- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management ... and to enhance quality of medical care. The **Telephonic Nurse Case Manager ** will collect...in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in… more
- CVS Health (Springfield, IL)
- … case as appropriate when the member has met discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound ... And we do it all with heart, each and every day. **Position Summary** This Case Manager RN position is 100% remote, and the employee can live in any… more
- CVS Health (Springfield, IL)
- …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... discharge planning and/or home health care coordination experience * Registered Nurse with active state license in...company will provide. * Bachelor's degree preferred. * Certified Case Manager is preferred. * Additional national… more
- CVS Health (Springfield, IL)
- …desired outcomes through assessment andevaluation. **Required Qualifications** + Active and unrestricted Registered Nurse License in Illinois + Minimum 3-5 years ... Estates, Wooddale Norwood Park, Edison Park **Preferred Qualifications** Certified Case Manager is preferred **Education** Associates Required, Bachelor's… more
- Sedgwick (Springfield, IL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Sedgwick (Springfield, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and ... are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… more
- Humana (Springfield, IL)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the (appropriate state) with no ... BSN or Bachelor's degree in a related field + Registered Nurse ( RN ) with 3...adult acute care + Managed care experience + Certified Case Manager (CCM) + Bilingual is a… more
- Humana (Springfield, IL)
- …Qualifications** + **Must reside in the state of Illinois.** + An active, unrestricted, Registered Nurse ( RN ) license, Licensed Clinical Social Worker (LCSW) ... Qualifications** + Advanced degree in nursing or business health field. + Certified Case Manager (CCM). + Previous experience working in a managed care field. +… more
- Gentiva (Springfield, IL)
- …+ Tuition Reimbursementkeywords: per diem RN , Registered Nurse , hospice RN jobs, case manager nurse , end-of-life care RN , home health ... You'll Do as a Hospice RN / RN Case Manager :** + Be..., compassionate nursing jobs, hospice careers ReqID: 2025-127243 Category: Registered Nurse Position Type: Flex/Per Diem Company:… more
- Elara Caring (Springfield, IL)
- …in this mission. This means you have countless ways to make a difference as a Registered Nurse Home Health. Being a part of something this great, starts by ... an industry pioneer delivering unparalleled care, we need a Registered Nurse Home Health with commitment and...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- Sharecare (Springfield, IL)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in… more
- Gentiva (Springfield, IL)
- …are proud to be an EEO employer + We maintain a drug-free workplace Related Job Titles RN , Registered Nurse , hospice admissions nurse , hospice RN ... You'll Do as a Hospice RN Admissions Nurse :** * Report directly to the Admissions Manager...patient intake RN , hospice careers, home health RN ReqID: 2025-130039 Category: Registered Nurse… more
- Elara Caring (Springfield, IL)
- …direction of a Registered Nurse or physician. + Collaborate with the RN Case Manager during normal business hours for advice, assistance, and ... ways to make a difference as a **Licensed Practical Nurse ** **.** Being a part of something this great...problems and changes in condition or environment to the RN Case Manager , the physician,… more
- Centene Corporation (Springfield, IL)
- …conditions. Preference will be given to individuals who (1) possess an active Illinois registered nurse ( RN ) license, (2) have a combination of professional ... health/substance use, as well as (3) virtual service coordination, case management, community advocacy. (4) Spanish language fluency is...2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse -… more
- Humana (Springfield, IL)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Highmark Health (Springfield, IL)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Humana (Springfield, IL)
- …alternate time zone virtually. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) with 3 years or more of NICU level ... and help us put health first** The NICU Care Manager , Telephonic Nurse 2, in a telephonic...guidance along the healthcare continuum. You will perform clinical case review on members during an inpatient hospital admission.… more
- Humana (Springfield, IL)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review...refers cases for annual follow-up care by disease management, case management, and primary care providers as appropriate for… more
- Sharecare (Springfield, IL)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...during the training period will be evaluated on a case by case basis and must be… more
- Highmark Health (Springfield, IL)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more