- Sharecare (Springfield, IL)
- …and affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Disease Management Nurse works with participating members to become empowered… more
- Highmark Health (Springfield, IL)
- …**EXPERIENCE** **Required** + 7 years in any combination of clinical, case/utilization management and/or disease /condition management experience, or provider ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a… more
- Humana (Springfield, IL)
- …CMS Hierarchical Condition Categories (HCC) and refers cases for annual follow-up care by disease management , case management , and primary care providers as ... help us put health first** The Manager, Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation processes to ensure that medical record… more
- Humana (Springfield, IL)
- …managers to ensure alignment and operational efficiency. + Identify members for specific case management and / or disease management activities. + Monitors ... Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses, care coordinators...the state of Illinois.** + An active, unrestricted, Registered Nurse (RN) license, Licensed Clinical Social Worker (LCSW) OR… more
- Centene Corporation (Springfield, IL)
- …a fresh perspective on workplace flexibility. NOTE: This is a fully remote role with serving maternity and postnatal members with behavioral health conditions. ... to individuals who (1) possess an active Illinois registered nurse (RN) license, (2) have a combination of professional...use, as well as (3) virtual service coordination, case management , community advocacy. (4) Spanish language fluency is a… more
- Merck (Springfield, IL)
- …including cardiologists and other approved specialty physicians, physician assistants, nurse practitioners, nurses, pharmacists, and office managers. You will ... customer needs with company products according to product labeling. + Provide management with regular updates on customer needs, marketplace dynamics, and progress… more
- Cardinal Health (Springfield, IL)
- …the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a team of nurses providing assistance to ... and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides coaching as needed to… more
- Centene Corporation (Springfield, IL)
- …a fresh perspective on workplace flexibility. NOTE: This position is a hybrid remote position with up to 10% travel. Preference for individuals that have (1) ... Additional Details: * Line of Business: Illinois Health Plan * Department: MED-Medical Management (Care Management ) * Caseload: Youth ages 0-21 * Schedule:… more
- Centene Corporation (Springfield, IL)
- …including a fresh perspective on workplace flexibility. **THIS POSITION IS REMOTE , WILL WORK FROM ASSIGNED HOSPITALS: ST. LOUIS UNIVERSITY AND CARDINAL/GLENNON. ... TIME FRAME.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective… more