- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** We are seeking a highly skilled and motivated Business Intelligence Engineer 2 to join our ... + Experience working with Medicaid data + Strong written and verbal communication **Work-At- Home Requirements** + At minimum, a download speed of 25 mbps and an… more
- Molina Healthcare (Freeport, IL)
- …members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members. + Assesses ... and ensure they have care plans based on their concerns/ health needs. Members have required assessments every six months...work remotely primarily in the Rockford and Freeport IL Home office with internet connectivity of high speed required… more
- Humana (Springfield, IL)
- …Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , DME, skilled nursing facility and waiver requests. The Medical ... on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation.… more
- Molina Healthcare (Olney, IL)
- …outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/ home and community ... times when you may be asked to make a home visit to a member who is near you....integrated delivery of care across the continuum, including behavioral health and long term care, for members with high… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure ... and analysis skills** **Prior experience in a fast-paced insurance or health care setting** **Demonstrated experience working with Medicare and Medicaid programs**… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical records ... coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies… more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …performs all aspects of skilled infusion nursing care for patients in the home setting or ambulatory infusion suite. Participates in teaching patients and identified ... care givers home management of the infusion patient. Provides leadership by...Provides care including patient assessment and reassessment, patient and caregiver teaching, development and revision of the Plan of… more
- CenterWell (Springfield, IL)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The Clinical Pharmacy Lead requires a broad...and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** The Director, Risk Adjustment Strategy Advancement will provide business intelligence and ... + Executive communications experience both written and verbal **Additional Information** **Work-At- Home Requirements** + WAH requirements: Must have the ability to… more
- Humana (Springfield, IL)
- **Become a part of our caring community and help us put health first** We are seeking a talented and motivated Senior Cognitive/Machine Learning Engineer to join our ... processing (NLP). + Familiarity with big data technologies (eg, Hadoop, Spark). **Work-At- Home Requirements** + WAH requirements: Must have the ability to provide a… more