- Public Consulting Group (Springfield, IL)
- …sector. To learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- CVS Health (Springfield, IL)
- …more compassionate. And we do it all with heart, each and every day. This Case Manager , Registered Nurse position is a field-based position with <10% travel. ... License in Illinois **Preferred** **Qualifications** + Bilingual (Spanish/English) + Certified Case Manager + Excellent analytical and problem-solving skills +… 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) ... in Peoria and Tazwell Counties and surrounding areas As a Clinical Case Manager you will facilitate appropriate healthcare outcomes for our members by providing… more
- CVS Health (Springfield, IL)
- …it all with heart, each and every day. **Position Summary** Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care ... care coordination experience **Preferred Qualifications** - Bilingual preferred - Certified Case Manager is preferred. - Additional national professional… more
- CVS Health (Springfield, IL)
- …are comprised of network management, clinical coverage, and policies. Community Care Case Manager use a collaborative process of assessment, planning, ... state RN licenses if needed, company will provide. - Certified Case Manager is preferred. - Additional national professional certification (CRC, CDMS, CRRN,… more
- Molina Healthcare (Jerome, IL)
- …this position we are seeking a Behavioral Health Professional who lives in Illinois. Case Manager will work in remote and field setting supporting our Medicaid ... Population within Nursing Facilties. Case Manager will be required to physically go to member's homes to complete Face to Face assessment. You will participate… more
- CVS Health (Springfield, IL)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and ... evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and… more
- CVS Health (Springfield, IL)
- …expense reimbursement policy **Preferred Qualifications** + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience + Home Health ... status of the patient. + Applies in-depth knowledge of case management and nursing practices to organize patient files...have access to appropriate cost-effective care. + Configures the case management system to organize cases dealing with disease… more
- CVS Health (Springfield, IL)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… 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 ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- CVS Health (Springfield, IL)
- …And we do it all with heart, each and every day. **Position Summary** This Case Manager Registered Nurse position is with Aetna's Long-Term Services and Supports ... for this position is Monday-Friday 8:00 am - 5:00 pm CST. Coordinating all case management activities with members to evaluate the medical needs of the member to… more
- WestCare Foundation (Lincoln, IL)
- Case Manager part time Job Details Job Location Logan Correctional Facility - 1096 1350th - Lincoln, IL Position Type Part Time Education Level High School ... Position Summary: Person in this position will be responsible forproviding case management support for the Women of Dignity program in accordance… more
- Guardian Life (Springfield, IL)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... insights and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to our Leader, Appeals Team, who… more
- Cardinal Health (Springfield, IL)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… 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 ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… 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)
- …for placement into custodial care. Responsible for implementing and coordinating all case management, psychosocial, and quality of life activities relating to cases ... care services to the members, and to those in case and disease management. Provides psychosocial interventions through resource...2 years of experience in medical social work or case management - 1 year of experience in … more
- Cardinal Health (Springfield, IL)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Public Consulting Group (Springfield, IL)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Intermountain Health (Springfield, IL)
- …Nurse (RN). Preferred Qualifications + Bachelor's degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position level. ... + 2 years' nursing experience outpatient care. + 1 year Care Management experience. **Physical Requirements:** Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess patient needs. - and… more