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Showing 28 Healthcare jobs in Springfield
Field Care Manager, Behavioral Health
62762 Springfield, Illinois
Humana
Posted 1 day ago
Job Viewed
Job Description
**Become a part of our caring community and help us put health first**
The Field Care Manager, Behavioral Health performs primarily face to face and telephonic assessments with members. The Field Care Manager serves as the primary point of contact. providing integrated care to ensure members receive timely, high-quality, and coordination services that meet their unique needs. This position employs a variety of strategies, approaches, and techniques to manage a member's health issues and identifies and resolves barriers that hinder effective care. Through a holistic, person-centered approach, the Field Care Manager BH remains dedicated to enhancing behavioral health outcomes, reducing care gaps, and supporting Illinois' FIDE population with comprehensive, integrated behavioral health care management.
**Position Responsibilities:**
+ Utilize high-quality, evidence-based behavioral health services through personalized care coordination, crisis intervention, peer support, and strong collaboration with medical and behavioral health providers.
+ Provide comprehensive, integrated support to members experiencing behavioral health conditions, including children, adolescents, adults with serious mental illness (SMI) and serious emotional disturbance (SED), Substance Use Disorders (SUD) and justice-involved members.
+ Engages members in their own communities, meeting them face-to-face whenever possible to build trust and facilitate meaningful care coordination.
+ Complete all required assessments, including the Comprehensive Risk Assessment (HRA).
+ Coordinates behavioral health and medical services, ensuring appropriate provider engagement and adherence to treatment plans.
+ Improve member's health literacy while simultaneously addressing health related social needs to positively impact member's healthcare outcomes and well-being.
+ Serving as the quarterback of the member's interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery.
+ Facilitating ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders.
+ Proactively support transition of care efforts
+ Engaging in biannual and quarterly face-to-face visits, ensuring continuous monitoring and proactive intervention.
+ Must be able to work with autonomy but reach out when support is needed.
+ Collaborates with internal departments, providers, and community-based organizations to link to appropriate services and create a seamless, culturally competent care experience that respects the members' preferences and needs.
+ Will follow processes, and procedures to ensure compliance with regulatory requirements by the Illinois Department of Human Services (IDHS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA).
+ Other job duties as assigned
**Use your skills to make an impact**
**Required Qualifications**
+ **Must reside in Illinois; This role will be regionally based in:** **_Marion, Illinois; DeKalb Illinois; and McHenry County areas_**
+ **Active Illinois licensed LCSW, LMFT or LCPC** **(No supervisees or provisional licenses)**
+ Minimum of 2 years of post-degree clinical experience in behavioral health setting
+ Case management experience working with complex SMI, SUD, SED population
+ Ability to travel to region-based facilities and homes for face-to-face assessments.
+ Exceptional oral and written communication and interpersonal skills with the ability to quickly build rapport
+ Ability to work with minimal supervision within the role and scope
+ Ability to use a variety of electronic information applications/software programs including electronic medical records
+ Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
+ Ability to work a full-time schedule
+ Valid driver's license, car insurance, and reliable transportation.
**Preferred Qualifications**
+ Case Management Certification (CCM)
+ 3-5 years of in-home assessment and care coordination experience
+ Experience working with Medicare, Medicaid and dual-eligible populations
+ Field Case Management Experience
+ Knowledge of community health and social service agencies and additional community resources
+ Previous managed care experience
+ Bilingual
**Additional Information**
+ **Workstyle:** This is a remote position that will require you to travel.
+ **Travel:** Up to 75% of the time for collaboration and face to face meetings as well as field interactions with staff, providers, members, and their families.
+ **Workdays and Hours:** Monday - Friday; 8:00am - 5:00pm Central Standard Time (CST).
**WAH Internet Statement**
+ To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**Interview Format**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$59,300 - $80,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
The Field Care Manager, Behavioral Health performs primarily face to face and telephonic assessments with members. The Field Care Manager serves as the primary point of contact. providing integrated care to ensure members receive timely, high-quality, and coordination services that meet their unique needs. This position employs a variety of strategies, approaches, and techniques to manage a member's health issues and identifies and resolves barriers that hinder effective care. Through a holistic, person-centered approach, the Field Care Manager BH remains dedicated to enhancing behavioral health outcomes, reducing care gaps, and supporting Illinois' FIDE population with comprehensive, integrated behavioral health care management.
