• Complex Case Manager

    Highmark Health (Springfield, IL)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (11/20/24)
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  • Clinical Case Manager RN

    CVS Health (Springfield, IL)
    …by Management.** Preference for candidates residing in the Chicago, Cook County area. Nurse Case Manager is responsible for telephonically and/or face ... of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution...Illinois - 3+ years of clinical experience as a Registered Nurse - 2+ Case more
    CVS Health (12/05/24)
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  • Case Manager RN ( RN

    CVS Health (Springfield, IL)
    …Qualifications** + Case Management experience in the insurance industry + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience ... needs and ensure seamless transitions between different care settings. + Analyzes complex patient data from medical history, diagnostic test results, and treatment… more
    CVS Health (12/05/24)
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  • Case Manager RN - Field…

    CVS Health (Springfield, IL)
    …and keyboarding + Live near zip codes 60616, 60608, 60402, 60804 + Certified Case Manager is preferred. **Education** + Associates Degree or Nursing Diploma ... enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we… more
    CVS Health (12/22/24)
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  • Care Manager - Remote

    Sharecare (Springfield, IL)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
    Sharecare (12/04/24)
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  • Nurse Care Manager - Trinsic

    Intermountain Health (Springfield, IL)
    …/Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse ( RN ). Preferred Qualifications + Bachelor's ... degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined...- Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This… more
    Intermountain Health (01/15/25)
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  • Excess Risk Managed Care Clinician

    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
    Highmark Health (11/25/24)
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