- CenterWell (Springfield, IL)
- … Coordination and under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home ... + **Required to work every other holiday.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Humana (Springfield, IL)
- …achieve desired clinical outcomes and to enhance quality of medical care . The ** Telephonic Nurse Case Manager ** will collect and document data to ... caring community and help us put health first** The Telephonic Nurse Case Manager will...disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation… more
- Sharecare (Springfield, IL)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst...or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers,… more
- Sharecare (Springfield, IL)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to ... the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...Care guidelines to close any existing gaps in care . + Contacts participant by telephonic dialer… more
- CVS Health (Springfield, IL)
- …As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the ... health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care...needs, and closing gaps in preventative and health maintenance care . **Key Responsibilities** + ** Telephonic Engagement:** Dedicate… more
- Centene Corporation (Springfield, IL)
- …RESIDE WITHIN A 20 MILE RADIUS OF THESE HOSPITALS.** **ROLE WILL SUPPORT THE HOSPITAL CARE MANAGER /CASE MANAGER TO SUPPORT OUR MEMBERS; WILL HANDLE DISCHARGE ... regulations + Reviews referrals information and intake assessments to develop appropriate care plans/service plans + May perform telephonic , digital, home and/or… more
- Centene Corporation (Springfield, IL)
- …with appropriate providers or specialists to ensure member has timely access to needed care or services + May perform telephonic , digital, home and/or other site ... past experience working with child welfare or youth foster care or post adoption families and (3) reside in...years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- CVS Health (Springfield, IL)
- …* Certified Case Manager (CCM) * Case Management experience * Managed Care experience * Telephonic case management and/or telephonic customer service ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...when the member has met discharge criteria. The Case Manager RN role requires a nurse that… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health... team member working with other disciplines, such as nurse care managers, dieticians, behavioral health, and… more