- Humana (Springfield, IL)
- …where your clinical expertise and passion for accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation ... relevant coding. + Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management....skills to make an impact** **Required Qualifications** + Registered nurse (RN). + 5 or more years of clinical… more
- CVS Health (Springfield, IL)
- …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
- Humana (Springfield, IL)
- …and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and procedures; applies ... tactical operations for projects and initiatives involving own departmental area. The Manager , Care Management supervises, direct and evaluate a diverse group of… more