- 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 and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Highmark Health (Springfield, IL)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… 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 ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- AccentCare, Inc. (Burr Ridge, IL)
- … Nurse , Hospice Location: Burr Ridge, IL Position: RN / Registered Nurse Case Manager , Hospice Job ID:2025-73777 Position Type: Full-Time ... care we're building together. Be the Best Hospice RN You Can Be If you meet these qualifications,...love to meet you: + Associates degree, preferred + Registered Nurse license required in state(s) practicing… more
- CVS Health (Springfield, IL)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… 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 ... on workplace flexibility. NOTE: This position is a hybrid remote position with up to 10% travel. Preference for...Preference for individuals that have (1) an active Illinois RN license, (2) past experience working with child welfare… more
- CenterWell (Buffalo Grove, IL)
- …on-site at our Buffalo Grove, IL branch location.** The ** RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... Location** : Buffalo Grove, IL **This is not a remote or work-from-home position. This position requires you to...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- CVS Health (Springfield, IL)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote , and the employee can live in ... when the member has met discharge criteria. The Case Manager RN role requires a nurse...multi-state licensure upon hire + 3+ years of acute care experience as an RN + 3+… more
- Carle Health (Hoopeston, IL)
- …Clinic Hybrid position with 1 day remote and 4 in office The OP Care Management RN provides care management and population health services to patients. ... patients with high vulnerability at times of transition between care settings. OP Care Management RN... and achieve optimal clinical outcomes. Qualifications **License/Certifications:** Licensed Registered Professional Nurse ( RN ) -… more
- BD (Becton, Dickinson and Company) (Chicago, IL)
- … Care and Vascular Access sales organizations. **Required Education and Experience:** + Registered Nurse with a Bachelor's degree _BSN preferred_ + Minimum of ... Delivery Solutions products. The Clinical Specialist reports directly to a Clinical Manager . **Job Description** We are **the makers of possible** BD is one… more
- Health Care Service Corporation (Belleville, IL)
- …complex and specialty populations. **Required Job Qualifications:** + Registered Nurse ( RN ) with 2 years direct clinical care to the consumer in a ... development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based ...to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90… more
- Humana (Springfield, IL)
- …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, you will play ... skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the...education for adult acute care . + Managed care experience. + Certified Case Manager (CCM).… more
- Humana (Springfield, IL)
- …+ **Must reside in the state of Illinois** + An active, unrestricted, Registered Nurse **( RN )** license, Licensed Clinical Social Worker **(LCSW)** ... of nurses, care coordinators and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific… more
- Sharecare (Springfield, IL)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Highmark Health (Springfield, IL)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Humana (Springfield, IL)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
- BD (Becton, Dickinson and Company) (Chicago, IL)
- …Teams; Advanced knowledge of PowerBi, QlikView, Salesforce, and Showpad. **EDUCATION:** + Registered Nurse with a bachelor's degree, degree level qualification, ... **Job Description Summary** The Senior Clinical Solutions Manager (CSM) role will bridge the gap between...IDNs across the nation, focusing on the continuum of care from neonate to adult. **Job Description** We are… more
- Centene Corporation (Great Lakes, IL)
- …workplace flexibility. **On-Site Opportunity** **Centene is hiring a On-Site Behavioral Health Care Manager in Waukegan, Illinois.** **Are you a Licensed ... Illinois Health Plan is hiring a On-Site Behavioral Health Care Manager to work on-site at a...**License/Certification:** + LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required Pay Range: $73,800.00 - $132,700.00 per year… more
- Molina Healthcare (Chicago, IL)
- …of provider, member and/or community interventions (eg, removing barriers to care ); preparation for Quality Improvement Compliance surveys; and other federal and ... activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. +… more
- Health Care Service Corporation (Downers Grove, IL)
- …overnight stays. **Required Job Qualifications:** + Bachelor degree OR clinical licensure ( RN , LISW, LMSW, LPC, RD, etc.) with unrestricted, current clinical license ... experience in one or more of these fields: managed care operations, case management, customer quality of care...Flex (Hybrid) role: 3 days in office; 2 days remote .** **Sponsorship is not available.** \#LI-LO1 \#LI-Hybrid **Are you… more