- Elara Caring (Springfield, IL)
- …staffing levels at branch locations to meet patient needs. + Ensures compliance of current Medicare, Medicaid, and third-party reimbursement regulations and changes. ... and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development of Key… more
- J&J Family of Companies (Springfield, IL)
- …domains is preferred): + Cell Therapy Manufacturer Home Office or Field Experience + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... raising the bar on customer experience in the pharmaceutical industry. Our account management teams support the certified sites who care for cancer patients. We are… more
- CVS Health (Springfield, IL)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... impact on our members, who are enrolled in Care Management and present with a wide range of complex...or changes in condition to be transitioned back to RN . + Complete post discharge call and required assessments… more
- CenterWell (Springfield, IL)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... patient care policy manuals. + Establish service policies and procedures in compliance with state health statutes and administrative rules, including CDC and OSHA… more