- CVS Health (Springfield, IL)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** **The Case Manager RN position is 100% remote and employees can ... a volunteer basis.** **There is no travel expected with this position.** This Case Manager RN position is part of Aetna's Commercial Care Management… more
- 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 (Springfield, IL)
- …reimbursement policy **Preferred Qualifications** + Case Management experience + Compact RN licensure + Certified Case Manager + Telephonic Nursing ... 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
- Elara Caring (Springfield, IL)
- …deliver **hope, dignity, and comfort** to those who need it most. As a **Hospice RN Case Manager ** , you won't just be a nurse -you'll be a trusted guide, ... and vision plans-even coverage for your pets! **Your Role as a Hospice RN Case Manager ** **Make a Difference** by empowering patients and their families… more
- 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
- 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...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- 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 (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
- 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
- Gentiva (Springfield, IL)
- …hospice to give people the care they need with dignity, grace, and love. **As a Hospice RN / RN Case Manager , you will:** + Reportdirectly to the ... company quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse Requirements:** + Hospice heart: compassionate, kind… more
- 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
- 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 ... 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
- 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
- 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
- Elara Caring (Springfield, IL)
- …the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse After-Hours On-Call** At Elara Caring, we care where you are ... have countless ways to make a difference as a Registered Nurse After-hours on-call. Being a part...our success in the following ways:** + Assesses assigned case load of home health care patients to identify… more
- Centene Corporation (Springfield, IL)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... or youth foster care or post adoption families as well as case management. **Position Purpose:** Develops, assesses, and facilitates complex care management… more
- Highmark Health (Springfield, IL)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Sharecare (Springfield, IL)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
- Sharecare (Springfield, IL)
- …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred. + Bachelor's degree ... more, visit www.sharecare.com . **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care...a variety of areas such as integration activities, audits, case management and site visits in collaboration with the… more
- Takeda Pharmaceuticals (Springfield, IL)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more