebago + Rock Island **Job Overview** The **Field-Based Case Manager ** is responsible for coordinating and managing care for elderly members ... internal/external programs and services + Develop, implement, and monitor individualized case management plans + Apply and interpret clinical criteria, guidelines,… more
- Sedgwick (Springfield, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and ... are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
- Sedgwick (Springfield, IL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- CVS Health (Springfield, IL)
- …of network management, clinical coverage, and policies. **Position Summary** Our Case Managers use a collaborative process of assessment, planning, facilitation, ... and healthcare personnel as appropriate. + Implements and coordinates all case management activities relating to catastrophic cases and chronically ill… more
- Highmark Health (Springfield, IL)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Springfield, IL)
- …+ Manage the entire care process with a sense of urgency from benefit investigation and verification to medication delivery, ensuring an exceptional patient ... experience + Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist… more
- CVS Health (Springfield, IL)
- …position with 50-75% travel requirement to meet members face to face. As a Case Manager Analyst you will facilitate appropriate healthcare outcomes for members ... evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and… more
- Sharecare (Springfield, IL)
- …years' experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical ... everyone. To learn more, visit www.Sharecare.com. **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently… more
- Humana (Springfield, IL)
- …Qualifications** + Advanced degree in nursing or business health field. + Certified Case Manager (CCM). + Previous experience working in a managed care ... and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and procedures; applies… more
- Elara Caring (Springfield, IL)
- …findings, problems and changes in condition or environment to the RN Case Manager , the physician, clinical supervisor, and/or other personnel involved ... with patient care. + Reports unsafe conditions to the appropriate RN Case Manager , clinical supervisor, and physician, as appropriate. + Implements the plan for… more
- Gentiva (Springfield, IL)
- …families with dignity, comfort, and love. **What You'll Do as a Hospice RN / RN Case Manager :** + Be the primary point of contact for patients and families, ... Tuition Reimbursementkeywords: per diem RN, Registered Nurse, hospice RN jobs, case manager nurse, end-of-life care RN, home health RN, compassionate nursing… more
- CVS Health (Springfield, IL)
- …effectively to meet the requirements of the position **Preferred Qualifications** + Certified Case Manager + 3+ years Care Management, Discharge Planning and/or ... team will review prior claims to address potential impact on current case management and eligibility status. Assessments and/or questionnaires are designed to use… more
- Cardinal Health (Springfield, IL)
- …helps manufacturers rethink how far their products can go. **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Trustmark (Springfield, IL)
- …clients and communities. **About the role** Trustmark is looking for a Case Underwriter to join the organization. Responsible for providing timely and accurate ... informed underwriting decisions for assigned territory. All cases are reviewed with manager or higher level underwriter until proficiency is achieved. At full… more
- Sharecare (Springfield, IL)
- …and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in ... an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members,… more
- Datavant (Springfield, IL)
- …realize our bold vision for healthcare. **About the Role** The Senior Product Marketing Manager is responsible for defining the story of our products. What we build, ... + **Content Ownership:** Oversee high-impact content, including white papers, case studies, solution overviews, and thought leadership pieces. **Campaign… more