- CenterWell (Springfield, IL)
- …of care patients + Document all activity within clinic EMR and other required pharmacy or clinical management systems + Support CMS Stars and HEDIS quality ... patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching,… more
- CVS Health (Springfield, IL)
- …benefit overall claim management. + Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to ... clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory… more
- CenterWell (Springfield, IL)
- …patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...in Hospital, SNF, LTAC, DME or Home Health. + Bilingual We offer tangible and intangible benefits such as… more
- Humana (Springfield, IL)
- …subject to change based on business needs. **Preferred Qualifications** + Bilingual English/Spanish + Proficient utilizing documentation programs . + Experience ... put health first** The Prior Authorization UM Administration Coordinator 2 provides non- clinical support for the policies and procedures ensuring best and most… more