- CenterWell (Springfield, IL)
- … Coordination and under established performance criteria. This is a work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home ... to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) with compact state licensure in state of...+ Managed care experience + Home Health Care experience + Telephonic triage experience +… more
- 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
- Humana (Springfield, IL)
- …unique perspectives, experiences, and languages that our diverse team members bring. As a Bilingual Telephonic Nurse Care Manager , you will have the ... 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
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches ... them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering...business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess… more
- ICW Group (Lisle, IL)
- …clinical assessment and evaluate needs for treatment in worker's compensation claims. The Telephonic Nurse Case Manager will negotiate and coordinate ... procedures set by the Company. + Negotiates appropriate level and intensity of care and disability duration with providers through use of medical and disability… more
- Sedgwick (Springfield, IL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager This person must live in Ohio in order to be ... more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs....the next round, a 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 (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
- 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
- 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
- CVS Health (Chicago, IL)
- …PICC, Central Line, Infusion clinic, Ambulatory infusion, Cath lab, Transplant, Case Manager **Required Qualifications** : - Registered Nurse with current ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… 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
- 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
- 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