- Highmark Health (Springfield, IL)
- …and timely processing of pre-certification requests for authorization of medically necessary health care services at the appropriate level of care , based on the ... and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and management… more
- Humana (Springfield, IL)
- …(preferably in or near the cities of Libertyville or Mundelein). The LTSS Care Coordinator employs a variety of strategies, approaches, and techniques to ... manage a member's health issues. The Care Coordinator understands own work area professional...or Mundelein).** + 1+ years of experience in health care and/or case management . + 1+ years… more
- Centene Corporation (Springfield, IL)
- …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... standards. + Conduct outreach to encourage enrollees to access preventative care and assist with making appointments/arrangements as necessary + Monitor provider… more