- CVS Health (Springfield, IL)
- …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) ... on managing chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans,… more
- Sharecare (Springfield, IL)
- …**Monday July 21st, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Centene Corporation (Springfield, IL)
- …benefits including a fresh perspective on workplace flexibility. **On-Site RN Opportunity | Senior Care Manager - Peoria, IL** **Are you a passionate RN with a ... real difference-right where care happens.** **We're currently hiring a Senior Care Manager RN to work on-site at a hospital in the Peoria area.**… more
- Gentiva (Springfield, IL)
- …lasting difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager ** to join our team.You will report directly to the ... Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining a high performing hospice program including managing,… more
- Centene Corporation (Springfield, IL)
- …competitive benefits including a fresh perspective on workplace flexibility. **On-Site Opportunity | Senior Care Manager - Transition of Care | Chicago, IL** ... coordination and improving patient transitions? Our Illinois Health Plan is hiring a Senior Care Manager - Transition of Care to work on-site at a hospital… more
- Molina Healthcare (Springfield, IL)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Centene Corporation (Springfield, IL)
- …individuals that have past experience working with child welfare or youth foster care or post adoption families as well as case management. **Position Purpose:** ... Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality,… more
- Centene Corporation (Springfield, IL)
- …is a plus. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members ... to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health… more
- Centene Corporation (Springfield, IL)
- …TRAVEL IN ASSIGNED AREA OF COOK COUNTY ILLINOIS TO SUPPORT OUR YOUTHCARE/FOSTER CARE PROGRAM.** **APPLICANTS MUST RESIDE IN ONE OF THE FOLLOWING ILLINOIS ZIP ... 60694, 60699, 60701. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- Centene Corporation (Springfield, IL)
- …flexibility. **2 POSITIONS AVAILABLE** **THESE POSITIONS ARE SUPPORTING ILLINOIS MEDICAID YOUTHCARE/FOSTER CARE PROGRAM. THE WORK SCHEDULE IS MONDAY - FRIDAY 8AM - ... WITHIN THIS AREA.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
- Humana (Springfield, IL)
- …in Nursing + 2 years case management experience + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, this ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance. support, and coordination of the beneficiary's… more
- Public Consulting Group (Springfield, IL)
- …Proven working experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...is to provide a funding source for future health care costs associated with birth‐related neurological injuries. The Case… more
- Public Consulting Group (Springfield, IL)
- …Proven working experience in case management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... of program policies and procedures + Responsible for the full patient care cycle. + Assesses, plans, implements, monitors and evaluates actions required to… more
- CVS Health (Springfield, IL)
- …of network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Centene Corporation (Springfield, IL)
- …regulatory guidelines and standards + Ability to identify needs and make referrals to Care Manager , community cased organizations, and Disease Manager + ... **Must reside in IL** **Position Purpose:** Works with senior care management team to support care management activities and the teams assigned to members to… more
- Centene Corporation (Springfield, IL)
- …regulatory guidelines and standards + Ability to identify needs and make referrals to Care Manager , community cased organizations, and Disease Manager + ... Wayne, White, and Williamson. **Position Purpose:** Works with senior care management team to support care management...with senior care management team to support care management activities and the teams assigned to members… more
- Cardinal Health (Springfield, IL)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, policy ... **_What Managed Care contributes to Cardinal Health_** Practice Operations Management...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, auditing… more
- Highmark Health (Springfield, IL)
- …regulations, including the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as ... US Citizen + 5 years of experience in Health Care Field + 3 years of experience in applicable...requirements, and Corporate Integrity principles + Experience with managed care , Medicare and Federal and/or State regulations, quality improvement… more
- Guardian Life (Springfield, IL)
- …is a full tme, remote-based position. **Position Summary** Guardian's Annuity New Business CARE team seeks a dynamic and knowledgeable individual to join our team as ... an **Annuity Relationship Manager ** . We are looking for someone with exceptional...internal and external partners. As a member of our CARE Team, you are part of a dynamic group… more
- Gentiva (Springfield, IL)
- …you will:** + Report directly to the Administrator, Executive Director or Patient Care Manager Senior and function under the direction, instruction and ... leader in hospice, palliative, home health, and personal home care . Our place is by the side of those...the most of every moment. We believe that better care for caregivers and clinicians means better care… more