- Sharecare (Springfield, IL)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… 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 ... put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs and… more
- Gentiva (Springfield, IL)
- …lasting difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager ** to join our team.You will report directly to the ... Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for...of nursing; bachelor's degree in nursing preferred + Current Registered Nurse licensure in state of residence… more
- Highmark Health (Springfield, IL)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Highmark Health (Springfield, IL)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of… 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 ... POSITION IS REMOTE/WORK FROM HOME WITH 25% TRAVEL SUPPORTING OUR YOUTHCARE/FOSTER CARE MEMBERS IN THE FOLLOWING ILLINOIS ZIP CODES:** **60402, 60155, 60803, 60499,… more
- Intermountain Health (Springfield, IL)
- …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... patients and families to promote positive patient outcomes. Performs a care continuum process that assesses, plans, implements, coordinates, monitors and evaluates… more
- Gentiva (Springfield, IL)
- …quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...Care . **We Offer** **As a Full Time Hospice RN / RN Case Manager ,… more
- Elara Caring (Jacksonville, IL)
- … Care , at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring, we care where you are and believe the ... To continue to be an industry pioneer delivering unparalleled care , we need a Registered Nurse...team members. What is Required? + Current, unrestricted state RN licensee + 1+ year experience in a clinical… more
- Highmark Health (Springfield, IL)
- …implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all ... Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans,...committee meetings as required. + Cooperates with other health care team members and the Operations Manager … more
- Springfield Clinic (Springfield, IL)
- …directly to the Operations Manager . Principal Responsibilities + Documentation of care rendered reflecting standards of nurse anesthesia practice. + Records ... Education/Experience + Completed AANA-approved course in Anesthesia. + Certified Registered Nurse Anesthetist or new graduate eligible...per American Heart Association guidelines. + Licensed as an RN /Advanced Practice Nurse in the State of… more
- CVS Health (Springfield, IL)
- …accreditation guidelines and company policies and procedures. **Required Qualifications :** - Registered Nurse with an unrestricted current licensure in the ... for candidates residing in the Chicago, Cook County area. Nurse Case Manager is responsible for telephonically...Illinois - 3+ years of clinical experience as a Registered Nurse - 2+ Case Management experience… more
- Elara Caring (Springfield, IL)
- …, at the Right Time, in the Right Place. **Job Description:** **Hospice Registered Nurse After-Hours On-Call** Branch: (Location) | Schedule: This position ... huge role in the growth of an entire home care industry. Here, each employee has the chance to...60,000 patients daily, wherever they call home. As a ** Registered Nurse After-Hours On-Call for Hospice** ,… more
- CVS Health (Springfield, IL)
- …Qualifications** + Case Management experience in the insurance industry + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...resources. **Required Qualifications** + Must have active and unrestricted RN licensure in the state of IL + 3+… more
- CVS Health (Springfield, IL)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** Help us elevate our… more
- Highmark Health (Springfield, IL)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Springfield, IL)
- …and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders… more
- Highmark Health (Springfield, IL)
- …degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than ... for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line… more
- Intermountain Health (Springfield, IL)
- …be supported by documentation. Conducts chart reviews based on DRGs and care site-specific trends to identify gaps in documentation and training opportunities. 3. ... team around chart reviews and accountabilities for improvement in care site-specific trends. 7. Provides clinical subject matter expertise...Coding. OR + Degree in a clinical field (eg RN , RRT, PT, OT, SLP, LCSW). Education must be… more
- Elara Caring (Springfield, IL)
- …by carrying out our mission every day through your true calling: being an outstanding Registered Nurse . Delivering the **_right care , at the right time, in ... huge role in the growth of an entire home care industry. Here, each employee has the chance to...performance-based compensation. You will report to the Clinical Team Manager . _This is not a comprehensive list of all… more