- Humana (Harrisburg, 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
- Humana (Springfield, IL)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Robert Half (Chicago, IL)
- JOB REQUISITION Chicago Office & Technology Coordinator LOCATION CHICAGO ADDITIONAL LOCATION(S) JOB DESCRIPTION You Belong Here The Protiviti Career provides ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we...Need You We are seeking an Office & Technology Coordinator to join our Chicago office. Protiviti works in… more
- Cardinal Health (Springfield, IL)
- …long- and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial plans while planning for various ... Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings… more
- CVS Health (Carol Stream, IL)
- …clinical case management or crisis intervention as appropriate. - Coordinates and implements assigned care plan activities and monitors care plan ... with heart, each and every day. **Position Summary** This Care Management Coordinator position is with Aetna's...- Case management and discharge planning experience preferred - Managed Care experience preferred - Microsoft Office… more
- Prime Healthcare (Chicago, IL)
- …of conducting initial and periodical comprehensive, accurate assessments of each resident to plan care that allows the resident to reach his/her highest ... Review, Case Management, business office or related department. Experience in a Managed Care environment will be accepted for partial qualifications. 3.… more
- Rush Copley Medical Center (Aurora, IL)
- …eligibility** + **Minimum of two years previous coding experience** + **Thorough knowledge managed care plan requirements and limitations** Rush is an ... equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status and other legally protected characteristics. If you are a qualified… more
- Humana (Springfield, IL)
- …physicians, staff, or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions; documenting interventions ... analytics, or diagnosis triggers, helping them to address immediate care needs, treatment plan adherence, and develop.... + 3 or more years of clinical or managed care experience. + Experience in managing… more
- Rush University Medical Center (Chicago, IL)
- …who provides patient care through a diverse role as a clinician, educator, care coordinator , and advocate. The Social Work Care Manager I collaborates ... Experience utilizing motivational interviewing preferred. * Experience working with managed care in a health care...services to address person/family/caregiver needs. * Develops a psychosocial plan of care and serve as a… more
- CVS Health (Springfield, IL)
- …and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator , Social Worker, and other ... Summary** As an essential member of our Special Needs Plan (SNP) care team, the telephonic ...of care management within Medicare and Medicaid managed care . + **Community Resources:** Familiarity with… more