- 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)
- …proprietary applications** **Preferred Qualifications** + Managed care experience **Education** + Registered Nurse with active state license in good standing ... and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and...region where job duties are performed (REQUIRED) + Certified Case Manager (PREFERRED) **Anticipated Weekly Hours** 40… more
- Sharecare (Springfield, IL)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- 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)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** **The Case Manager RN position is 100% remote and employees can live in ... **There is no travel expected with this position.** This Case Manager RN position is...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Springfield, IL)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Case Manager RN role is 100% remote work from home and candidates ... team. No travel is expected with this position. The RN Case Manager is responsible...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Springfield, IL)
- …is reimbursed per our company expense reimbursement policy **Preferred Qualifications** + Compact RN licensure + Certified Case Manager + Telephonic Nursing ... needs and ensure seamless transitions between different care settings. + Analyzes complex patient data from medical history, diagnostic test results, and treatment… 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 ... the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.… more
- Centene Corporation (Springfield, IL)
- …as case management. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... of related experience. **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC,… 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
- 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