- 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 (Lincoln, 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
- 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
- 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
- Elara Caring (Springfield, IL)
- …in this mission. This means you have countless ways to make a difference as a Registered Nurse Home Health. Being a part of something this great, starts by ... an industry pioneer delivering unparalleled care, we need a Registered Nurse Home Health with commitment and...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… 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
- 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
- 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
- Baylor Scott & White Health (Springfield, IL)
- …at least five years of relevant work experience + Hold a valid registration as a Registered Nurse As a health care system committed to improving the health of ... may vary based on position type and/or level **Job Summary** As a Manager for Utilization Review, you guide and supervise staff. You oversee care coordination… 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)
- …To learn more, visit www.sharecare.com . **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing ... supervision, as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and operational performance objectives of… more
- 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 ... of related experience. **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC,… more