- CVS Health (Springfield, IL)
- …proprietary applications** **Preferred Qualifications** + Managed care experience **Education** + Registered Nurse with active state license in good standing ... within the region where job duties are performed (REQUIRED) + Certified Case Manager (PREFERRED) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay… more
- CVS Health (Springfield, IL)
- …evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and ... outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. - Coordinates and implements… 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
- Sharecare (Springfield, IL)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... telephonic Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to… more
- Humana (Springfield, IL)
- …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse (RN) in Virginia or enhanced compact license, (eNLC) with ... 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
- Elara Caring (Taylorville, IL)
- …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring, we care where you are and ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- Elara Caring (Jacksonville, IL)
- …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring, we care where you are and ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- Gentiva (Springfield, IL)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... Patient Care Manager Senior and will maintain primary control and professional...quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse Requirements:** + Hospice heart: compassionate,… more
- CAI (Springfield, IL)
- …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! If you ... apply now. **Job Description** We are looking for a Case Manager , RN to provide community-based care...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
- Humana (Springfield, IL)
- …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
- Highmark Health (Springfield, IL)
- …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware RN license must be ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more