- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in Illinois, ... to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the state of Illinois with no...education for adult acute care . + Managed care experience. + Certified Case Manager (CCM).… more
- Elevance Health (Chicago, IL)
- ** Telephonic Nurse Case Manager I**...required. The ** Telephonic Nurse Case Manager I** is responsible for performing care management ... within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating … more
- Sedgwick (Springfield, IL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs....to the next round, recruiter will be in touch. \# nurse #telephoniccasemanager _As required by law, Sedgwick provides a… 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
- CVS Health (Springfield, IL)
- …+ This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. ... Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience… more
- Health Care Service Corporation (Springfield, IL)
- …in your professional development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based care ... facilities to support complex and specialty populations **Required Job Qualifications:** + Registered Nurse (RN) with 2 years direct clinical care to the… more
- Health Care Service Corporation (Belleville, IL)
- …in your professional development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based care ... facilities to support complex and specialty populations. **Required Job Qualifications:** + Registered Nurse (RN) with 2 years direct clinical care to the… more
- ChenMed (Chicago, IL)
- …intensive primary care model and maximizing their healthy time at home. The Register Nurse (RN) Community Care Nurse will serve as a clinical lead for ... team. The Community Care team is a multidisciplinary service including Registered Nurse (RN) Community Care nurses, Licensed Practical Nurse (LPN)… more
- Molina Healthcare (Chicago, IL)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… 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
- ICW Group (Lisle, IL)
- …**KNOWLEDGE AND SKILLS** Understanding of Workers' Compensation, Workers' Compensation Managed Care processes, Utilization Review, Telephonic Nurse Case ... analytics and field case management support to the managed care and cost containment team in the execution of...+ Acts as a gatekeeper for referrals between in-house telephonic nurse case managers, claims examiners and… more
- Trinity Health (Berwyn, IL)
- …looking for an experienced Authorization Referral Coordinator. Reporting to the Manager of Utilization Management and working under general supervision, manages ... pre-certification requests for eligible members received via portal, EHR, or telephonic , for outpatient and inpatient elective services specified on the… more