- CAI (Springfield, IL)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
- CVS Health (Springfield, IL)
- …is reimbursed per our company expense reimbursement policy **Preferred Qualifications** + Compact RN licensure + Certified Case Manager + Telephonic Nursing ... status of the patient. + Applies in-depth knowledge of case management and nursing practices to organize patient files...resources. **Required Qualifications** + Must have active and unrestricted RN licensure in the state of IL + 3+… more
- CVS Health (Springfield, IL)
- …evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and ... outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and implements… 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...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Springfield, IL)
- …evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and ... outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and implements… more
- CVS Health (Springfield, IL)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- CVS Health (Springfield, IL)
- …for this position is Monday-Friday 8a-5p CST. **Position Summary** Coordinating all case management activities with members to evaluate the medical needs of the ... years of clinical experience required + Active and unrestricted RN license in the state of IL + Willing...per our company expense reimbursement policy **Preferred Qualifications** + Case management and discharge planning experience + Managed Care… more
- Humana (Springfield, IL)
- …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
- Gentiva (Springfield, IL)
- …hospice to give people the care they need with dignity, grace, and love. **As a Hospice RN / RN Case Manager , you will:** + Reportdirectly to the ... company quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse Requirements:** + Hospice heart: compassionate, kind… more
- Elara Caring (Litchfield, IL)
- …Description:** We are looking for RNs to work every weekend or every other weekend ** Registered Nurse Home Health** At Elara Caring, we care where you are and ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- Elara Caring (Taylorville, IL)
- …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring, we care where you are and ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- Humana (Springfield, IL)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
- Sharecare (Springfield, IL)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to… more
- Highmark Health (Springfield, IL)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Gentiva (Springfield, IL)
- …home health, clinical liaison, RN liaison, clinical coordination, discharge planner, hospice case manager or RN educator + Known and respected within ... care for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join… more
- Highmark Health (Springfield, IL)
- …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Centene Corporation (Springfield, IL)
- …or youth foster care or post adoption families as well as case management. **Position Purpose:** Develops, assesses, and facilitates complex care management ... of related experience. **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC,… more
- CVS Health (Springfield, IL)
- …8a-5p CST. The Supervisor is responsible for oversight of LTSS/Waiver healthcare case management staff including the organization and development of high performing ... BH License and 5+ years post-bachelor's clinical experience for RN License. + One of the following active and...following active and unrestricted Illinois state licenses is required: RN , LCPC, LCSW, LMFT + Willing and able to… more