- Humana (Springfield, IL)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Humana (Springfield, IL)
- …of our caring community and help us put health first** The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and… more
- Humana (Springfield, IL)
- …community and help us put health first** Humana Healthy Horizons is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- CVS Health (Springfield, IL)
- …a full-time telework role.Working schedule: Monday-Friday, standard business hours, including 2 evening shifts per week from 11:30am-8pm CST.Rotating Saturdays may ... Care:-Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits… more
- Springfield Clinic (Springfield, IL)
- …issues related to Advanced Practice Professionals - Serves on the Quality Management , Credentialing and TouchWorks Advisory Board (other committees as needed such as ... to State and National advanced practice. - Encourage appropriate utilization of APPs across the clinic. - Promote interdisciplinary...of work experience as an advanced practitioner. Minimum two ( 2 ) years of work experience in a leadership role.… more