• Registered Nurse RN Home…

    Elara Caring (Jacksonville, IL)
    …Required? + Current, unrestricted state RN licensee + 1+ year experience in a clinical care setting as a nurse + Able and willing to travel within ... the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring,...other performance-based compensation variables. You will report to the Clinical Manager or Clinical Supervisor… more
    Elara Caring (03/14/25)
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  • Registered Nurse RN Home…

    Elara Caring (Lincoln, IL)
    …Required? + Current, unrestricted state RN licensee + 1+ year experience in a clinical care setting as a nurse + Able and willing to travel within ... the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring,...other performance-based compensation variables. You will report to the Clinical Manager or Clinical Supervisor… more
    Elara Caring (03/06/25)
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  • Case Manager Registered

    CVS Health (Springfield, IL)
    …impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates ... evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and… more
    CVS Health (03/14/25)
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  • Manager , Utilization Management…

    Humana (Springfield, IL)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the… more
    Humana (03/12/25)
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  • Care Manager , Registered

    Sharecare (Springfield, IL)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to… more
    Sharecare (02/17/25)
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  • PRN Hospice Registered Nurse

    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
    Gentiva (01/24/25)
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  • RN Clinical Liaison

    Gentiva (Springfield, IL)
    clinical liaison, RN liaison, clinical coordination, discharge planner, hospice case manager or RN educator + Known and respected within your ... hospice to give people the care they need with dignity, grace, and love. Our RN Clinical Liaison's get this opportunity every day. They are educating healthcare… more
    Gentiva (03/04/25)
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  • Case Manager , RN

    CAI (Springfield, IL)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • Complex Case Manager RN

    Highmark Health (Springfield, IL)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (03/13/25)
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  • Case Manager RN

    CVS Health (Springfield, IL)
    …Quality of Care: -Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... and company policies and procedures. **Required Qualifications** -Minimum of 2 years of clinical experience as an RN . -Must possess active and unrestricted … more
    CVS Health (02/20/25)
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  • Case Manager RN (Illinois)

    CVS Health (Springfield, IL)
    …is reimbursed per our company expense reimbursement policy **Preferred Qualifications** + 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
    CVS Health (03/08/25)
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  • Case Manager RN - Field…

    CVS Health (Springfield, IL)
    …impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates ... guidelines and company policies and procedures. **Required Qualifications** 2+ years of clinical experience Active and good standing Illinois RN license Must… more
    CVS Health (03/07/25)
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  • Case Manager RN - Field…

    CVS Health (Springfield, IL)
    …policies. This is an Exempt position. **Required Qualifications** + Minimum 2+ years of clinical experience required + Active and unrestricted RN license in the ... for this position is Monday-Friday 8a-5p CST. **Position Summary** Coordinating all case management activities with members to evaluate the medical needs of the… more
    CVS Health (03/07/25)
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  • Care Manager RN (Delaware) Remote

    Highmark Health (Springfield, IL)
    …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
    Highmark Health (02/20/25)
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  • RN /LCPC/LCSW - Foster Care, Care…

    Centene Corporation (Springfield, IL)
    …or youth foster care or post adoption families as well as case management. **Position Purpose:** Develops, assesses, and facilitates complex care management ... status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on… more
    Centene Corporation (02/21/25)
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  • Associate Manager Clinical Health…

    CVS Health (Springfield, IL)
    …degree clinical experience required for BH License and 5+ years post-bachelor's clinical experience for RN License. + One of the following active and ... 8a-5p CST. The Supervisor is responsible for oversight of LTSS/Waiver healthcare case management staff including the organization and development of high performing… more
    CVS Health (03/07/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Springfield, IL)
    …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
    Humana (03/12/25)
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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 ... requested. **EXPERIENCE** **Required** + 5 years with Any combination of clinical , case management, and/or disease/condition management experience, provider… more
    Highmark Health (02/24/25)
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