- CVS Health (Springfield, IL)
- …regulations. The ideal candidate should possess the following skills: + Knowledge of Behavioral Health products, benefits and offerings + Understanding of Group ... a fast-paced environment + A passion for mental and behavioral health **What You Will Do** +...MHWB's Single Point of Contact for Market conduct exams, regulatory inquiries, and objections + Support the development and… more
- CVS Health (Springfield, IL)
- …settlement negotiations of contracts, with large and complex, national, and market-based, behavioral health groups and facility providers. You will manage ... strategic, traditional contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables… more
- CVS Health (Springfield, IL)
- …* Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... care issues through established channels * Ability to speak to medical and behavioral health professionals to influence appropriate member care. * Utilizes… more
- CVS Health (Springfield, IL)
- …a Field Based position out of Peoria and Tazewell IL. An active Illinois Behavioral Health License is required (LCSW/LCPC). Travel: 50-75% required in Peoria and ... each and every day. **Position Summary** This Clinical Case Manager BH position is with Aetna's Long-Term Services and...Qualifications** + Minimum of 2 years of experience in behavioral health , social services or Human services… more
- CVS Health (Springfield, IL)
- …all case management activities with members to evaluate the medical needs and behavioral health needs of the member to facilitate the member's overall ... for candidates residing in the Chicago area. Clinical Case Manager RN is responsible for telephonically and/or face to...clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers… more
- CVS Health (Springfield, IL)
- …* Minimum 2 years of Case Management experience. * 2+ years experience in Behavioral health or Social Services * 3+ years computer proficiency (MS Outlook, ... or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, social work, counseling)… more
- Highmark Health (Springfield, IL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job has primary ownership and oversight over a specified panel of members that range in ... health status/severity and clinical needs. The incumbent assesses ...and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards. + Maintain current knowledge… more
- Highmark Health (Springfield, IL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of ... appropriateness of health care services, application of criteria to ensure appropriate...industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable… more
- Compass Group, North America (Springfield, IL)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... members. Job Summary We are seeking a Patient Services Manager to lead our Patient Services Team in a...in achieving stated patient satisfaction goals + Complies with regulatory standards, including federal, state, and accrediting agencies while… more
- Highmark Health (Springfield, IL)
- …panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of ... various resources to assist members in achieving their personal health goals. Will work with providers to insure quality...and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create… more
- Highmark Health (Springfield, IL)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and… more
- CVS Health (Springfield, IL)
- …must reside in Macon/Piatt/Champaign County, IL + Minimum 2 years of experience in behavioral health , social services or human services field + Minimum 2 years ... to meet members face to face. As a Case Manager Analyst you will facilitate appropriate healthcare outcomes for...master level clinician required, with either degree being in behavioral health or human services required (psychology,… more
- NASCO (Springfield, IL)
- …The Lead Network Engineer plays a critical role in ensuring regulatory compliance (SOC, HITRUST). Collaborates with vendors and stakeholders, evaluates emerging ... CISSP (Certified Information Systems Security Professional), CISM (Certified Information Security Manager ), Palo Alto PCNSE + ITIL or PMP certification for expertise… more
- Compass Group, North America (Springfield, IL)
- Morrison Healthcare Position Title: [[title]] Reports To: Clinical Nutrition Manager Location: Morrison Healthcare at HSHS St John's Hospital Job Details: RD will ... platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier… more
- Compass Group, North America (Springfield, IL)
- …Part Time NICU/Pediatric Dietitian- Springfield, IL Reports To: Clinical Nutrition Manager Location: Morrison Healthcare at HSHS St John's Job Details: Position ... platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier… more