- CVS Health (Springfield, IL)
- …member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. + Coordinates and ... healthcare decision-making. Monitoring, Evaluation and Documentation of Care: + Utilizes case management and quality management processes in compliance with… more
- Justice, Bureau of Prisons/Federal Prison System (Greenville, IL)
- …principles of humanity and normalcy, we develop good neighbors. Responsibilities Serves as the Case Management Coordinator (CMC) at a Bureau of Prisons (BOP) ... ensure compliance with policy requirements. Experience participating in internal audits of case management and correctional systems programs in order to assess… more
- Cardinal Health (Springfield, IL)
- …willingness to learn + Prior knowledge of UCB processes and services **_Responsibilities:_** Case Managers must demonstrate a willingness to assist external and ... with insurance or in pharmaceutical industry, preferred + Pharmacy benefits management experience preferred with specific knowledge of Medicare, Medicaid and… more
- Humana (Springfield, IL)
- …interventions to meet care needs. + Coordinates services, monitors, and evaluates the case management plan against the member's personal goals. + Ensures the ... skills to make an impact** **Required Qualifications** The Care Coordinator must meet **one** (1) of the...+ 1+ years of experience in health care and/or case management . + 1+ years of experience… more
- CVS Health (Springfield, IL)
- …Saline County, IL or surrounding areas (within 40 minute range/radius) + As a Case Management Coordinator you will facilitate appropriate healthcare outcomes ... behavioral health, social services, or a human services field + 2+ years of case management experience + Must be comfortable completing field based travel to… more
- CDM Smith (Springfield, IL)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking an experience Coordinator to support our FEMA Public Assistance Program (CCPRS JV). The ideal ... Order PM, creates weekly reports for presentation to FEMA Management . * Consults with CCPRS subcontractors to resolve discrepancies...staff at the job site for administrative issues. * Must be a US Citizen and be able to… more
- CVS Health (Springfield, IL)
- …to make health care more personal, convenient and affordable. **Position Summary** The Case Management Coordinator utilizes critical thinking and judgment to ... the case management process. The Case Management Coordinator facilitates appropriate...and education for members through the use of care management tools and resources. **Required Qualifications** Must … more
- Centene Corporation (Springfield, IL)
- …elderly **Additional Details:** Line of Business:** Illinois Meridian Health Plan Department:** MED- Case Management / Long Term Care Coordination / LTSS ... Rock Island (nearby cities include: Rock Island, Moline, East Moline, Silvis). Work-from-home case management role with local facility visits (up to 75% travel).… more
- Highmark Health (Springfield, IL)
- …the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical ... **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses the verbal… more
- CVS Health (Springfield, IL)
- …for placement into custodial care. Responsible for implementing and coordinating all case management , psychosocial, and quality of life activities relating to ... Aetna to keep its competitive edge. Functions as a coordinator of care for members identified as having long-term...2+ years of experience in medical social work or case management experience + 1+ year(s) of… more
- Sunrun (Springfield, IL)
- …commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service ... or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and resolution of specific market… more
- BrightSpring Health Services (Springfield, IL)
- …state.* Develop and maintain contact with state and regional waiver staff, support coordinator / case management entities, waiver providers, etc.* Work with ... operations and ensure the adherence to policies and procedures. Must have strong management , supervisory and clinical...to policies and procedures. Must have strong management , supervisory and clinical skills, especially as demonstrated by… more
- Gentiva (Springfield, IL)
- …Plans + Wellness Program and Resources including: + A dedicated Accolade Care Coordinator for personalized care management support of all your healthcare needs ... dignity, grace, and love. **As a Hospice RN/ RN Case Manager, you will:** + Reportdirectly to the Administrator,...Manager Senior and will maintain primary control and professional management of each patient. + Act as primary liaison… more