**Position Responsibilities:**
+ Utilize high-quality, evidence-based behavioral health services through personalized care coordination, crisis intervention, peer support, and strong collaboration with medical and behavioral health providers.
+ Provide comprehensive, integrated support to members experiencing behavioral health conditions, including children, adolescents, adults with serious mental illness (SMI) and serious emotional disturbance (SED), Substance Use Disorders (SUD) and justice-involved members.
+ Engages members in their own communities, meeting them face-to-face whenever possible to build trust and facilitate meaningful care coordination.
+ Complete all required assessments, including the Comprehensive Risk Assessment (HRA).
+ Coordinates behavioral health and medical services, ensuring appropriate provider engagement and adherence to treatment plans.
+ Improve member's health literacy while simultaneously addressing health related social needs to positively impact member's healthcare outcomes and well-being.
+ Serving as the quarterback of the member's interdisciplinary care team (ICT), overseeing care planning, transitions, and service delivery.
+ Facilitating ICT meetings, ensuring seamless communication among providers, Service Coordinators, and Care Management Extenders.
+ Proactively support transition of care efforts
+ Engaging in biannual and quarterly face-to-face visits, ensuring continuous monitoring and proactive intervention.
+ Must be able to work with autonomy but reach out when support is needed.
+ Collaborates with internal departments, providers, and community-based organizations to link to appropriate services and create a seamless, culturally competent care experience that respects the members' preferences and needs.
+ Will follow processes, and procedures to ensure compliance with regulatory requirements by the Illinois Department of Human Services (IDHS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA).
+ Other job duties as assigned
**Use your skills to make an impact**
**Required Qualifications**
+ **Must reside in Illinois; This role will be regionally based in:** **_Marion, Illinois; DeKalb Illinois; and McHenry County areas_**
+ **Active Illinois licensed LCSW, LMFT or LCPC** **(No supervisees or provisional licenses)**
+ Minimum of 2 years of post-degree clinical experience in behavioral health setting
+ Case management experience working with complex SMI, SUD, SED population
+ Ability to travel to region-based facilities and homes for face-to-face assessments.
+ Exceptional oral and written communication and interpersonal skills with the ability to quickly build rapport
+ Ability to work with minimal supervision within the role and scope
+ Ability to use a variety of electronic information applications/software programs including electronic medical records
+ Intermediate to Advanced computer skills and experience with Microsoft Word, Outlook, and Excel
+ Ability to work a full-time schedule
+ Valid driver's license, car insurance, and reliable transportation.
**Preferred Qualifications**
+ Case Management Certification (CCM)
+ 3-5 years of in-home assessment and care coordination experience
+ Experience working with Medicare, Medicaid and dual-eligible populations
+ Field Case Management Experience
+ Knowledge of community health and social service agencies and additional community resources
+ Previous managed care experience
+ Bilingual
**Additional Information**
+ **Workstyle:** This is a remote position that will require you to travel.
+ **Travel:** Up to 75% of the time for collaboration and face to face meetings as well as field interactions with staff, providers, members, and their families.
+ **Workdays and Hours:** Monday - Friday; 8:00am - 5:00pm Central Standard Time (CST).
**WAH Internet Statement**
+ To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**Interview Format**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$59,300 - $80,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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0
Physician Consultant, Commercial
62762 Springfield, Illinois
EBSCO Information Services
Posted 1 day ago
Job Viewed
Job Description
EBSCO Information Services (EBSCO) delivers a fully optimized research experience, seamlessly integrated with a powerful discovery platform to support the information needs and maximize the research experience of our end-users. Headquartered in Ipswich, MA, EBSCO employs more than 2,700 people worldwide, with most embracing hybrid or remote work models. As an AI-enabled service leader, we thrive on innovation, forward-thinking strategies, and the dedication of our exceptional team. At EBSCO, we're driven to inspire, empower and support research. Our mission is to transform lives by providing reliable and relevant information - when, where and how people need it. We're seeking dynamic, creative individuals whose diverse perspectives will help us achieve this global, inclusive mission. Join us to help make an impact.
