- Centene Corporation (Springfield, IL)
- …Youth-In-Care or Former Youth-In-Care members, ages 0-21 receiving inpatient and outpatient behavioral health services. Preference will be given to applicants ... regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall...and Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN… more
- Centene Corporation (Springfield, IL)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, ... in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex,… more
- Highmark Health (Springfield, IL)
- …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization , identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
- Highmark Health (Springfield, IL)
- …software engineers as needed on ETO Digital team. + Comprehension and utilization of the newest, emerging, innovative technologies and applications. + Apply lead ... learn other programming languages as needed + Knowledge of professional software engineering practices & best practices for the...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Springfield, IL)
- …and assesses, manages performance * Engages in skills assessments and promotes professional development of staff * Assigns tasks, schedules work and establishes ... assignments to maximize appropriate use of resources Optimizes the utilization of resources by applying appropriate concepts, technologies and...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Springfield, IL)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization ...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
- Guardian Life (Springfield, IL)
- …aptitudes, work experience, restrictions and limitations, educational background, and behavioral /motivational factors to determine viability of and probability of ... providers to formulate viable return to gainful work plans. Cost effective utilization of vendors to provide rehabilitative services to support program goal.… more
- Marriott (Springfield, IL)
- …alternatives and solutions, solves problems, and chooses a course of action. * ** Professional Demeanor** - Exhibits behavioral styles that convey confidence and ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more
- Marriott (Springfield, IL)
- …alternatives and solutions, solves problems, and chooses a course of action. + Professional Demeanor - Exhibits behavioral styles that convey confidence and ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more