- Humana (Springfield, IL)
- …where your clinical expertise and passion for accuracy will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation ... relevant coding. + Identifies the root cause analysis of audit findings and submits recommendations for appropriate change management....skills to make an impact** **Required Qualifications** + Registered nurse (RN). + 5 or more years of clinical… more
- Fresenius Medical Center (Chicago, IL)
- …any other treatment related data into systems. + Ensures regulatory, compliance, and audit activities are accomplished on time. + Orients and supports all new home ... therapies staff and provides ongoing education, ensuring compliance with all risk management initiatives, including in-center staff. + Responsible for hiring, coaching, and counseling employees, including performance reviews, disciplinary action, and… more
- Sunrise Senior Living (St. Charles, IL)
- …be a part of.** **Job ID** 2025-232958 **JOB OVERVIEW** The LPN Medication Care Manager is responsible for providing the highest degree of quality care and services ... medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and...supervisor. + Count all narcotics with another Medication Care Manager (MCM) or Lead Care Manager (LCM)… more
- Sunrise Senior Living (Bloomingdale, IL)
- …be a part of.** **Job ID** 2025-234103 **JOB OVERVIEW** The LPN Medication Care Manager is responsible for providing the highest degree of quality care and services ... faxed to pharmacy accurately and promptly. + Complete MAR/TAR audit each month. + Demonstrate and is knowledgeable of...Maintains a current state/provincial license as a professional Registered Nurse (RN) + Minimum of one (1) year experience… more
- CVS Health (Springfield, IL)
- …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
- ChenMed (Glenwood, IL)
- …expanding and we need great people to join our team. The Center Clinical Manager (CCM) is an active leadership role responsible for the day-to-day management of back ... that help the center meet/exceed organizational goals. The Center Clinical Manager demonstrates thorough knowledge and proficiency in healthcare data analytics,… more
- Humana (Springfield, IL)
- …and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and procedures; applies ... tactical operations for projects and initiatives involving own departmental area. The Manager , Care Management supervises, direct and evaluate a diverse group of… more
- Elevance Health (Chicago, IL)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- ICW Group (Lisle, IL)
- …goals. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Provides oversight for all vended Nurse Case Management (NCM) products, including Field Case Management (FCM) and ... Nurse Triage programs. + Builds strong relationship with external...containment program support. + Provides support to claims and audit teams as needed for medical management oversight results… more
- Carle Health (Urbana, IL)
- Overview Under the direction of a Registered Nurse (RN), the Health Care Technician (HCT) functions as a support to the licensed nursing staff and performs ... liaison for the unit. Works under the direct supervision of the nursing manager . Qualifications Certifications: Basic Life Support (BLS) within 30 days - American… more