**Your Opportunity**
The Physician Consultant is responsible for increasing market-share and mindshare of the Clinical Decisions product portfolio in the US and Canada hospital market. They will establish relationships with key opinion leaders and C-suite clinical leaders at integrated delivery networks, health systems, hospitals, and other healthcare organizations. This unique role is designed for licensed physicians who are passionate about leveraging their clinical expertise to drive business growth.
This remote position is U.S.-based only (excluding U.S. territories).
**What You'll Do**
**Market Development and Pipeline Expansion:**
+ Serve as thought leader and credible voice in the market to promote awareness of our solutions through conference and event participation and peer networking.
+ Identify and cultivate relationships with hospitals and health systems not yet in the active pipeline.
+ Collaborate with marketing and commercial operations to shape campaigns which resonate with clinical executives.
+ Guide and support strategic partnerships, pilots, beta testing, and reference site development to promote growth.
+ Provide input on platform strategy based on market trends and clinical feedback.
**Commercial Support:**
+ Support new logo and expansion sales and renewal conversations to articulate clinical value and problems solved, address objections, and build trust with physician and C-suite stakeholders and decision makers.
+ Help shape proposals and solutions that best align with clinical priorities and pain points.
+ Support customer success programs in driving adoption and showcasing outcomes and value that feeds back into sales enablement.
+ Provide input on commercial strategy based on market trends and clinical feedback.
**Organizational Excellence:**
+ Cultivate a values-driven organization grounded in trust and respect, reflecting our healthcare customers' desire and need to enhance patient experiences and outcomes, while fostering a curious and learning-oriented culture
+ Encourage a culture of continuous learning and development within teams and with collaborators across our organization.
**About You**
+ MD or DO with 5+ years of clinical experience; U.S. licensure required.
+ ABMS Board Certification required (preferably in one or more of the following: Internal Medicine, Pediatrics, OBGYN, General Surgery).
+ Strong executive presence with proven ability to influence decision-makers and engage clinical leaders.
+ Excellent communication, presentation, and solution demonstration skills.
+ Comfortable navigating ambiguity and balancing near-term needs with long-term initiatives.
+ Ability to think strategically and make data-driven decisions
**Pay Range**
USD $216,300.00 - USD $309,000.00 /Yr.
The actual salary offer will carefully consider a wide range of factors including your skills, qualifications, education, training, and experience, as well as the position's work location.
EBSCO provides a generous benefits program including:
-Medical, Dental, Vision, Life and Disability Insurance and Flexible spending accounts
-Retirement Savings Plan
-Paid Parental Leave
-Holidays and Paid Time Off (PTO)
-Mentoring program
And much more! Check it out here: are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, sex, pregnancy status, age, national origin or ancestry, ethnicity, religion, creed, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
We comply with the Americans with Disabilities Act (ADA), as amended by the ADA Amendments Act, and all applicable state or local law.
**Not seeing the perfect job?**
Join the EBSCO talent community to receive updates on new opportunities that align with your skills and interests - register using the links below:
Experienced Talent Community ( Career/Intern Talent Community
**Location** _US-Remote_
**ID** _ _
**Category** _Medical Products and Services_
**Position Type** _Full-Time Regular_
**Remote** _Yes_
**Your Opportunity**
The Physician Consultant is responsible for increasing market-share and mindshare of the Clinical Decisions product portfolio in the US and Canada hospital market. They will establish relationships with key opinion leaders and C-suite clinical leaders at integrated delivery networks, health systems, hospitals, and other healthcare organizations. This unique role is designed for licensed physicians who are passionate about leveraging their clinical expertise to drive business growth.
This remote position is U.S.-based only (excluding U.S. territories).
**What You'll Do**
**Market Development and Pipeline Expansion:**
+ Serve as thought leader and credible voice in the market to promote awareness of our solutions through conference and event participation and peer networking.
+ Identify and cultivate relationships with hospitals and health systems not yet in the active pipeline.
+ Collaborate with marketing and commercial operations to shape campaigns which resonate with clinical executives.
+ Guide and support strategic partnerships, pilots, beta testing, and reference site development to promote growth.
