- Highmark Health (Springfield, IL)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Sharecare, Inc. (Springfield, IL)
- …clinical analytics and clinical team to identify at risk members and provide Complex Case Management and strategies for health self-management through the ... in influencing patient and provider outcomes **Qualifications:** + Current multi-state/compact Registered Nurse licensure in state of residence is required,… more
- CVS Health (Springfield, IL)
- …progress toward desired outcomes through assessment and evaluation. **Required Qualifications** + Registered Nurse with active Illinois state license + Must ... and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and...our company expense reimbursement policy. **Preferred Qualifications** + Certified Case Manager is preferred. + Minimum 2+… more
- CVS Health (Springfield, IL)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** **The Case Manager RN position is 100% remote and employees can ... **There is no travel expected with this position.** This Case Manager RN position is...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Springfield, IL)
- …Qualifications** + Case Management experience in the insurance industry + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience ... needs and ensure seamless transitions between different care settings. + Analyzes complex patient data from medical history, diagnostic test results, and treatment… more
- CVS Health (Springfield, IL)
- …Rockford, IL area.** **Schedule is Monday-Friday, standard business hours, 8:00am-5:00pm CST.** Nurse Case Manager is responsible for telephonically and/or ... face to face assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate… more
- CVS Health (Springfield, IL)
- …thinker, using tools to collaborate and connect with teams virtually + Certified Case Manager is preferred. **Education** + Associate's degree or Nursing Diploma ... enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we… 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
- Humana (Springfield, IL)
- …duties as assigned **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in IL, WI, MN, SD, ND, IA, NE, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
- Prime Therapeutics (Springfield, IL)
- …this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. ... - Nursing Education - Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State and/or Compact State… more