- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Highmark Health (Springfield, IL)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- 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)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Humana (Springfield, IL)
- …part of our caring community and help us put health first** The Field Care Manager Registered Nurse ( RN ) assesses and evaluates member's needs and ... member's physical, environmental, and psycho-social health issues. The Field Care Manager Registered Nurse...following cities: Peoria, Pekin, Macomb, Galesburg and Springfield** + Registered Nurse ( RN ) in the… 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
- 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...multi-state licensure upon hire + 3+ years of acute care experience as an RN + 3+… more
- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in Illinois, you will play ... skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the...education for adult acute care . + Managed care experience. + Certified Case Manager (CCM).… more
- Humana (Springfield, IL)
- …+ **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
- 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
- Sedgwick (Springfield, IL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional 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)
- …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