+ Provide input on platform strategy based on market trends and clinical feedback.
**Commercial Support:**
+ Support new logo and expansion sales and renewal conversations to articulate clinical value and problems solved, address objections, and build trust with physician and C-suite stakeholders and decision makers.
+ Help shape proposals and solutions that best align with clinical priorities and pain points.
+ Support customer success programs in driving adoption and showcasing outcomes and value that feeds back into sales enablement.
+ Provide input on commercial strategy based on market trends and clinical feedback.
**Organizational Excellence:**
+ Cultivate a values-driven organization grounded in trust and respect, reflecting our healthcare customers' desire and need to enhance patient experiences and outcomes, while fostering a curious and learning-oriented culture
+ Encourage a culture of continuous learning and development within teams and with collaborators across our organization.
**About You**
+ MD or DO with 5+ years of clinical experience; U.S. licensure required.
+ ABMS Board Certification required (preferably in one or more of the following: Internal Medicine, Pediatrics, OBGYN, General Surgery).
+ Strong executive presence with proven ability to influence decision-makers and engage clinical leaders.
+ Excellent communication, presentation, and solution demonstration skills.
+ Comfortable navigating ambiguity and balancing near-term needs with long-term initiatives.
+ Ability to think strategically and make data-driven decisions
**Pay Range**
USD $216,300.00 - USD $309,000.00 /Yr.
The actual salary offer will carefully consider a wide range of factors including your skills, qualifications, education, training, and experience, as well as the position's work location.
EBSCO provides a generous benefits program including:
-Medical, Dental, Vision, Life and Disability Insurance and Flexible spending accounts
-Retirement Savings Plan
-Paid Parental Leave
-Holidays and Paid Time Off (PTO)
-Mentoring program
And much more! Check it out here: are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, sex, pregnancy status, age, national origin or ancestry, ethnicity, religion, creed, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
We comply with the Americans with Disabilities Act (ADA), as amended by the ADA Amendments Act, and all applicable state or local law.
**Not seeing the perfect job?**
Join the EBSCO talent community to receive updates on new opportunities that align with your skills and interests - register using the links below:
Experienced Talent Community ( Career/Intern Talent Community
**Location** _US-Remote_
**ID** _ _
**Category** _Medical Products and Services_
**Position Type** _Full-Time Regular_
**Remote** _Yes_
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1
Patient Care Coordinator
62762 Springfield, Illinois
CVS Health
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Starting Pay for this position is $18/hour- $9/hour
**Position Summary**
Join the Coram/CVS team as a Patient Care Coordinator!
This customer service facing position interacts directly with patients, physicians, caregivers, and internal departments to answer questions, solve problems, provide education, and maintain our company's reputation for high-quality service. It requires independent and self-directed performance. The primary function is to provide a seamless onboarding experience for new infusion patients to CVS Specialty and Coram. This position requires a working knowledge of insurance, health care, processing of new referrals, providing customer education, and routine assessment and problem identification.
Challenge your healthcare training or current administration knowledge and customer services skills to make a difference in a patient's life by supporting new patient referrals and admissions. Individuals who can balance compassion and kindness with professionalism and customer service will thrive in this position. Become part of the CVS Health family by joining a growing sector of the healthcare industry, offering a rewarding career and opportunity for advancement.
Coram CVS/specialty infusion services is a Fortune 7 company and national leader in the home infusion and enteral fields. This is uniquely rewarding opportunity putting your skills and experiences to work supporting an innovative specialty pharmacy operation.
Learn more about us:
or Qualifications**
- Minimum two years experience in customer service and/or healthcare environment
- Minimum two years healthcare insurance coverage/benefit experience
- Minimum one year experience working in Microsoft Office, specifically Excel, Outlook, and Word.
**Preferred Qualifications**
- Preferred experience working with healthcare insurance and medical terminology
- Preferred Certified Pharmacy technician
**Education**
Verifiable High School diploma or GED is required
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
17.00 - 31.30
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 12/28/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Starting Pay for this position is $18/hour- $9/hour
**Position Summary**
Join the Coram/CVS team as a Patient Care Coordinator!
