- CVS Health (Springfield, IL)
- …as needed/requested by Management. Preference for candidates residing in the Chicago area. Clinical Case Manager RN is responsible for telephonically and/or ... of Care: - Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and… more
- Public Consulting Group (Springfield, IL)
- …. PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible for assisting ... Medical Fund on behalf of a state agency. The Case Manager will be charged with helping...informed decisions by acting as their advocate regarding their clinical status and treatment options * Develops effective working… more
- CVS Health (Bloomington, IL)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna's Long-Term Services and ... The requirements is for candidates to hold an Illinois Registered Nurse License, and travel 50-75% of the time...outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as… more
- Public Consulting Group (Springfield, IL)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… more
- CVS Health (Clinton, IL)
- …of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, facilitation, ... and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. - Utilizes case ...RN licenses if needed, company will provide. - Certified Case Manager is preferred. - Additional national… more
- CVS Health (Springfield, IL)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna's Long-Term Services and ... The requirements is for candidates to hold an Illinois Registered Nurse License, and travel up to 75% of...Monday-Friday 8:00 am - 5:00 pm CST. Coordinating all case management activities with members to evaluate the medical… more
- CVS Health (Pekin, IL)
- …and more compassionate. And we do it all with heart, each and every day. This Case Manager Registered Nurse position is with Aetna's Long-Term Services and ... The requirements is for candidates to hold an IL Registered Nurse License, and travel 50-75% of the time...Friday 8:00am - 5:00pm **Position Summary** Coordinating all case management activities with members to evaluate the medical… more
- CVS Health (Springfield, IL)
- …management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, planning, ... if needed, company will provide. * Bachelor's degree preferred. * Certified Case Manager is preferred. * Additional national professional certification (CRC,… more
- Sharecare (Springfield, IL)
- …+ Training in motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… more
- Elara Caring (Springfield, IL)
- …bonuses, on-call, or other performance-based compensation variables. You will report to the Clinical Manager or Clinical Supervisor Elara Caring determines ... the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health PRN** **Coverage 1: Jacksonville, Quincy**...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- Elara Caring (Springfield, IL)
- …+ Previous experience with HomeCare HomeBase is preferred You will report to the Clinical Manager or Clinical Supervisor _This is not a comprehensive ... the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health PRN** We are looking for...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- Gentiva (Springfield, IL)
- …Participate in company quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + ... dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to...EEO employer + We maintain a drug-free workplace ReqID: 2025-123137 Category: Registered Nurse Position Type: Full-Time Company: Gentiva… more
- Gentiva (Springfield, IL)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager , you will:** + Reportdirectly to the Administrator, Executive Director or ... Patient Care Manager Senior and will maintain primary control and professional...supportive care to the patient's family with a reasonable case load while providing a trusting and compassionate relationship… more
- Centene Corporation (Springfield, IL)
- …a fresh perspective on workplace flexibility. **On-Site RN Opportunity | Senior Care Manager - Peoria, IL** **Are you a passionate RN with a strong background ... in case management or utilization management within an inpatient setting?...where care happens.** **We're currently hiring a Senior Care Manager RN to work on-site at a hospital in… more
- Elara Caring (Springfield, IL)
- …significant findings, problems and changes in condition or environment to the RN Case Manager , the physician, clinical supervisor, and/or other personnel ... care. + Reports unsafe conditions to the appropriate RN Case Manager , clinical supervisor, and...and specialized nursing skills under the direction of a Registered Nurse or physician. + Collaborate with the RN… more
- Highmark Health (Springfield, IL)
- …Is responsible for or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs in the facilities to identify ... related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more