- Evolent Health (Springfield, IL)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... , we seek to connect the pieces of fragmented health care system and ensure people get...or Registered Nurse (RN), Required + 3-5 years of behavioral health experience, preferably in a hospital,… 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 ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market.… more
- Evolent Health (Springfield, IL)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... population. **What You Will Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
- Evolent Health (Springfield, IL)
- …a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings ... this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be...and social needs of the patient, identify gaps in care and barriers to attaining improved health .… more
- Centene Corporation (Springfield, IL)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs +...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Intermountain Health (Springfield, IL)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
- CVS Health (Springfield, IL)
- …a holistic approach consults with manager , medical directors, and/or other physical/ behavioral health support staff and providers to overcome barriers to ... requirement to hold an active Illinois RN license.** The Care Manager RN is responsible for driving...Ability to speak to medical and behavioral health professionals to influence appropriate member care .… more
- Highmark Health (Springfield, IL)
- …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
- Highmark Health (Springfield, IL)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Springfield, IL)
- …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
- Highmark Health (Springfield, IL)
- …capabilities. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities, ... executive leadership of the Enterprise (both Highmark and Highmark Health ), including CFO, EVP, Chief Actuary, and Vice President,...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Springfield, IL)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Springfield, IL)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The PEX Program Manager is...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- The Cigna Group (Springfield, IL)
- …communication skills and executive presence + Excellent attention to detail + Health care / Health insurance/Medicare experience preferred. -or experience ... -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k)...stage of life. We guide our customers through the health care system, empowering them with the… more
- Sevita (Springfield, IL)
- …-** **_Apply Today!_** Sevita is a leading provider of home and community-based specialized health care . We believe that everyone deserves to live a full, more ... and office base services, and accompanies individuals being served. + Coordinate care with outreach workers, health educators, nutritionists, and other service… more
- Centene Corporation (Springfield, IL)
- …members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care ... with providers or resources, as appropriate + May provide education to care manager and/or members and their families/caregivers on procedures, healthcare… more
- CVS Health (Springfield, IL)
- …consults with clinical care managers, leadership, medical directors and other physical/ behavioral health support staff and providers to overcome barriers to ... years of related professional experience includes acting as a care manager , rehabilitation specialist, health ...master level clinician required, with either degree being in behavioral health or human services required (psychology,… more
- CVS Health (Springfield, IL)
- …address social determinants of health and connect members with community-based organizations. The Care Manager will assess member's needs as well as gaps in ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.... care more personal, convenient and affordable. The Care Manager is a member of the… more
- Highmark Health (Springfield, IL)
- …in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... timely manner. + Patients are appropriately referred to other health care support systems or community resources...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Springfield, IL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more