This customer service facing position interacts directly with patients, physicians, caregivers, and internal departments to answer questions, solve problems, provide education, and maintain our company's reputation for high-quality service. It requires independent and self-directed performance. The primary function is to provide a seamless onboarding experience for new infusion patients to CVS Specialty and Coram. This position requires a working knowledge of insurance, health care, processing of new referrals, providing customer education, and routine assessment and problem identification.
Challenge your healthcare training or current administration knowledge and customer services skills to make a difference in a patient's life by supporting new patient referrals and admissions. Individuals who can balance compassion and kindness with professionalism and customer service will thrive in this position. Become part of the CVS Health family by joining a growing sector of the healthcare industry, offering a rewarding career and opportunity for advancement.
Coram CVS/specialty infusion services is a Fortune 7 company and national leader in the home infusion and enteral fields. This is uniquely rewarding opportunity putting your skills and experiences to work supporting an innovative specialty pharmacy operation.
Learn more about us:
or Qualifications**
- Minimum two years experience in customer service and/or healthcare environment
- Minimum two years healthcare insurance coverage/benefit experience
- Minimum one year experience working in Microsoft Office, specifically Excel, Outlook, and Word.
**Preferred Qualifications**
- Preferred experience working with healthcare insurance and medical terminology
- Preferred Certified Pharmacy technician
**Education**
Verifiable High School diploma or GED is required
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
17.00 - 31.30
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 12/28/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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2
HEDIS - Quality Practice Advisor
62762 Springfield, Illinois
Centene Corporation
Posted 1 day ago
Job Viewed
Job Description
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
***NOTE: This is a hybrid remote role that meets directly with provider groups based in the Chicago area to discuss HEDIS performance and strategize ways to improve performance, up to 75% travel. Typical daily tasks will include creating/using PowerPoint presentations, creating/exporting reports, and data analysis.
Additional Details:
- Department: Quality Improvement
- Business Unit: Illinois Health Plan
- Schedule: Mon - Fri, 8am - 4:30 pm CT
- Territory: Cook, DuPage, Will, Lake County, Illinois. Work-from-home but requires travel to conduct in-person provider visits, including quarterly in-person team meetings in Burr Ridge, IL office. Must reside in IL and in the above counties.***
**Position Purpose:** Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.
+ Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.
+ Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
+ Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).
+ Identifies specific practice needs where Centene can provide support.
+ Develops, enhances and maintains provider clinical relationship across product lines.
+ Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.
+ Ability to travel up to 75% of time to provider offices.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Education/Experience:**
Bachelor's Degree or equivalent required
3+ years in HEDIS record collection and risk adjustment (coding) required
**Licenses/Certifications:**
One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS
**For IL Health Plan only:** Must reside in IL or within a reasonable driving distance to assigned providers.
Pay Range: $26.50 - $47.59 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
***NOTE: This is a hybrid remote role that meets directly with provider groups based in the Chicago area to discuss HEDIS performance and strategize ways to improve performance, up to 75% travel. Typical daily tasks will include creating/using PowerPoint presentations, creating/exporting reports, and data analysis.
Additional Details:
- Department: Quality Improvement
- Business Unit: Illinois Health Plan
- Schedule: Mon - Fri, 8am - 4:30 pm CT
- Territory: Cook, DuPage, Will, Lake County, Illinois. Work-from-home but requires travel to conduct in-person provider visits, including quarterly in-person team meetings in Burr Ridge, IL office. Must reside in IL and in the above counties.***
**Position Purpose:** Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.
+ Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.
+ Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
+ Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).
+ Identifies specific practice needs where Centene can provide support.
+ Develops, enhances and maintains provider clinical relationship across product lines.
+ Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.
+ Ability to travel up to 75% of time to provider offices.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
**Education/Experience:**
Bachelor's Degree or equivalent required
3+ years in HEDIS record collection and risk adjustment (coding) required
**Licenses/Certifications:**
One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS
**For IL Health Plan only:** Must reside in IL or within a reasonable driving distance to assigned providers.
Pay Range: $26.50 - $47.59 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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3
Home Care Aide
62762 Springfield, Illinois
Help at Home
Posted 1 day ago
Job Viewed
Job Description
**Help at Home is the nation's leading provider of in-home support to seniors. We are currently hiring in your community! Join our team TODAY and begin building your career in a high-demand industry.**
Start earning at least $18 per hour plus benefits including health insurance, paid holidays, and paid time off. Earn even higher pay with experience. Join our team and get rewarded for your expertise!
