- Guardian Life (Springfield, IL)
- …to be the best at what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively managing Leave of Absence programs and ... and Disability Case Managers, Risk Management. The FML Claims Case Manager II recognizes the importance of compliance and regulatory adherence, customer… more
- National Youth Advocate Program (Decatur, IL)
- ** Case Manager ** **Hours:** 9a-5pm with flexibility **Position Summary:** The Case Manager works to make a meaningful difference in the lives of the ... with clients to develop and maintain relevant and meaningful case plans. Provide concrete case management and access to resources. Meet regularly with clients… more
- CVS Health (Springfield, IL)
- … Management experience in the insurance industry + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience + Home Health experience + ... status of the patient. + Applies in-depth knowledge of case management and nursing practices to organize patient files...have access to appropriate cost-effective care. + Configures the case management system to organize cases dealing with disease… more
- CVS Health (Springfield, IL)
- …and keyboarding + Live near zip codes 60616, 60608, 60402, 60804 + Certified Case Manager is preferred. **Education** + Associates Degree or Nursing Diploma ... are comprised of network management, clinical coverage, and policies. Our Case Managers use a collaborative process of assessment, planning, facilitation, care… more
- CVS Health (Springfield, IL)
- …by Management.** Preference for candidates residing in the Chicago area. BH Clinical Case Manager is responsible for telephonically and/or face to face ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs and behavioral health needs of the… more
- CVS Health (Springfield, IL)
- …Management.** Preference for candidates residing in the Chicago, Cook County area. Nurse Case Manager is responsible for telephonically and/or face to face ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- CVS Health (Springfield, IL)
- …for quarterly meetings in Chicago/Downer's Grove area.** **Position Summary** The Clinical Case Manager , Behavioral Health, is responsible for driving and ... review, conducts comprehensive assessments of member's needs and recommends an approach to case resolution by meeting needs in alignment with their benefit plan and… more
- WestCare Foundation (Lincoln, IL)
- Case Manager part time Job Details Job Location Logan Correctional Facility - 1096 1350th - Lincoln, IL Position Type Part Time Education Level High School ... Position Summary: Person in this position will be responsible forproviding case management support for the Women of Dignity program in accordance… more
- Sunrun (Springfield, IL)
- …in through our commitment to diversity, inclusion and belonging. **Overview** The O&M Case Manager is responsible for coordinating effective execution of field ... and is results-driven complemented by appropriate process orientation + An excellent time manager , able to balance multiple projects and priorities on a variety of… more
- Cardinal Health (Springfield, IL)
- …supervisor or senior peers on complex and unusual problems **_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 healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Highmark Health (Springfield, IL)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel ... clinical interventions and referrals, the incumbent manages an active case load of members in their panel that are...of members in their panel that are enrolled in case management. The incumbent conducts outreach to members enrolled… more
- Cardinal Health (Springfield, IL)
- …to learn + Prior knowledge of UCB processes and services **_Responsibilities:_** Case Managers must demonstrate a willingness to assist external and internal ... customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any missing or new information, handle inbound and outbound correspondence when necessary to support the needs of the… more
- CVS Health (Decatur, 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
- Molina Healthcare (Decatur, IL)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... or home health experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Case Manager (CCM), **PHYSICAL DEMANDS:** Working environment is… more
- Highmark Health (Springfield, IL)
- …**LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than English):** None **Travel ... 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)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and… more
- Sunrun (Springfield, IL)
- …our commitment to diversity, inclusion and belonging. **Overview** The Field Service Case Manager is responsible for coordinating effective execution of field ... work experience including customer service experience, scheduling, coordination or case management. + Basic knowledge of solar installation, construction and/or… more
- Option Care Health (Springfield, IL)
- …strategies. + Manage multiple internal (CL, Intake, Branch Staff) and External ( case manager , hospital administration) relationships and process to ensure ... customers are set up to succeed + Frequently initiate communication with Clinical Liaison to identify new opportunities and check on progress toward defined goals. + Identifies key customer decision makers within each VISN and builds relationships to gain… more
- United Therapeutics (Springfield, IL)
- …diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management and oversight of ... end-to-end case safety management activities spanning across our global commercial...Act as the main point of contact and functional manager for day-to-day questions or issue escalation regarding PM… more
- Takeda Pharmaceuticals (Springfield, IL)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide Subject Matter… more