• RN , Utilization Management

    Humana (Springfield, IL)
    …health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge ... and Utilization Management experience. The Utilization Management Behavioral Health Nurse ...Qualifications** + Minimum of Associate's Degree in Nursing + Registered nurse with active Compact Licensure and… more
    Humana (04/25/24)
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  • Utilization Management

    Humana (Springfield, IL)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...to make an impact** **Required Qualifications** + Licensed unrestricted Registered Nurse ( RN ) in the… more
    Humana (04/27/24)
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  • RN , Virtual Care (overnight)

    ChenMed (Chicago, IL)
    …providers. We're rapidly expanding and we need great people to join our team. The Registered Nurse 1, Care Line, is responsible for providing telephonic ... and assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
    ChenMed (04/27/24)
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  • Managed Care Coordinator Clinician Non RN

    Elevance Health (Springfield, IL)
    …within the scope of licensure including, for example, assisting the responsible RN with telephonic assessments for the identification, evaluation, coordination ... of consideration for employment. **Managed Care Coordinator Clinician Non RN ** + Job Family: MED > Licensed/Certified - Other...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
    Elevance Health (04/20/24)
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  • Staff Professional-Risk Mgmt

    Marriott (Springfield, IL)
    …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... with supervisor keeping him/her informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational health nurse more
    Marriott (04/23/24)
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  • Clinical RD - Comprehensive Care (Part-Time)

    Sharecare, Inc. (Springfield, IL)
    …for supporting goals and objectives of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, ... the health care team to support appropriate total healthcare management . RD colleague is supervised by an Operations Manager....will follow company policy to transfer call to an RN or appropriate colleague when member needs are outside… more
    Sharecare, Inc. (04/23/24)
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