• Case Manager RN - Field…

    CVS Health (Springfield, IL)
    …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... keyboarding * Willing and able to obtain multi state RN licenses if needed, company will provide. * Bachelor's...company will provide. * Bachelor's degree preferred. * Certified Case Manager is preferred. * Additional national… more
    CVS Health (12/04/24)
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  • Case Manager RN ( RN

    CVS Health (Springfield, IL)
    …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... keyboarding * Willing and able to obtain multi state RN licenses if needed, company will provide. * Certified... licenses if needed, company will provide. * Certified Case Manager is preferred. * Additional national… more
    CVS Health (12/04/24)
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  • Clinical Case Manager RN

    CVS Health (Springfield, IL)
    …by Management.** Preference for candidates residing in the Chicago, Cook County area. Nurse Case Manager is responsible for telephonically and/or face ... licensure in the state of Illinois - 3+ years of clinical experience as a Registered Nurse - 2+ Case Management experience - 1+ year of Discharge Planning… more
    CVS Health (12/05/24)
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  • Case Manager RN ( RN

    CVS Health (Springfield, IL)
    …Qualifications** + Case Management experience in the insurance industry + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience ... status of the patient. + Applies in-depth knowledge of case management and nursing practices to organize patient files...resources. **Required Qualifications** + Must have active and unrestricted RN licensure in the state of IL + 3+… more
    CVS Health (12/05/24)
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  • Case Manager RN - Field…

    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 (12/22/24)
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  • Case Manager RN

    CVS Health (Springfield, IL)
    …be the primary care manager for a selected member population. The RN Case Manager is responsible for telephonically assessing, planning, implementing, ... activities with members across the continuum of care. The RN Case Manager utilizes advanced...of telephonic and/ or field care management experience** **A Registered Nurse that must hold an unrestricted… more
    CVS Health (12/15/24)
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  • Telephonic Case Manager

    Sedgwick (Springfield, IL)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
    Sedgwick (12/10/24)
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  • Registered Nurse Case

    Elara Caring (Springfield, IL)
    …the Right Care, at the Right Time, in the Right Place. **Job Description:** **Hospice After-Hours Registered Nurse ( RN )** Are you a dedicated RN looking ... and COVID-19 safety measures for all staff **Responsibilities:** As an After-Hours Registered Nurse , you'll provide high-quality care and support to patients… more
    Elara Caring (12/10/24)
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  • Complex Case Manager RN

    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...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (10/25/24)
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  • Hospice Registered Nurse

    Gentiva (Springfield, IL)
    …performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...need with dignity, grace, and love. **As a Hospice RN / RN Case Manager more
    Gentiva (12/24/24)
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  • Registered Nurse RN Home…

    Elara Caring (Litchfield, IL)
    …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring, we care where you are and ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
    Elara Caring (12/11/24)
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  • Registered Nurse RN Home…

    Elara Caring (Springfield, IL)
    …in this mission. This means you have countless ways to make a difference as a Registered Nurse Home Health. Being a part of something this great, starts by ... the Right Place. **Job Description:** **Pathway to Clinical Team Manager :** Are you an RN with a...an industry pioneer delivering unparalleled care, we need a Registered Nurse Home Health with commitment and… more
    Elara Caring (12/03/24)
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  • Certified Registered Nurse

    Springfield Clinic (Springfield, IL)
    …assigned. Education/Experience + Completed AANA-approved course in Anesthesia. + Certified Registered Nurse Anesthetist or new graduate eligible for ... + Current CPR certification per American Heart Association guidelines. + Licensed as an RN /Advanced Practice Nurse in the State of Illinois Working Environment +… more
    Springfield Clinic (12/26/24)
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  • Clinical Care Manager , Behavioral Health

    Evolent (Springfield, IL)
    …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the patients and their care team… more
    Evolent (11/05/24)
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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 ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
    Highmark Health (11/25/24)
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  • Telephonic Licensed Social Worker - Behavioral…

    Molina Healthcare (Carlinville, IL)
    …provides care coordination and assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required * Case ... level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.… more
    Molina Healthcare (12/21/24)
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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 ... may vary based on position type and/or level **Job Summary** As a Manager for Utilization Review, you guide and supervise staff. You oversee care coordination… more
    Baylor Scott & White Health (12/26/24)
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  • Quality Management Nurse Consultant

    CVS Health (Springfield, IL)
    …work environment that promotes the concept of teamwork * Perform detailed review on case manager identified critical incident to ensure they meet state, national ... There is a preference for nurses in a compact RN licensure state, however, that is not required. Active...state, however, that is not required. Active and unrestricted RN licensure in IL or OH is a requirement.… more
    CVS Health (12/20/24)
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  • Care Manager , Telephonic Nurse 2

    Humana (Springfield, IL)
    …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety... RN Care Managers. Day In The Life RN SNP Care Manager - YouTube (https://www.youtube.com/watch?v=0jjvY9dTpCg)… more
    Humana (12/24/24)
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  • Care Manager Behavioral Health - Part Time…

    Highmark Health (Springfield, IL)
    …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
    Highmark Health (12/12/24)
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