- Humana (Wheeling, IL)
- …with resources appropriate for the care and wellbeing of members. The LTSS Care Coordinator ( Care Coach 1) employs a variety of strategies, approaches, ... techniques to manage a member's health issues. The LTSS Care Coordinator ( Care Coach 1)...care services, Home and Community-Based Services (HCBS), and/or managed care organizations. + Intermediate to advanced… more
 
- Carle Health (Peoria, IL)
- …manner and in compliance with established standards of the State of Illinois, Managed Care Organizations, related contracts , and UnityPlace. + Provides ... Overview Under the general supervision of the Supervisor, Care Coordination, will provide behavioral/physical health assessment and treatment planning, case… more
 
- Cardinal Health (Springfield, IL)
- …+ Minimum 2 years of experience in Insurance follow-up preferred + Understanding of managed care contracts and fee schedules, including Medicare and Medicaid ... accurately, efficiently, promptly, recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims.… more
 
- Humana (Springfield, IL)
- …health care delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours** : Monday - Sunday; ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance, support, and...involvement. The case manager will serve as the primary coordinator and point of contact for the beneficiary for… more
 
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