- CVS Health (Springfield, IL)
- …standing within the region where job duties are performed (REQUIRED) + Certified Case Manager (PREFERRED) **Anticipated Weekly Hours** 40 **Time Type** Full time ... network management, clinical coverage, and policies. **Position** **Summary/Mission** Our Case Managers use a collaborative process of assessment, planning,… 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! If you ... move, apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care coordination/management for our client's members… more
- CVS Health (Springfield, IL)
- …expense reimbursement policy **Preferred Qualifications** + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience + Home Health ... 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
- Molina Healthcare (Mattoon, IL)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case management plan, including a waiver service plan, in collaboration with… more
- CVS Health (Decatur, IL)
- …to age 20, who have experienced a behavioral health crisis event. The Clinical Case Manager - BH: Utilizes advanced clinical judgment and critical thinking ... hospital setting, outpatient clinic, PCP office, or member's residence. The Clinical Care Manager - BH is responsible for care coordination and case management… 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
- Cardinal Health (Springfield, IL)
- …get life-changing therapies to patients who need them-faster.** **_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
- Cardinal Health (Springfield, IL)
- …get life-changing therapies to patients who need them-faster.** **_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
- Cardinal Health (Springfield, IL)
- …get life-changing therapies to patients who need them-faster.** **_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)
- …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
- 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)
- …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
- Cardinal Health (Springfield, IL)
- …**Responsibilities** * Handle customer escalated cases through investigation and case review * Contact customers to confirm approval/denials of coverage, ... doctors and/or patients checking on the status of the case * Maintain quality while providing an empathetic and...* Support manufacturer field team members as required on case updates * Works internally with team members regarding… more
- CVS Health (Decatur, IL)
- …areas.** **Standard business hours Monday-Friday.** **Position Summary** Coordinating all case management activities with members to evaluate the medical needs ... -Must reside in Macon, Piatt, or Champaign county **Preferred Qualifications** - Case management and discharge planning experience preferred -Managed Care experience… 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 ... reimbursed per our company expense reimbursement policy **Preferred Qualifications** + Case management and discharge planning experience + Managed Care experience +… more
- CVS Health (Springfield, IL)
- …face to face. Candidate must live in Northside of Chicago/Evanston. As a Analyst, Case Manager you will facilitate appropriate healthcare outcomes for members by ... 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
- 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 ... behavioral health, social services or human services field - Minimum 2 years of case management experience - Must reside in Champaign, Douglas or Piatt IL Counties.… 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 ... health, social services or human services field - Minimum 2 years of case management experience - Must reside in Macon, Moultrie, Piatt, or Champaign Counties,… more
- Travelers Insurance Company (Springfield, IL)
- …with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department… more