- Humana (Springfield, IL)
- …experience in: pediatrics, behavioral health, and/or ASD; healthcare environment; including managed care experience. **OR** **Licensed Clinical Social Worker ... ACD. Additionally, this role serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in... care . + Minimum of 1 year of managed care experience. The Care … more
- Gentiva (Buffalo Grove, IL)
- … care experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and organizational skills + ... **Overview** **Lead Compassion. Inspire Excellence. Elevate Hospice Care .** We are seeking a Senior Patient ...to referrals and clinical inquiries + Serve as a liaison between clinical teams, leadership, and external providers +… more
- Cardinal Health (Springfield, IL)
- …Medicare, Medicaid , and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) pharmacy ... accounts from a managed care contracting perspective. The primary purpose...Administrative Organization's (PSAO) efforts. This position will be a liaison for regional chain pharmacy PSAO members, supporting general… more
- Molina Healthcare (Rockford, IL)
- …Navigator, Assistor, Connecter, Promotora, Marketing, Sales, Growth, Nevada Health Link, MCO, Managed Care , ACA, FQHC, Behavioral Health, CHW, Community Health ... experience in a senior or lead capacity. + Solid understanding of Health Care Markets, primarily Medicaid . + Previous healthcare marketing, enrollment and/or… more
- Genesis Orthopedics & Sports Medicine (Chicago, IL)
- … care services + Familiarity with the Illinois healthcare market + Understanding of Medicaid and managed care frameworks Benefits Genesis is an equal ... with a pioneering administrative model-one that expands access to care for underserved communities, including those on Medicaid...will be responsible for hiring and managing a physician liaison team to support and scale the partnership model… more
- Carle Health (Peoria, IL)
- …the community and patient needs; coordinates treatment goals with community agencies, primary care physicians, court system, and managed - care entities. Key ... is recognized as a Qualified Mental Health Professional under Medicaid Community-Based Mental Health Services Rule 140. Qualifications **Educational Requirements**… more
- Carle Health (Peoria, IL)
- …the community and patient needs; coordinates treatment goals with community agencies, primary care physicians, court system, and managed - care entities. + May ... as a Licensed Practitioner of the Healing Arts under Medicaid Community-Based Mental Health Services Rule 140. Qualifications **License/Certifications:** LCPC,… more
- Carle Health (Peoria, IL)
- …the community and client needs; coordinates treatment goals with community agencies, primary care physicians, court system, and managed - care entities. **Key ... Individual will demonstrate knowledge and skills necessary to provide appropriate care to clients with severe and persistent mental illnesses. Individual will… more
- Carle Health (Peoria, IL)
- …the community and client needs; coordinates treatment goals with community agencies, primary care physicians, court system, and managed - care entities. + ... Individual will demonstrate knowledge and skills necessary to provide appropriate care to clients with severe and persistent mental illnesses. Individual will… more
- CVS Health (Springfield, IL)
- …**Preferred Qualifications** + Case management and discharge planning experience. + Managed care /utilization review experience. + Crisis intervention skills. + ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex… more
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