**Why should you join Help at Home?**
+ Flexible scheduling
+ Competitive Pay
+ Mileage reimbursement of $0.42 per mile
+ Direct deposit or cash card
+ Amazing benefits - health care, paid vacation, and more
+ Meaningful work with clients who need your help
+ Industry leader with 40+ years of history in a high-demand field
+ **Veteran-Friendly Employer** : We encourage veterans, active military, and their spouses to apply for positions. Our roles are flexible, and we value your experience and expertise.
**As a Home Care Aide, you'll work 1-on-1 with your clients inside their homes, and support them with the following types of activities:**
+ Light housekeeping, including organizing, laundry, and basic cleaning
+ Personal activities such as dressing, grooming, and assisting with meals
+ Running errands, grocery shopping, and accompanying your clients to appointments
**Eligibility Requirements:**
+ HS Diploma or GED, or at least 1 year of previous experience as a caregiver
+ Valid driver's license
+ Access to insured and reliable transportation
+ No experience is required, but candidates with a certified nursing assistant (CNA) certification are encouraged to apply
+ Dedication to professional development, including organizational and state-required training
_Caregivers must comply with state background screening requirements. Compensation, benefits, time off, and bonuses vary by state and location, so please ask for complete details at your interview._
**_Data Security and Privacy Statement_**
_At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your data will only be used to assess your employment suitability and won't be shared with unauthorized parties._
_We use strong security measures to protect your information from unauthorized access or disclosure. By submitting your application, you consent to this process. You can access, modify, or request deletion of your data by contacting us._
_Employees must adhere to our data protection policies and legal requirements to safeguard sensitive information._
Start earning at least $18 per hour plus benefits including health insurance, paid holidays, and paid time off. Earn even higher pay with experience. Join our team and get rewarded for your expertise!
**Why should you join Help at Home?**
+ Flexible scheduling
+ Competitive Pay
+ Mileage reimbursement of $0.42 per mile
+ Direct deposit or cash card
+ Amazing benefits - health care, paid vacation, and more
+ Meaningful work with clients who need your help
+ Industry leader with 40+ years of history in a high-demand field
+ **Veteran-Friendly Employer** : We encourage veterans, active military, and their spouses to apply for positions. Our roles are flexible, and we value your experience and expertise.
**As a Home Care Aide, you'll work 1-on-1 with your clients inside their homes, and support them with the following types of activities:**
+ Light housekeeping, including organizing, laundry, and basic cleaning
+ Personal activities such as dressing, grooming, and assisting with meals
+ Running errands, grocery shopping, and accompanying your clients to appointments
**Eligibility Requirements:**
+ HS Diploma or GED, or at least 1 year of previous experience as a caregiver
+ Valid driver's license
+ Access to insured and reliable transportation
+ No experience is required, but candidates with a certified nursing assistant (CNA) certification are encouraged to apply
+ Dedication to professional development, including organizational and state-required training
_Caregivers must comply with state background screening requirements. Compensation, benefits, time off, and bonuses vary by state and location, so please ask for complete details at your interview._
**_Data Security and Privacy Statement_**
_At Help at Home, we prioritize protecting your personal information during the hiring process. We comply with all relevant data privacy regulations, including HIPAA and SOX where applicable. Your data will only be used to assess your employment suitability and won't be shared with unauthorized parties._
_We use strong security measures to protect your information from unauthorized access or disclosure. By submitting your application, you consent to this process. You can access, modify, or request deletion of your data by contacting us._
_Employees must adhere to our data protection policies and legal requirements to safeguard sensitive information._
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4
Credentialing Representative
62762 Springfield, Illinois
Highmark Health
Posted 1 day ago
Job Viewed
Job Description
**Company :**
Highmark Inc.
