- Highmark Health (Springfield, IL)
- …:** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... and regulatory agency requirements and applicable standards of practice for case management . + Other duties as assigned or requested. **REQUIRED EDUCATION** +… more
- Highmark Health (Springfield, IL)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management ** This job owns and conducts oversight over a specified ... operations and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training and experience in… more
- CVS Health (Springfield, IL)
- …This Case Manager RN position is part of Aetna's Commercial Care Management division. The RN's Case Manager is responsible for telephonically and/or ... care more personal, convenient and affordable. **Position Summary** **The Case Manager RN position is 100% remote...face to face assessing, planning, implementing, and coordinating all case management activities with member to evaluate… more
- CVS Health (Springfield, IL)
- …understand the current health status of the patient. + Applies in-depth knowledge of case management and nursing practices to organize patient files in an ... have access to appropriate cost-effective care. + Configures the case management system to organize cases dealing...the insurance industry + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience +… more
- CVS Health (Springfield, IL)
- …companies, and healthcare personnel as appropriate. + Implements and coordinates all case management activities relating to catastrophic cases and chronically ... their homes, worksites, or physician's office to provide ongoing case management services. + Assesses and analyzes...to collaborate and connect with teams virtually + Certified Case Manager is preferred. **Education** + Associate's… more
- CVS Health (Springfield, IL)
- …MS Office Suite applications (Teams, Outlook, Word, Excel, etc.) **Preferences:** + Case management experience preferred + Managed care experience preferred + ... to hold an active Illinois RN license.** The Care Manager RN is responsible for driving and supporting care... RN is responsible for driving and supporting care management and care coordination activities across the continuum of… 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
- WestCare Foundation (Lincoln, IL)
- Case Manager --part time Job Details Job...Summary: Person in this position will be responsible forproviding case management support for the Women of ... Engage, educate, and refer clients and community members to case management resources, including services for substance...Demands: + Requires the ability to collect and analyze complex numerical and written data and verbal information to… more
- Cardinal Health (Springfield, IL)
- …impact insurance processing and minimize rejections * Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate * Place ... Answer minimal inbound calls from doctors and/or patients checking on status of case * Maintain quality while providing an empathetic and supportive experience to… more
- Cardinal Health (Springfield, IL)
- …+ Track any payer/plan issues and report any changes, updates, or trends to management + Search insurance options and explain various programs to the patient while ... knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works… more
- Cardinal Health (Springfield, IL)
- …* Track any payer/plan issues and report any changes, updates, or trends to management * Search insurance options and explain various programs to the patient while ... knowledge in technical or specialty area * Applies advanced skills to resolve complex problems independently * May modify process to resolve situations * Works… more
- Cardinal Health (Springfield, IL)
- …to Cardinal Health** Transformation enables the organization to drive complex and transformational programs through disciplined project/program management ... in related field, or equivalent work experience, preferred + Extensive project management experience leading cross-functional teams with complex projects and… more
- Black & Veatch (Springfield, IL)
- …Regulatory Practice provides highly desired services in market segments including rate case management and support, costing and ratemaking, innovative pricing ... ** Manager , Consulting** Date: Nov 2, 2024 Location: IL,...to periodically interact with members of Black & Veatch Management Consulting's asset management , strategy and planning,… more
- Humana (Springfield, IL)
- …in direct patient care required. + 2 or more years of case management and/or rehabilitative counseling experience required. Certified or certified-eligible ... caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral... case manager required. + 1 or more… more
- Cardinal Health (Springfield, IL)
- … management processes and tools. Create technical documentation for troubleshooting complex support issues. Drive increased efficiencies in case resolution ... adoption and change management + Demonstrated ability to develop and communicate complex concepts & strategy in a clear and concise manner to a variety of… more
- Lumen (Springfield, IL)
- …and shaping the future. **The Role** We are seeking a Lead Solutions Marketing Manager to drive the creation and delivery of unique market positioning and sales ... have a passion for storytelling, an ability to simplify complex concepts, and can easily collaborate with multiple resources...will drive engaging content. The Lead AI Solutions Marketing Manager is expected to be a content marketing expert… more
- Rocket Software (Springfield, IL)
- …position requires a seasoned leader with a strong understanding of program management principles, capable of navigating complex environments, managing risks, and ... truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Program Manager is a pivotal role responsible for managing the successful delivery of… more
- J&J Family of Companies (Springfield, IL)
- …with the Commercial and Field Sales organizations to deploy and support the Advance Case Management (ACM) solution with surgeons and provider sites. ACM is a ... Sr Manager , Field & Customer Solutions - 2406220175W **Description**...healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments… more
- J&J Family of Companies (Springfield, IL)
- Manager , Patient & Site Engagement (1 of 2) - 2406219111W...in the US or Europe may be considered on a case -by- case basis and if approved by the company. ... **Description** Johnson and Johnson is currently seeking a ** Manager , Patient & Site Engagement** . The position can...healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments… more
- Rocket Software (Springfield, IL)
- …practices and theory including experience in compensation program design and project management + Proven track record of complex integration experience in ... company where people truly BELIEVE in what they're doing!** **Job Description Summary:** The Manager of Global Compensation will play a key role on the Total Rewards… more