- Highmark Health (Springfield, IL)
- …Description :** **JOB SUMMARY** This job is responsible for working with HHO clinical departments in the areas of compliance and process improvement. Serves ... as a corporate resource regarding accreditation standards, clinical performance and continuous improvement...maintenance of Care Management policies and procedures to ensure accreditation and compliance with NCQA and DMMA… more
- Justice, Bureau of Prisons/Federal Prison System (Greenville, IL)
- …a treatment program and for implementing and monitoring the treatment program in compliance with Bureau of Prisons' policy, the Violent Crime Control and Law ... First Step Act of 2018. Directs and supervises all clinical activities and staff in relation to the drug...for the position. Applicants for the Drug Abuse Program Coordinator must be fluent in Spanish, which includes the… more
- Rush University Medical Center (Chicago, IL)
- …Staff organization, bylaws, rules and regulations, State and Federal Regulatory Agencies, accreditation compliance and other critical matters that affect the ... efficient utilization and turn-around time. Acts as a resource to credentialing coordinator . * Oversight of tracking compliance of credentialing expirables and… more
- CVS Health (Springfield, IL)
- …of Care:** + Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and ... all with heart, each and every day. **Position Summary** This Case Management Coordinator position is with Aetna's Long-Term Services and Supports (LTSS) team and is… more
- CVS Health (Canton, IL)
- …of Care:** - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and ... all with heart, each and every day. **Position Summary** This Case Management Coordinator position is with Aetna's Long-Term Services and Supports (LTSS) team and is… more
- CVS Health (Rock Island, IL)
- …of Care: - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and ... offers a $1,000 Sign on Bonus for external applicants!** This Case Management Coordinator position is with Aetna's Long-Term Services and Supports (LTSS) team and is… more
- CVS Health (Kewanee, IL)
- …of Care:** - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and ... offers a $3,000 Sign on Bonus for external applicants!** This Case Management Coordinator position is with Aetna's Long-Term Services and Supports (LTSS) team and is… more
- Rush University Medical Center (Chicago, IL)
- …Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Clinical Staffing Office-Admin **Work Type:** Full Time (Total FTE between 0.9 ... depending on the circumstances of each case. **Summary:** The Clinical Nurse Leader (CNL) functions as an advanced generalist...the healthcare team, and serves as guardian of care, coordinator for the improvement of patient care outcomes, and… more
- Rush University Medical Center (Chicago, IL)
- …be able to motivate teams towards excellence. **Preferred Job Qualifications:** * Clinical experience in field of cellular therapy such as nursing, medical ... and maintains the SCT Quality Plans ensuring compliancy with all regulatory and accreditation requirements as well as activities related with the accreditation … more
- Touro University (Skokie, IL)
- …hours per week and weekly on-site presence is required. Responsibilities + Accreditation :Assists the Academic/ Clinical Coordinator with the following: ... the management and evaluation of the program's academic and clinical components. Working in close association with the Academic...PA Program to meet and/or exceed the standards for accreditation (ARC-PA) + Maintain IL State Education Dept. (SED)… more
- Veterans Affairs, Veterans Health Administration (Marion, IL)
- …Marion Health Care System and surrounding VA locations. Services include clinical assessment and treatment including individual, group or family psychotherapy, ... of the identified psychosocial problems on the Veteran's health care planning, compliance with treatment, and discharge planning. Documents direct Veteran care at a… more
- CVS Health (Downers Grove, IL)
- …Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies ... leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are… more
- CVS Health (Springfield, IL)
- …clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits. + Applies clinical judgment to the incorporation of strategies designed to reduce risk… more
- CVS Health (Springfield, IL)
- …clients. - Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits. - Applies clinical judgment to the incorporation of strategies designed to reduce risk… more
- Humana (Springfield, IL)
- …to maximize each beneficiary's capacity for self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care. The case manager ... of case management involvement. The case manager will serve as the primary coordinator and point of contact for the beneficiary for all activities within the… more