- Humana (Springfield, IL)
- …community and help us put health first** The Field Care Manager Registered Nurse ( RN ) assesses and evaluates member's needs and requirements to ... environmental, and psycho-social health issues. The Field Care Manager Registered Nurse...of Illinois preferably in the Lake County area.** + Registered Nurse ( RN ) in the… more
- CVS Health (Springfield, IL)
- … care , hospice, palliative care , cardiac) with Medicare/Commercial members. * Registered Nurse with active state license in good standing within the ... of network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment,… more
- CVS Health (Springfield, IL)
- …outcomes through assessment and evaluation. **Required Qualifications** + Active and unrestricted Registered Nurse License in Illinois. + Minimum 3-5 years ... 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 ... Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State… 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 ... ZIP CODE 60608.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… 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… more
- Humana (Springfield, IL)
- …Scott, Shelby, Springfield, Tazewell, Vermilion, and Woodford._ + An active, unrestricted, Registered Nurse **( RN )** license, Licensed Clinical Social Worker ... care coordinators and behavioral health professionals responsible for care management. The Manager , Care ... (CCM). + Previous experience working in a managed care field . + Five (5) or more… more
- Humana (Springfield, IL)
- …Care Navigator) must meet **one** of the following requirements: **Active unrestricted Registered Nurse , ( RN ) license without disciplinary action with the ... for beneficiaries receiving services under the TRICARE program. The Care Manager , Telephonic Behavioral Health 2 (Focus...Manager (CCM) + Master's degree in a behavioral-health field , such as social work, psychology, or related health… more
- US Tech Solutions (Springfield, IL)
- …+ Kane + Winnebago + Rock Island **Job Overview** The ** Field -Based Case Manager ** is responsible for coordinating and managing care for elderly members and ... **Contract Duration:** 03 Months ** Field -Based Position - Location Requirement** **Must live in...uses a collaborative, member-centric approach to assess needs, develop care plans, coordinate services, and advocate for optimal, cost-effective… more
- Sedgwick (Springfield, IL)
- …a 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**...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Oracle (Springfield, IL)
- …EHR and AI-enabled medical device platforms. As a Clinical Product Manager (Medical Device Focus), you'll provide clinical insight into product design, ... readiness across the broader product organization. Qualifications Required: . Licensed clinician ( RN , PharmD, MD, NP, PA, or equivalent) with 5+ years of clinical… more
- Oracle (Springfield, IL)
- …EHR and AI-enabled medical device platforms. As a Clinical Product Manager (Medical Device Focus), you'll provide clinical insight into product design, ... readiness across the broader product organization. Qualifications Required: . Licensed clinician ( RN , PharmD, MD, NP, PA, or equivalent) with 5+ years of clinical… more
- Oracle (Springfield, IL)
- …and/or additional work experience directly related to the duties of the job + Registered Nurse ( RN ) or other clinical licensure **Preferred Qualifications** ... and related work experience including: + Bachelor's degree in Nursing, Clinical Studies, Health Care , or related field + At least 1 year of licensed health… 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)
- …Strategy and Analytics. This role is not a traditional software product manager role. Instead, it requires demonstrated expertise in healthcare delivery, provider ... with high-performing provider groups to understand clinical workflows, transitional care processes, and operational drivers that contribute to lower readmission… more
- CenterWell (Springfield, IL)
- …* Bachelor's degree in Healthcare Administration, Business, Nursing, or related field required. * Master's degree (MHA, MBA, MSN, or similar) preferred. ... in KPI-driven performance management. **Preferred Certifications:** * Certified Healthcare Access Manager (CHAM) * Certified Revenue Cycle Professional (CRCP) * Lean… more
- CenterWell (Springfield, IL)
- …an impact** **Required Qualifications** + Bachelor's degree in Nursing or related field + 10-15 years progressively responsible experience in home health or hospice ... experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and… more