- CVS Health (Springfield, IL)
- …members face to face.** **Standard business hours : Monday-Friday** **Position Summary** As a Clinical Case Manager you will utilize advanced clinical ... of Care: - Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- CVS Health (Springfield, IL)
- …Monday- Friday with flexibility needed to work between 5pm to meet member needs.** The Clinical Care Manager BH is responsible for care coordination and case ... who have experienced a crisis event and coordinates all case management activities with members to evaluate physical and... management activities with members to evaluate physical and behavioral health needs and to facilitate the overall wellness… more
- Highmark Health (Springfield, IL)
- …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Highmark Health (Springfield, IL)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- CVS Health (Springfield, IL)
- …Grove/Chicago or meeting with members in the field. **Position Summary** The Care Manager RN is responsible for driving and supporting care management and care ... implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member… more
- Sharecare, Inc. (Springfield, IL)
- …leadership for each year. + Direct questions from providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for ... college pre-requisites is required; BNS preferred. + Minimum of 3-5 years clinical experience; Telephonic Case Management experience and/or CCM certification… more
- CVS Health (Springfield, IL)
- …Internal and External Meetings as requested/appropriate with various attendees including onsite clinical manager , clinical onsite team, Airline employees and ... appropriate treatment or higher level of care based on clinical assessment (ie RFL, behavioral health of...+ Complete formal substance use assessment, treatment referral, and case management for non DOT and DOT covered employees… more
- Guardian Life (Springfield, IL)
- …Certified Rehabilitation Counselor (CRC),Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM). + Excellent verbal and communications ... agencies to control costs and identify similar benefits. + Collaborate with Disability Clinical & Vocational Services staff and case managers to move toward… more
- Intermountain Health (Springfield, IL)
- …+ Demonstrated ability to exercise critical thinking skills. **Preferred Qualifications** + Case Management Certification. + Experience working in clinical care ... **Job Description:** The Social Work Care Manager works collaboratively with physicians and other members...barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. **Job Specifics** + Pay… more
- Humana (Springfield, IL)
- …business/growth strategy execution from conception to implementation, including business case development + Ability to support strong organizational performance ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time… more