• RN - MS

    Health Advocates Network (Springfield, IL)
    …have 1 year of Med Surg experience. * Pay Rate: $2,269 weekly * Specialty: Med Surg Registered Nurse ( RN ) * Shift: Night * 13 Week Contracts and more ... Accredited School of Nursing * 1 year of experience as a Med Surg Registered Nurse ( RN ) * 1 year Ortho experience * American Heart Association BLS, NIHSS *… more
    Health Advocates Network (11/13/24)
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  • Pre-Authorization Registered Nurse

    Humana (Springfield, IL)
    …an internship that supports the goal to put health first? The Prior Authorization, Registered Nurse , RN , Intern will review prior authorization requests for ... onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN , Intern will...ICU, skilled or rehabilitation setting. + Working knowledge of MS Office including Word, Excel, PowerPoint, and Teams in… more
    Humana (01/15/25)
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  • Registered Nurse Care Manager…

    Intermountain Health (Springfield, IL)
    **Job Description:** Full Time, Monday-Friday 08:00-17:00 PST. The nurse care manager works collaboratively with physicians and other members of the health care team ... round at hospitals as needed. **Minimum Qualifications** + Current RN license in state of practice. + Two years...Two years of hospital floor clinical nursing experience and/or Nurse Care Management experience. + Able to multitask and… more
    Intermountain Health (01/24/25)
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  • Clinical Case Manager RN

    CVS Health (Springfield, IL)
    …accreditation guidelines and company policies and procedures. **Required Qualifications :** - Registered Nurse with an unrestricted current licensure in the ... Illinois - 3+ years of clinical experience as a Registered Nurse - 2+ Case Management experience...keyboard navigation, navigating multiple systems and applications; and using MS Office Suite applications (Teams, Outlook, Word, Excel, etc.)… more
    CVS Health (12/05/24)
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  • Mgr Utilization Review RN

    Baylor Scott & White Health (Springfield, IL)
    …at least five years of relevant work experience + Hold a valid registration as a Registered Nurse As a health care system committed to improving the health of ... compliance activities. + Familiarity with general computer applications like Microsoft Office, information security software, scheduling and payroll systems, email,… more
    Baylor Scott & White Health (01/23/25)
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  • Case Manager RN - Illinois

    CVS Health (Springfield, IL)
    …make health care more personal, convenient and affordable. **Position Summary** **The Case Manager RN position is 100% remote and employees can live in any state but ... most have Illinois RN License** **Normal Working Hours: Monday through Friday 9:00am...9pm - 1+ year experience with all types of Microsoft Office including Power Point , Excel, and Word… more
    CVS Health (01/24/25)
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  • RN Compliance Auditor

    Humana (Springfield, IL)
    …procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN Compliance Nurse 2, Quality Assurance Audit ensures mandatory reporting is ... our caring community and help us put health first** The Compliance Nurse Auditor reviews utilization management activities and documentation to ensure adherence to… more
    Humana (01/23/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Springfield, IL)
    …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... healthcare costs and the broader healthcare service delivery system + Proficiency in MS Excel and strong analytic skills with ability to interpret, evaluate, and act… more
    Highmark Health (11/25/24)
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  • Senior Process Improvement Professional

    Humana (Springfield, IL)
    …your skills to make an impact** **Required Qualifications** + Associate degree + Active Registered Nurse , ( RN ), License in your state of residence without ... management experience with exposure to grievance and appeals + Proficient in Microsoft Office Suite, Visio + Knowledge rule-based automation and competency in… more
    Humana (01/23/25)
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  • Field Care Manager, Behavioral Health

    Humana (Springfield, IL)
    …of post-degree clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years ... experience in behavioral health. + Intermediate or advance proficiency using Microsoft Office Word, Excel, PowerPoint, navigating multiple systems and platforms and… more
    Humana (11/20/24)
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  • Utilization Management Behavioral Health…

    Humana (Springfield, IL)
    …Family Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **( RN )** or other professional license. + ... practice or other healthcare settings. + Intermediate working knowledge using Microsoft Office Programs specifically Teams, Excel, PowerPoint, Outlook and Word,… more
    Humana (11/13/24)
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  • Sr Client Service Associate

    Public Consulting Group (Springfield, IL)
    …of Microsoft Office products: Excel, Word, PowerPoint, Teams **Preferred Experience:** + Registered nurse ( RN ) with expertise in the specialty of school ... Leads and Regional Team in terms of the creation of status update meeting materials , respond to data or reporting requests, and evolve our services based on training… more
    Public Consulting Group (11/09/24)
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  • Care Manager- Remote

    Sharecare (Springfield, IL)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... learn customized computer applications. + Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook,… more
    Sharecare (01/17/25)
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  • Health Coach

    CVS Health (Springfield, IL)
    …member's overall wellness through integration. **Required Qualifications** 1-3 years Microsoft Office 3-5 years practice experience-- Renal, Diabetes, Hypertension, ... Care and Medicare experience **Preferred Qualifications** Healthcare licensure and/or certifications ( RN , LPN, MSW, LCSW, CDE etc) highly preferred -5 years practice… more
    CVS Health (01/16/25)
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  • Manager, Operations - VBCM

    Sharecare (Springfield, IL)
    …Sharecare with leadership practices. **Qualifications:** + Current and active multi-state/compact RN licensure in state of residence is required. + Bachelor's degree ... learn customized computer applications. + Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook,… more
    Sharecare (01/17/25)
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  • Utilization Management Nurse Consultant…

    CVS Health (Springfield, IL)
    …+ Must reside in CST zone + 3+ years of experience as an RN + 1+ year of inpatient/outpatient hospital experience, specifically Med/Surg + Must have active, ... current and unrestricted RN licensure in state of residence + 1+ years...multiple IT platforms/systems + 1+ years of experience with Microsoft Office Applications (Outlook, Teams, Excel) + Must be… more
    CVS Health (01/24/25)
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  • Telephonic Licensed Social Worker - Behavioral…

    Molina Healthcare (Springfield, IL)
    …Molina. Hours are Monday - Friday, 8AM - 5PM CST.** **Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note ... care coordination and assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required * Case managers in Behavioral… more
    Molina Healthcare (12/21/24)
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  • Clinical Analyst

    Cardinal Health (Springfield, IL)
    …Experience working either as a Medical Assistant (5+ years in Urology), or as an RN (with 3+ years of work experience), highly preferred yet neither are required + ... in written, oral, diagram or schedule form. + Proficient in Microsoft Office applications + Knowledgeable in healthcare-related computer applications including… more
    Cardinal Health (01/17/25)
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  • Analyst, Case Management Field (Must live in South…

    CVS Health (Springfield, IL)
    …planning experience preferred + Bilingual preferred + Managed Care experience preferred + Microsoft Office experience preferred + LCSW / LCPC/ LPC / LMFT / LPN ... / RN preferred **Education** + Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services… more
    CVS Health (01/15/25)
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  • Sr Manager, Commercial Procedure Development, TMTT

    Edwards Lifesciences (Springfield, IL)
    …experience required. + Clinician experience in intra-operative procedures acquired from Registered Nursing Degree curriculum ( RN ), or Radiologic Technologist ... + Bachelor's Degree in related scientific field (healthcare, biological, biomedical science , etc) plus minimum 10 years related experience required + Master's… more
    Edwards Lifesciences (01/14/25)
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