- Sharecare (Springfield, IL)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Springfield, IL)
- …of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social ... regulatory requirements within specified timelines. + **Consults** with the Care Manager RN within the...+ Associate's degree and relevant experience in a health care -related field (REQUIRED) + Practical Nurse Degree/Certificate… more
- CVS Health (Springfield, IL)
- …Effective computer skills including navigating multiple systems and keyboarding **Education** + Registered Nurse with active state license in good standing in ... 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)
- …conditions. Preference will be given to individuals who (1) possess an active Illinois registered nurse ( RN ) license, (2) have a combination of professional ... perspective on workplace flexibility. NOTE: This is a fully remote role with serving maternity and postnatal members with...2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse -… more
- Centene Corporation (Springfield, IL)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... on workplace flexibility. NOTE: This position is a hybrid remote position with up to 10% travel. Preference for...Preference for individuals that have (1) an active Illinois RN license, (2) past experience working with child welfare… more
- Centene Corporation (Springfield, IL)
- …Bachelor's degree in Nursing and 4 - 6 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... a fresh perspective on workplace flexibility. **THIS POSITION IS REMOTE , WILL WORK FROM ASSIGNED HOSPITALS: ST. LOUIS UNIVERSITY...RADIUS OF THESE HOSPITALS.** **ROLE WILL SUPPORT THE HOSPITAL CARE MANAGER /CASE MANAGER TO SUPPORT… more
- Humana (Springfield, IL)
- …Qualifications** + **Must reside in the state of Illinois.** + An active, unrestricted, Registered Nurse ( RN ) license, Licensed Clinical Social Worker (LCSW) ... of nurses, care coordinators and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific… 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 ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Highmark Health (Springfield, IL)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Humana (Springfield, IL)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… 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...Condition Categories (HCC) and refers cases for annual follow-up care by disease management, case management, and primary … more
- CenterWell (Springfield, IL)
- …The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... + **Required to work every other holiday.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...work-from-home telephonic nurse position **Essential Functions:** + Act as CenterWell Home… more
- CVS Health (Springfield, IL)
- …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 ... when the member has met discharge criteria. The Case Manager RN role requires a nurse...licensure upon hire * * 3+ years of acute care experience as an RN * 3+… more
- Centene Corporation (Springfield, IL)
- …benefits including a fresh perspective on workplace flexibility. **THIS POSITION IS REMOTE /WORK FROM HOME WITH 25% TRAVEL WITHIN THE FOLLOWING COUNTIES: COOK, ... IRS GUIDELINE RATE.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
- Sedgwick (Springfield, IL)
- …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 ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- CenterWell (Springfield, IL)
- **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care ... Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care...+ Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Springfield, IL)
- …**Use your skills to make an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license ( RN ) with no disciplinary action and ... caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking… more
- CenterWell (Springfield, IL)
- …operations research techniques to model and optimize staffing needs by skill type (eg, RN , PT, HHA), pay type (eg, hourly, salaried), and time type (eg, full-time, ... interruptions to protect member PHI/HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more