- Humana (Springfield, IL)
- …community and help us put health first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of accreditation ... multiple operational areas and lines of business within Humana. The Accreditation Manager will ensure progress is made toward achieving and maintaining Humana's… more
- Sedgwick (Springfield, IL)
- …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 ... promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards. **EDUCATION AND LICENSING** Current unrestricted RN… more
- CVS Health (Springfield, IL)
- …meetings in Chicago/Downer's Grove area.** **Position Summary** The Clinical Case Manager , Behavioral Health, is responsible for driving and supporting care ... management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. + Facilitates clinical… more
- CVS Health (Springfield, IL)
- …Preference for candidates residing in the Chicago area. BH Clinical Case Manager is responsible for telephonically and/or face to face assessing, planning, ... and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. **Required Qualifications** *Current… more
- CVS Health (Springfield, IL)
- …for candidates residing in the Chicago, Cook County area. Nurse Case Manager is responsible for telephonically and/or face to face assessing, planning, implementing ... and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. **Required Qualifications :**… more
- Highmark Health (Springfield, IL)
- …compliance with applicable business process requirements, regulatory requirements and accreditation standards. + Maintain current knowledge and adheres to applicable ... CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by the organization. + Other duties as assigned or requested. **EDUCATION** **Required** +… more
- CBRE (Springfield, IL)
- …high-level conceptual design through final construction document completion. Support the Cost Manager in the development of an overall Project Cost Plan. Research ... issue recommendations and input for use on the project. Support the Project/Cost Manager when reviewing and approving large change orders and the review of invoices… more
- Cardinal Health (Springfield, IL)
- …financial, clinical, and quality processes including inventory management, accreditation standards, State and Federal legal requirements, distribution systems, ... the year. + Provides oversight and direction for hospital pharmacy manager involvement in system quality improvement committees, assists with preparation when… more
- CVS Health (Springfield, IL)
- …personal, convenient and affordable. **Position Summary** As a Analyst, Case Manager you will facilitate appropriate healthcare outcomes for members by providing ... and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. **Required Qualifications** +… more
- Prime Therapeutics (Springfield, IL)
- …specification, process flows, process change, Federal and/or State regulations and/or accreditation standards implications + Develop and maintain key internal and ... perception and ability to adjust focus **Reporting Structure** + Reports to a Manager in the Legal department Potential pay for this position ranges from $74,000.00… more