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Gentiva
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Springfield, Illinois
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:
A dedicated Accolade Care Coordinator for personalized care management support of all your ... , grace, and love.
**As a Hospice RN/ RN Case Manager, you will
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CVS Health
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Springfield, Illinois
...
strategies, policies and programs are comprised of network management, clinical coverage, and policies ... quality, cost effective outcomes.
Fundamental Components & Physical Requirements
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Intermountain Health
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Springfield, Illinois
...
resources while balancing clinical quality and cost management.
Posting Specifics
Pay Range: $ ... telephone, or other electronic means.
Job Essentials
General case management
Responds to
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Humana
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Springfield, Illinois
...
Telephonic opportunity
As a Utilization Management RN working on the Home Solutions team, you will have ... service is required for this position --_
The Utilization Management Nurse 2 helps to ensure fully
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CVS Health
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Springfield, Illinois
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:
Utilizes case management and quality management processes in compliance with regulatory and accreditation ... care coordination, support and education for members through the use of care management tools and
...
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CVS Health
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Springfield, Illinois
...
:
Utilizes case management and quality management processes in compliance with regulatory and accreditation ... care coordination, support and education for members through the use of care management tools and
...
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Humana
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Springfield, Illinois
...
Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse
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Veterans Affairs, Veterans Health Administration
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Springfield, Illinois
...
assigned catchment area. The HPBC RN develops and coordinates the patient's plan of care, interacting ... education and support and providing intensive case management. Responsibilities The Registered Nurse, Home
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Sharecare, Inc.
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Springfield, Illinois
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management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also ... , efficient and cost-effective manner while ensuring high quality care. The RN coordinates with the Primary
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CVS Health
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Springfield, Illinois
...
.
This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live in any state.
As a Utilization Management Nurse Consultant, you will utilize clinical skills to
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Centene Corporation
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Springfield, Illinois
...
developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective ... these areas or very close to these zip codes, (2) have experience with case management, working with
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CVS Health
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Springfield, Illinois
...
.
Position Summary
Provide comprehensive healthcare management services to facilitate appropriate ...
Facilitates optimal outcomes
Identifies and follow through with continuous quality/ compliance
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CVS Health
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Springfield, Illinois
...
.
Position Summary
Utilization Management is a 24/7 operation and work schedule may include weekends ... , services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services
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Fresenius Medical Care North America
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Springfield, Illinois
...
requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in ... . Has a larger range within the department.
Responsible for supporting and driving FMS quality
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Centene Corporation
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Springfield, Illinois
...
).**
THIS ROLE IS SUPPORTING THE YOUTHCARE/FOSTER CARE PROGRAM AND REQUIRES A BSN RN LICENSURE. MUST BE ABLE ... : Develops, assesses, and facilitates complex care management activities for primarily physical needs members
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Humana
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Springfield, Illinois
...
Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse
...
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CVS Health
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Springfield, Illinois
...
, team-delivered, community-based care management model that joins members where they are. With ... strategies, policies and programs are comprised of network management, clinical coverage, and policies
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Centene Corporation
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Springfield, Illinois
...
management, working with aging and disability waiver members, and home visits. **
Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality
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Elara Caring
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Springfield, Illinois
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constructive feedback and develop both clinical quality, core competencies, and productivity with direct
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Elara Caring
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Springfield, Illinois
...
there’s no place like home, and that’s why our teams continue to provide high-quality care to more than ... , unrestricted state RN licensee
1+ year experience in a clinical care setting as a nurse
Able and
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Elara Caring
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Springfield, Illinois
...
no place like home, and that’s why our teams continue to provide high-quality care to more than 60 ... other team members.
What is Required?
Current, unrestricted state RN licensee
1
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Elara Caring
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Springfield, Illinois
...
high-quality care to more than 60,000 patients each day in their preferred home setting. Wherever our ... , unrestricted state RN licensee
1+ year experience in a clinical care setting as a nurse
Able and
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Highmark Health
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Springfield, Illinois
...
/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel ... (symptom management, managing signs/symptoms as a complication of treatment plan. The incumbent will be
...
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Highmark Health
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Springfield, Illinois
...
implements effective complimentary utilization and case management strategies for an assigned member panel ... needs; and assesses health management needs of the assigned member panel and utilizing data/analytics in
...
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Highmark Health
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Springfield, Illinois
...
/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel ... (symptom management, managing signs/symptoms as a complication of treatment plan. The incumbent will be
...
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Highmark Health
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Springfield, Illinois
...
/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel ... (symptom management, managing signs/symptoms as a complication of treatment plan. The incumbent will be
...
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Highmark Health
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Springfield, Illinois
...
/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel ... (symptom management, managing signs/symptoms as a complication of treatment plan. The incumbent will be
...
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CVS Health
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Springfield, Illinois
...
comprehensive health needs through communication and available resources to promote quality, cost effective ... case management activities relating to catastrophic cases and chronically ill beneficiary across the
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Highmark Health
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Springfield, Illinois
...
to care and complex care management
Participate in team meetings as scheduled.Join APP and RN on ... management, quality and medical policy
Experience working in a highly matrixed clinical structure
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Highmark Health
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Springfield, Illinois
...
implements effective complimentary utilization and case management strategies for an assigned member panel ... needs; and assesses health management needs of the assigned member panel and utilizing data/analytics in
...
