- 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
- 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 Degree/Certificate… 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...of Illinois preferably in the Lake County area.** + Registered Nurse ( RN ) in the… 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 ... perspective on workplace flexibility. NOTE: This is a fully remote role with serving maternity and postnatal members with...2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse -… 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
- CenterWell (Springfield, IL)
- …**Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license with authorization to practice in ... individual circumstances and company policy. **This is not a remote or work-from-home position. This position requires you to...insurance and reliable transportation. + Two years as a Registered Nurse ( RN ) with at… more
- Sharecare (Springfield, IL)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more
- Humana (Springfield, IL)
- …Scott, Shelby, Springfield, Tazewell, Vermilion, and Woodford._ + An active, unrestricted, Registered Nurse **( RN )** license, Licensed Clinical Social Worker ... of nurses, care coordinators and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific… 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...best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training… 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
- US Tech Solutions (Springfield, IL)
- …Will + Kane + Winnebago + Rock Island **Job Overview** The **Field-Based Case Manager ** is responsible for coordinating and managing care for elderly members and ... role uses a collaborative, member-centric approach to assess needs, develop care plans, coordinate services, and advocate for optimal, cost-effective outcomes. The… 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
- 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
- CenterWell (Springfield, IL)
- …initiatives. **Use your skills to make an impact** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred_ + Minimum ... operations to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient base growth,… 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)
- …in KPI-driven performance management. **Preferred Certifications:** * Certified Healthcare Access Manager (CHAM) * Certified Revenue Cycle Professional (CRCP) * Lean ... Belt or higher) * Project Management Professional (PMP) * Nursing license ( RN or LPN/LVN) preferred but not required **Additional Information:** To ensure Home… more
- CenterWell (Springfield, IL)
- …experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and ... assigned **Preferred Qualifications** + Master's Degree preferred + Licenses/Certification: RN , PT or OT preferred + More than 3...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more