• Complex Case Manager

    Highmark Health (Springfield, IL)
    **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...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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  • 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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  • 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 ... of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution...Illinois - 3+ years of clinical experience as a Registered Nurse - 2+ Case 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 ... needs and ensure seamless transitions between different care settings. + Analyzes complex patient data from medical history, diagnostic test results, and treatment… 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 ... enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we… more
    CVS Health (12/22/24)
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  • Field Case Manager

    Sedgwick (Peoria, IL)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **_This Field Case Manager will cover ... be considered._** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (11/07/24)
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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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  • 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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  • 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 ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
    Evolent (11/05/24)
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  • Care Manager - Remote

    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 ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
    Sharecare (12/04/24)
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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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  • Site Activation CAR-T Senior Manager , Cell…

    J&J Family of Companies (Springfield, IL)
    …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field… more
    J&J Family of Companies (12/18/24)
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