- 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
- Molina Healthcare (Mount Vernon, IL)
- **JOB DESCRIPTION** Opportunity for Illinois licensed RN to join Molina as a Remote Case Manager working with our Medicare members in south central Illinois ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Rockford, IL)
- …DESCRIPTION** Opportunity to join Molina Healthcare working with our Medicaid members as a Case Manager . This is open to Illinois licensed RNs across the state ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Cardinal Health (Springfield, IL)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... and customers, striving for one-call resolution. + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Must… more
- Molina Healthcare (Peoria, IL)
- …Registered Nurse who lives in Illinois and must be licensed for the state of Illinois Case Manager will work in remote and field setting supporting our ... Medicaid Population with. Case Manager will be required to physically... managers + Works cases with members who have complex medical conditions and medication regimens + Conducts medication… more
- CVS Health (Springfield, IL)
- …expense reimbursement policy **Preferred Qualifications** + Compact RN licensure + Certified Case Manager + Telephonic Nursing experience + Home Health ... needs and ensure seamless transitions between different care settings. + Analyzes complex patient data from medical history, diagnostic test results, and treatment… more
- CVS Health (Chicago, IL)
- …, must be able to pass a proficiency exam.** **Position Summary** The Clinical Case Manager , Behavioral Health, is responsible for driving and supporting care ... it all with heart, each and every day. **Fully remote role with requirement to hold an active Illinois...assessments of member's needs and recommends an approach to case resolution by meeting needs in alignment with their… more
- CVS Health (Springfield, IL)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers… more
- Sedgwick (Naperville, IL)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **_This Field Case Manager will cover ... be considered._** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Cardinal Health (Springfield, IL)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... and customers, striving for one-call resolution. + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Must… more
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