- CVS Health (Springfield, IL)
- …meetings and/or trainings in Downers Grove IL as needed/requested by Management.** BH Clinical Case Manager is responsible for telephonically and/or face ... Care: - Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies,...direct clinical practice experience post masters in Behavioral Health * Minimum 1+ year of Case… more
- CVS Health (Springfield, IL)
- …Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. **Position Summary** Our Case Managers use ... and benefit plan eligibility and facilitates integrative functions using clinical tools and information/data. + Utilizes case ...field. Work Experience: + Minimum of 3-5 years of clinical experience, preferably in behavioral health. +… more
- Highmark Health (Springfield, IL)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- CVS Health (Springfield, IL)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Intermountain Health (Springfield, IL)
- **Job Description:** The RN Ambulatory Care Manager I delivers comprehensive ambulatory care management services to identified patients. Leveraging clinical ... role involves conducting care management screenings, assessments, and evaluations. The manager develops and implements patient-centered care plans with shared goals… more
- CVS Health (Springfield, IL)
- …effectively to meet the requirements of the position **Preferred Qualifications** + Certified Case Manager + 3+ years Care Management, Discharge Planning and/or ... serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our...the Care Plan for any change in condition or behavioral health status Our TOC CMs are frontline advocates… more