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Care Manager
1 day ago
Hueman PE Talent Solutions Chicago, United StatesThe Care Manager serves as an integral part of the care team. The Care Manager will actively manage an assigned set of patients who are identified to be at high risk for avoidable and unnecessary utilization of hospital/system resources. The Care Manager will provide services to ...
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Manager of Care Management
10 hours ago
Shriners Children's Chicago, United StatesCompany Overview: · Shriners Children's is a family that respects, supports, and values each other. We are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values eviden ...
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Managed Care Specialist
10 hours ago
USA Clinics Group Chicago, United StatesThe **Managed Care Specialist **partners with the** Manager of Contracting and Payor Relations **on the implementation of payor strategy, focusing on payor operations, client services, and process improvement. This role ensures resolution of payor issues received from the field, ...
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Social Care Management
5 hours ago
Quantum Innovations Hazel Crest, United StatesAre you passionate about helping people in your nursing profession and value finding joy in your work? · ▸ If respectful communication in the workplace is important to you · ▸ If you are looking for a strong team and a positive work environment · ▸ If appreciation and recogniti ...
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Process Manager for Customer Care
1 day ago
Oceanic Solutions Lake Park, United StatesYou will be responsible for quality assurance of ***** processed by external service providers in the Shared Service. Here, you will derive measures to improve these processes. · You will also be responsible for developing, establishing, and implementing quality assurance standar ...
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Harvester Place Burr Ridge, United States Full time**RESIDENT CARE ASSISTANT** · ABOUT US: · Anthem Memory Care is guided by a single purpose: To engage, protect, and love people living with memory loss. We are committed to sustaining a safe, active, and loving environment; to give our families peace of mind; to be patient, seeki ...
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Cash Managment Services Teller
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Loomis Armored US, LLC Burr Ridge, United StatesWith a network of nearly 200 branches, Loomis armored transportation, cash management centers, and cash inventory vaults keep cash flowing throughout financial institutions and retail businesses across the US. Loomis prides itself on providing employees with opportunities for car ...
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Business Analyst
10 hours ago
The University of Chicago Burr Ridge, United StatesDepartment · BSD UCP - Revenue Cycle - Revenue Capture · About the Department · The University of Chicago Physicians' Group (UCPG) is a component of the physician practice plan for the University of Chicago. The UCPG department provides billing services for medical services provi ...
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Child Care Executive Director, Regional Manager in
10 hours ago
The Learning Experience #121 Lincolnwood, United States**Benefits**: · - 401(k) · - Competitive salary · - Dental insurance · - Employee discounts · - Health insurance · - Paid time off · - Training & development · - Tuition assistance · - Vision insurance · - Bonus based on performance · **Role: Executive Center Director** · - Join ...
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Corporate Customer Care Travel Management
1 week ago
SilverLinx Yorkville, WI, United States FreelanceWe are currently seeking employees (m/f/d) for a permanent position with our client in Yorkville, WI. Our client is a travel agency that exclusively serves corporate clients. These clients are mostly small and medium-sized consulting companies whose employees (m/f/d) have a high ...
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Patient Care Manager Hospice
2 days ago
Texas Health Huguley FWS Hinsdale, United StatesJob Description - Patient Care Manager Hospice · Job Description · Patient Care Manager Hospice · ( · Job Number: · ) · Description · Registered Nurse RN Hospice *Sign-On Bonus · All the benefits and perks you need for you and your family: · Benefits from Day One · Paid Days ...
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Assistant Patient Care Manager, Adult Ed, Nights
10 hours ago
The University of Chicago Medicine Chicago, United States**Job Description**: · Join** UChicago Medicine**, **as an** Assistant Patient Care Manager **in the** Adult Emergency Department.** · The University of Chicago Medicine is designated as a Level 1 Adult Trauma Center, meaning the hospital is prepared to handle the most seriously ...
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Social Work Care Manager PRN
14 hours ago
Adventist Health System Hinsdale, United StatesOur promise to you: · Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally ...
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Registered Nurse RN Care Manager
2 days ago
AdventHealth Hinsdale, United StatesAll the benefits and perks you need for you and your family: · Benefits from Day One · Paid Time Off from Day One · Whole Person Wellbeing Resources · Student Loan Repayment Program · Career Development · Mental Health Resources and Support · Debt-free Education (Certificat ...
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Social Work Care Manager PRN
20 hours ago
UChicago Medicine AdventHealth Great Lakes Hinsdale, United StatesOur promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, ...
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Social Work Care Manager PRN
20 hours ago
AdventHealth Hinsdale, United States**Our promise to you:**Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionall ...
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Employee Corporate Services
1 week ago
Emerald Enterprises Willow Springs, IL, United States Freelance**To strengthen our team at Willow Springs, IL, we are looking for a:** · **Corporate Services Employee [m/f/d]**: · **Your tasks**: · - You support all activities related to the internal fleet · - You also manage travel management · - You play a central role in various projects ...
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Specialist (m/f/d) | Nephrology (4563)
5 hours ago
Omega Enterprises Countryside, United StatesFor a client in the Bremen commuter area, we are currently seeking a specialist (m/f/d) for the clinic of nephrology. The clinic is a maximum care facility with over 100 beds. The medical clinic of internal medicine and nephrology conducts all examinations and treatments with sta ...
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HR Coordinator
1 week ago
Redwood Ventures Countryside, IL, United States Freelance**HR Coordinator (Focus on Recruiting) (m/f/d)**: · **You have a desire to:** · - support and assist the HR team in all HR processes and projects · - be responsible for the care of our employees, trainees, temporary workers, and interns · - find and attract the best candidates wi ...
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Jr. Graphic Studio Designer
10 hours ago
Nexgen Packaging LLC Westmont, United StatesPosition: Jr. Graphic Studio Designer (Temp-Position) · Company: Nexgen Packaging LLC · Location: Westmont, IL (In-Person) · **Join Our Team** · Nexgen Packaging is an industry leading supplier of sustainable trim, label and packaging products for the retail, apparel and footwear ...
Care Manager I - Burr Ridge, United States - Illinois Health Plan
3 weeks ago
Description
You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective careDevelop, assess and adjust, as necessary, the care plan and promote desired outcomeAssess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
Provide patient and provider education
Facilitate member access to community based services
Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
Actively participate in integrated team care management rounds
Identify related risk management quality concerns and report these scenarios to the appropriate resources
Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
For LTSS - 30% travel to perform home visits to members
For New Hampshire, Massachusetts, & Michigan Complete Health - home visits required
This is a fully remote, telephonic case management position serving members in the the IL market.
Highly preferred experience: Previous case management experience from a managed care organization.
Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.
Licenses/Certifications: Current state's RN license.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
