- Humana (Springfield, IL)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate ... resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and frequently… more
- Highmark Health (Springfield, IL)
- …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in… more
- Evolent (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
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
- CVS Health (Springfield, IL)
- …channels - Ability to speak to medical and behavioral health professionals to influence appropriate member care . - Utilizes influencing/motivational ... candidates residing in the Chicago area. BH Clinical Case Manager is responsible for telephonically and/or face to face...to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
- CVS Health (Springfield, IL)
- …channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care . * Utilizes influencing/motivational ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers… 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 ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** Position Summary… more
- Molina Healthcare (Springfield, IL)
- …under productivity and outcome standards * Promotes integration of services for members including behavioral health care and long term services and supports ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need… 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
- 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....nights, no weekends and no holidays** **The CVS Accountable Care RN Care Manager will… more
- CVS Health (Springfield, IL)
- …channels - Ability to speak to medical and behavioral health professionals to influence appropriate member care . - Utilizes influencing/motivational ... residing in the Chicago, Cook County area. Nurse Case Manager is responsible for telephonically and/or face to face...to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… 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
- CVS Health (Springfield, IL)
- …will include all aspects of MinuteClinic services, including Primary Care , Retail Care , and/or Behavioral Health . Additionally, the team is responsible ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....under the Retail Health division of CVS Health , the Manager , Payer Relations manages and… more
- CVS Health (Springfield, IL)
- …will include all aspects of MinuteClinic services, including Primary Care , Retail Care , and/or Behavioral Health . **What you will do** + Acts ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....under the Retail Health division of CVS Health , the Senior Manager , Payer Relations manages… 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)
- …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
- J&J Family of Companies (Springfield, IL)
- Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field ... close proximity to a major metropolitan airport. At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a… more
- Compass Group, North America (Springfield, IL)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... members. Job Summary We are seeking a Patient Services Manager to lead our Patient Services Team in a...experience in food service management preferred in an acute care setting + ServSafe(R) certified, desirable + Possess the… more
- Sharecare (Springfield, IL)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… 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 ... minimum of three years experience post Master's level training, health care actuarial experience, health ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more