- Highmark Health (Springfield, IL)
- …and timely processing of pre-certification requests for authorization of medically necessary health care services, at the appropriate level of care , based on the ... and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers and … more
- CVS Health (Palatine, IL)
- …And we do it all with heart, each and every day. **Position Summary** This Care Management Coordinator position is with Aetna's Long Term Services & ... care coordination, support and education for members through the use of care management tools and resources. Evaluation of Members: -Through the use of … more
- Centene Corporation (Westmont, IL)
- …Monday through Friday 8-4:30 pm CT **Position Purpose:** Supports administrative care management activities including performing outreach, answering inbound ... applicants who (1) reside in Illinois and have experience with (2) utilization management , authorizations or managed care . Additional Details: * Business Unit:… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …education, self- management , and customer satisfaction throughout the continuum of care . Responsibilities Community Care (CC) Coordinator Registered Nurse ... CC Coordinator possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical… more
- Humana (Chicago, IL)
- …interaction with resources appropriate for the care and wellbeing of members. The Care Coordinator ( Care Coach 1) employs a variety of strategies, ... and techniques to manage a member's health issues. The Care Coordinator ( Care Coach 1)...One (1) or more years of experience in health care and/or case management . + One (1)… more
- Sunrise Senior Living (Westmont, IL)
- …NAME** Sunrise of Westmont **Job ID** 2025-233225 **JOB OVERVIEW** The Resident Care Coordinator (RCC) is responsible for providing overall leadership and ... the leadership and promotion of all Sunrise policies and programs related to resident care , quality, safety, and risk management . **Financial Management ** +… more
- Humana (Chicago, IL)
- …a part of our caring community and help us put health first** The Care Coordinator / Care Coach 2 (Transition/Custodial Prevention Specialist) assesses and ... the care and wellbeing of members. The Care Coordinator / Care Coach 2 work...(RN) in Illinois. + Nursing home diversion or long-term care case management experience. + Experience working… more
- Humana (Springfield, IL)
- …caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures ensuring best… more
- Trinity Health (Maywood, IL)
- …Type:** Full time **Shift:** Day Shift **Description:** **Great opportunity for a RN Care Coordinator - Population Health to work in an organization that ... the whole person, physically, emotionally** **and spiritually.** We are seeking a **RN Care Coordinator - Population Health** who is dedicated to providing… more
- CVS Health (Springfield, IL)
- …do it all with heart, each and every day. **Position Summary** This Case Management Coordinator position is with Aetna's Long-Term Services and Supports (LTSS) ... meet with members face to face. As a Case Management Coordinator you will facilitate appropriate healthcare...support and education for members through the use of care management tools and resources. Travel: 50-75%… more