- Mitsubishi Chemical Group (Springfield, IL)
- ** Compliance Case Manager (2082)** + Title: Compliance Case Manager + Group Company: Mitsubishi Chemical America + Location:Remote Group Company: ... as they are today. Job Purpose Mitsubishi Chemical Group is seeking a ** Compliance Case Manager ** to join a team committed to excellence, continuous… more
- CVS Health (Springfield, IL)
- …maternity case management team and experience with this is required. The Case Manager RN is responsible for telephonically and/or face to face assessing, ... needs of the member to facilitate the member's overall wellness within a high-risk maternity case management program. The Case Manager RN is empowered to… more
- CVS Health (Springfield, IL)
- …maternity case management team and experience with this is required. The Case Manager RN is responsible for telephonically and/or face to face assessing, ... needs of the member to facilitate the member's overall wellness within a high-risk maternity case management program. The Case Manager RN is empowered to… more
- CVS Health (Springfield, IL)
- …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... if needed, company will provide. * Bachelor's degree preferred. * Certified Case Manager is preferred. * Additional national professional certification (CRC,… more
- CVS Health (Springfield, IL)
- …we do it all with heart, each and every day. **Position Summary** This Clinical Case Manager BH position is with Aetna's Long-Term Services and Support (LTSS) ... required in Peoria and Tazwell Counties and surrounding areas As a Clinical Case Manager you will facilitate appropriate healthcare outcomes for our members… more
- CVS Health (Springfield, IL)
- …Care Organization experience is strongly preferred. *CCM Certification (Certified Case Manager ) preferred *Crisis intervention skills/experience *Discharge ... of care to meet the member's goals. + Utilizes case management and quality management processes in compliance... case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies… more
- CVS Health (Decatur, IL)
- …are comprised of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, ... integrative functions using clinical tools and information/data. - Utilizes case management processes in compliance with regulatory...RN licenses if needed, company will provide. - Certified Case Manager is preferred. - Additional national… more
- CVS Health (Springfield, IL)
- …needed/requested by Management. Preference for candidates residing in the Chicago area. Clinical Case Manager RN is responsible for telephonically and/or face to ... of care to meet the member's goals. - Utilizes case management and quality management processes in compliance... case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies… more
- Highmark Health (Springfield, IL)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- CVS Health (Springfield, IL)
- …and monitors established plans of care to meet the member's goals * Utilizes case management and quality management processes in compliance with regulatory and ... network management, clinical coverage, and policies. **Position** **Summary/Mission** Our Case Managers use a collaborative process of assessment, planning,… more
- Cardinal Health (Springfield, IL)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... including patient education, regular check-ins, and addressing potential barriers to compliance . + Take ownership of intricate patient cases involving multiple… more
- CVS Health (Springfield, IL)
- …in healthcare decision-making. Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance with ... evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and… more
- Cardinal Health (Springfield, IL)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Provide caseload coverage outside of assigned duties as needed. + Ensure compliance with company and manufacturer policies. **_Qualifications_** + 3-6 years of… more
- CVS Health (Springfield, IL)
- …position with 50-75% travel requirement to meet members face to face. As a Case Manager Analyst you will facilitate appropriate healthcare outcomes for members ... healthcare decision-making. **Monitoring, Evaluation and Documentation of Care** - Utilizes case management and quality management processes in compliance with… more
- Sumitomo Pharma (Springfield, IL)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Manager , Compliance , Training & Strategic Alliance (CTSA), PVRM** . The ... Associate Manager , Compliance , Training & Strategic Alliance (CTSA),... issues and significant quality issues originating with the case processing vendor and License Partner. + Participate in… more
- Travelers Insurance Company (Springfield, IL)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- CDM Smith (Springfield, IL)
- …**Job Description:** CDM Smith is seeking a Senior Data Privacy and IT Compliance Specialist to join our Corporate Business Technology team. This role is critical ... in safeguarding our information assets and ensuring compliance with data privacy regulations and IT security standards....Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Walgreens (Decatur, IL)
- …and ensures compliance with employment laws. + Partners with Store Manager to establish expectations and goals, promote teamwork and foster a shared vision. ... events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and… more
- Lumen (Springfield, IL)
- …we digitally connect the world and shape the future. **The Role** The Manager , Information Security leads the Information Security Identity team that is responsible ... requirements and coordinating information security risk assessments to ensure compliance with corporate policy, standards, procedures and industry best practices.… more
- Highmark Health (Springfield, IL)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more