- 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
- Intermountain Health (Springfield, IL)
- **Job Description:** Full Time, Monday-Friday 08:00-17:00 PST. The nurse care manager works collaboratively with physicians and other members of the health care ... improve the health of patients with chronic conditions or complex needs. The position educates patients and caregivers to...round at hospitals as needed. **Minimum Qualifications** + Current RN license in state of practice. + Two years… more
- 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 (Springfield, IL)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** **The Case Manager RN position is 100% remote and employees can ... **There is no travel expected with this position.** This Case Manager RN position is...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Springfield, IL)
- …reimbursement policy **Preferred Qualifications** + Case Management experience + Compact RN licensure + Certified Case Manager + Telephonic Nursing ... needs and ensure seamless transitions between different care settings. + Analyzes complex patient data from medical history, diagnostic test results, and treatment… more
- Centene Corporation (Springfield, IL)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... as case management. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- Sedgwick (Springfield, IL)
- …work. Great 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 worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- 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
- 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
- Centene Corporation (Springfield, IL)
- …as case management. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... of related experience. **License/Certification:** + Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC,… more