- 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)
- …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 (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
- 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
- Elara Caring (Springfield, IL)
- …Description:** We are looking for RNs to work every weekend or every other weekend ** 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 (Decatur, 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
- 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
- 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 (Springfield, 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
- 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
- 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
- Humana (Springfield, IL)
- …managed care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience ... and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate...+ Minimum of 1 year of managed care and case management experience + An active designation as a… more
- Humana (Springfield, IL)
- …of post-degree clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years ... Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate...Abuse Disorder (SUD) patients. + Managed Care Experience. + Case Management Certification (CCM). + Experience with behavioral change,… 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
- 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
- Sharecare (Springfield, IL)
- **Job Description:** **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the ... supervision, as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and operational performance objectives of… more
- CVS Health (Springfield, IL)
- …into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting ... Care and Medicare experience **Preferred Qualifications** Healthcare licensure and/or certifications ( RN , LPN, MSW, LCSW, CDE etc) highly preferred -5 years practice… more