• Clinical Care Manager

    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 ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care more
    Evolent (11/05/24)
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  • Clinical Case Manager

    CVS Health (Springfield, IL)
    …by Management.** Preference for candidates residing in the Chicago area. BH Clinical Case Manager is responsible for telephonically and/or face to ... and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
    CVS Health (12/05/24)
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  • Clinical Case Manager

    CVS Health (Springfield, IL)
    …the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member ... issues through established channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care . * Utilizes… more
    CVS Health (11/16/24)
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  • Field Care Manager

    Humana (Springfield, IL)
    …and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's ... care and wellbeing of members. The Field Care Manager , Behavioral Health 2...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** an… more
    Humana (11/20/24)
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  • Clinical Case Manager

    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 ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** Position Summary The… more
    CVS Health (11/24/24)
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  • Care Manager Behavioral

    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 ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
    Highmark Health (12/12/24)
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  • Telephonic Licensed Social Worker…

    Molina Healthcare (Springfield, IL)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... and One Note as well as experience using a clinical documentation software program.** **Job Summary** Molina Healthcare Services...standards * Promotes integration of services for members including behavioral health care and long term services… more
    Molina Healthcare (12/21/24)
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  • Clinical Case Manager RN

    CVS Health (Springfield, IL)
    …and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and...established channels - Ability to speak to medical and behavioral health professionals to influence appropriate member care more
    CVS Health (12/05/24)
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  • Clinical RN Comp Care - Remote

    Sharecare (Springfield, IL)
    …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
    Sharecare (12/17/24)
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  • Clinical Dietitian

    Compass Group, North America (Springfield, IL)
    Morrison Healthcare Position Title: Clinical Dietitian- Springfield, IL Reports To: Clinical Nutrition Manager Location: HSHS St John's and HSHS St Mary's ... the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership...to this position. Job Summary We are seeking a Clinical Dietitian (FT) to join our Nutrition Team in… more
    Compass Group, North America (12/06/24)
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  • Case Manager RN

    CVS Health (Springfield, IL)
    …activities with members across the continuum of care . The RN Case Manager utilizes advanced clinical judgement and critical thinking skills to effectively ... nights, no weekends and no holidays** **The CVS Accountable Care RN Care Manager will...and social needs are being appropriately addressed by the care team to achieve optimal clinical , financial,… more
    CVS Health (12/15/24)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Springfield, IL)
    …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
    Highmark Health (11/20/24)
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  • Director, Complex Care Strategy Advancement

    CenterWell (Springfield, IL)
    …collaboratively with clinical and operational leaders across a complex health care organization. + Knowledge of health care regulations and policies related ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
    CenterWell (12/10/24)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Springfield, IL)
    …Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
    Highmark Health (11/25/24)
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  • Coordinator, Utilization Management

    Evolent (Springfield, IL)
    …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care more
    Evolent (12/24/24)
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  • Case Management Analyst - Field (Must reside…

    CVS Health (Springfield, IL)
    …high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...to meet members face to face. As a Case Manager Analyst you will facilitate appropriate healthcare outcomes for… more
    CVS Health (12/19/24)
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  • Case Management Coordinator - Must live on…

    CVS Health (Springfield, IL)
    …high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or ... 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… more
    CVS Health (11/27/24)
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  • Pediatric Dietitian

    Compass Group, North America (Springfield, IL)
    …to RD-Eligible and Experienced Dietitians with relocation assistance if needed Reports To: Clinical Nutrition Manager Location: HSHS St John's Details: We are ... seeking a full-time Clinical Dietitian (36 hours per week) to join the...trauma center (8 PICU beds), a Level III perinatal care center, and a 56-bed Level III NICU. As… more
    Compass Group, North America (11/07/24)
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  • Coordinator, Intake Utilization Management

    Evolent (Springfield, IL)
    …people with most complex and costly health conditions. 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 and compassion we would want for our loved...The Coordinator, Intake Utilization Management reports directly to the Manager , Intake Utilization Management. In support of our daily… more
    Evolent (12/04/24)
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  • RN Registered Nurse - AHN Home Infusion…

    Highmark Health (Springfield, IL)
    …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more
    Highmark Health (12/06/24)
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