- Molina Healthcare (Springfield, IL)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP),… more
- CVS Health (Springfield, IL)
- …of network management, clinical coverage, and policies. Position Summary/Mission Community Care Case Manager use a collaborative process of assessment, planning, ... CM, discharge planning and/or home health care coordination experience + Certified Case Manager is preferred. + Excellent analytical and problem-solving skills… more
- CVS Health (Springfield, IL)
- …the Peoria area. Schedule is Monday-Friday, standard business hours, 8:00am-5:00pm CST. Nurse Case Manager is responsible for telephonically and/or face to face ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's… more
- CVS Health (Springfield, IL)
- …with flexibility needed to work between 5pm to meet member needs. The Clinical Case Manager - Behavioral Health coordinates all case management activities ... issues; Handles reviews of prior claims to address potential impact on current case management and eligibility; Creates a holistic approach to assess the need for… more
- CVS Health (Springfield, IL)
- …make health care more personal, convenient and affordable. Position SummaryCommunity Care Case Manager use a collaborative process of assessment, planning, ... of role development, state licensing laws may apply + Certified Case Manager is preferred. + Additional national professional certification (CRC, CDMS, CRRN,… more
- CVS Health (Springfield, IL)
- …health care more personal, convenient and affordable. Position Summary Community Care Case Manager use a collaborative process of assessment, planning, ... of role development, state licensing laws may apply * Certified Case Manager is preferred. * Additional national professional certification (CRC, CDMS, CRRN,… more
- Elara Caring (Springfield, IL)
- …Right Care, at the Right Time, in the Right Place. **Job Description:** **Registered Nurse Case Manager (RN) | Full-Time | In-Home Hospice Visits | Main Office ... good time doing it? Don't wait - Apply today! As an Elara Caring **Hospice Case Manager ** , you'll rock our world in the following ways: + **Transform lives** :… more
- CVS Health (Springfield, IL)
- …health care more personal, convenient and affordable. Position Summary The Clinical Case Manager , Behavioral Health, is responsible for driving and supporting ... simultaneously Preferred Qualifications + Managed care/utilization review experience + Case management and discharge planning experience + Experience providing care… more
- Elara Caring (Springfield, IL)
- …every day-and that could include you. Elara Caring is looking for a passionate ** Case Manager ** to join our elite team of healthcare professionals and make ... a difference, one patient at a time. Why Join the Elara Caring mission? + Supportive, collaborative environment + Unique, rewarding opportunity caring for patients in their homes + Competitive compensation + Comprehensive onboarding and mentorship +… more
- Elara Caring (Springfield, IL)
- …every day-and that could include you. Elara Caring is looking for a passionate ** Case Manager ** to join our elite team of healthcare professionals and make ... a difference, one patient at a time. Why Join the Elara Caring mission? + Supportive, collaborative environment + Unique, rewarding opportunity caring for patients in their homes + Competitive compensation + Comprehensive onboarding and mentorship +… more
- Guardian Life (Springfield, IL)
- Grow your career with Guardian in our newly created opportunity as a **Claim Case Manager II, Supplemental Health** ! In a culture where "People Count," "We Do ... the Right Thing," and "We Hold Ourselves to Very High Standards", we are interested in individuals who are committed to customer satisfaction and an ability to make quick and accurate decisions for wellness benefits. Once proficient, you will be responsible… more
- Highmark Health (Springfield, IL)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Centene Corporation (Springfield, IL)
- …25% OF THE TIME TO VISIT MEMBERS ON THE HOME & COMMUNITY BASED WAIVER PROGRAM. AVERAGE CASE LOAD 60 - 70 MEMBERS - 4-6 ON WAIVERS REQUIRING A HOME VISIT 1 X 90 ... to the day to day operations of the Integrated Case Management functions to include working with members identified...in collaboration with the member, develop and monitor the Case Management Care Plan, monitor quality of care; assisting… more
- CVS Health (Springfield, IL)
- …comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while… more
- Cayuse Holdings (Springfield, IL)
- …a Referral (https://careers-cayuseholdings.icims.com/jobs/1187/urban-%26-community-forestry- case - manager ... **Overview** The Urban Forestry Case Managers will play a crucial role in...or related field + 3-5 years of project or case management experience, preferably with municipal or community experience… more
- Cardinal Health (Springfield, IL)
- **_What Individualized Care contributes to Cardinal Health_** Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with ... non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product… more
- Intermountain Health (Springfield, IL)
- …Healthcare Provider. Preferred Qualifications + Bachelor's degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position ... level. + 2 years' nursing experience outpatient care. + 1 year Care Management experience. **Physical Requirements:** Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess patient needs.… more
- Keurig Dr Pepper (Springfield, IL)
- …customer fill rate, OEE2, unplanned and planned downtime and maintenance rate per case . The Manager of Technical, Maintenance and Reliability Excellence, E&T ... Job Overview The Manager of Technical, Maintenance and Reliability Excellence, E&T...key performance measures for safety, quality, maintenance cost per case , delivery and growth/engagement. Ensure high performance results of… more
- Marriott (Springfield, IL)
- …a licensed registered nurse + Certification as an occupational health nurse and/or case manager (or, progress toward same) required + Jurisdictional requirements ... **Additional Information** Nurse CARE Manager (CARE - Coordinated Action and Response)Registered Nurse license required **Job Number** 24069165 **Job Category**… more
- Highmark Health (Springfield, IL)
- …Worker (LSW) + Licensed Marriage and Family Therapist (LMFT) **Preferred** + Certified Case Manager + CAC - Certified Addiction Counselor **SKILLS** + Advanced ... SUMMARY** This job provides telephonic integrated behavioral and physical health case and condition management services to members with mental health, substance… more