- 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
- CVS Health (Springfield, IL)
- …by Management.** Preference for candidates residing in the Chicago, Cook County area. Nurse Case Manager is responsible for telephonically and/or face ... of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution...Illinois - 3+ years of clinical experience as a Registered Nurse - 2+ Case … 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)
- …reimbursement policy **Preferred Qualifications** + Case Management experience + Compact RN licensure + Certified Case Manager + Telephonic Nursing ... needs and ensure seamless transitions between different care settings. + Analyzes complex patient data from medical history, diagnostic test results, and treatment… more
- Centene Corporation (Springfield, IL)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... as case management. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… 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
- Sharecare (Springfield, IL)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
- Highmark Health (Springfield, IL)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Centene Corporation (Springfield, IL)
- …as case management. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... of related experience. **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC,… more