- CVS Health (Springfield, IL)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... in a hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Centene Corporation (Chicago, IL)
- …**Candidates must reside within 30 miles of Peoria.** **What We're Looking For:** + ** Registered Nurse ( RN ) with active Illinois license** + **Experience in ... case management and/or utilization review ** + **Previous work in an...4 - 6 years of related experience. **License/Certification:** + RN - Registered Nurse -… more
- Sharecare (Springfield, IL)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more