- 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
- 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
- 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
- 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