**Job Description :**
JOB SUMMARY
***The preferred candidate should be within the radius of Pittsburgh PA***
This job processes provider applications and re-applications including initial mailing, review, and loading. Maintains provider data base and communicates with providers by phone and mail regarding credentialing status and information. Performs credentialing, re-credentialing and related activities and coordinates credentialing verifications. Reviews and processes more complex additions, updates and deletions of provider information in the Dental Provider file database. Supports the implementation of new networks, systems, software, guidelines and other endeavors with a focus on "group practices" as opposed to individual providers. Depending on level, trains credentialing personnel in the use of various systems, software, databases and procedures. Participates in projects which streamline, automate or otherwise enhance credentialing functions.
ESSENTIAL RESPONSIBILITIES:
+ Credentials and re-credential providers.
+ Contact providers or representatives by telephone or in writing to obtain additional information while processing their enrollment applications.
+ Screen incoming applications and paperwork for completeness and accuracy and sends necessary paperwork to credentialing vendor.
+ When necessary performs credentialing verifications and loads provider to appropriate networks and credentialing information to the provider database.
+ Manage credentialing inventory, reports and projects to ensure all established time frames for completing work, reports and projects are met.
+ Depending on level, train credentialing team in the use of various systems, software, databases, processes and procedures.
+ Create and distribute monthly reports as assigned and handle complex and unusual or high-level credentialing issues.
+ Support projects, audits, business partners, internal departments and external clients.
+ Represent department as the Subject Matter expert.
+ Pull and research necessary documentation for audits
+ Support updates necessitated by our business partners, internal departments and external clients.
+ Provide customer oversight for our customers who have unique requirements and timelines to ensure compliance.
+ Depending on level, investigate interim license actions.
+ Participate in projects which streamline, automate, or otherwise enhance credentialing functions.
+ Other duties as assigned or requested.
**QUALIFICATIONS**
**Minimum**
+ High School Diploma or GED
+ 3-5 years of related, progressive experience. Grandfathered experience requirements effective August 2016.
+ Experience in Provider Data Management, Customer Services or Claims.
+ Microsoft office experience (i.e. Word, Excel, PowerPoint, etc.)
**Preferred**
+ A familiarity with credentialing processes and the URAC standards.
+ Experience in the use of ULTRA and Dental Provider File systems.
+ Experience with the Customer Service inquiry system or claims processing concepts.
**Knowledge, Skills and Abilities**
+ Good written and verbal communication
+ Proficiency in the use of the Provider file and the credentialing of providers.
+ Proven diplomacy and a professional demeanor for effective communication with provider offices, internal personnel, vendors, accounts and committees.
+ Strong written communication and presentation skills are essential.
**SCOPE OF RESPONSIBILITY**
Does this role supervise/manage other employees?
No
**WORK ENVIRONMENT**
Is Travel Required?
No
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement:_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$20.31
**Pay Range Maximum:**
$29.53
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
Highmark Inc.
**Job Description :**
JOB SUMMARY
***The preferred candidate should be within the radius of Pittsburgh PA***
This job processes provider applications and re-applications including initial mailing, review, and loading. Maintains provider data base and communicates with providers by phone and mail regarding credentialing status and information. Performs credentialing, re-credentialing and related activities and coordinates credentialing verifications. Reviews and processes more complex additions, updates and deletions of provider information in the Dental Provider file database. Supports the implementation of new networks, systems, software, guidelines and other endeavors with a focus on "group practices" as opposed to individual providers. Depending on level, trains credentialing personnel in the use of various systems, software, databases and procedures. Participates in projects which streamline, automate or otherwise enhance credentialing functions.
ESSENTIAL RESPONSIBILITIES:
+ Credentials and re-credential providers.
+ Contact providers or representatives by telephone or in writing to obtain additional information while processing their enrollment applications.
+ Screen incoming applications and paperwork for completeness and accuracy and sends necessary paperwork to credentialing vendor.
+ When necessary performs credentialing verifications and loads provider to appropriate networks and credentialing information to the provider database.
+ Manage credentialing inventory, reports and projects to ensure all established time frames for completing work, reports and projects are met.
+ Depending on level, train credentialing team in the use of various systems, software, databases, processes and procedures.
+ Create and distribute monthly reports as assigned and handle complex and unusual or high-level credentialing issues.
+ Support projects, audits, business partners, internal departments and external clients.
+ Represent department as the Subject Matter expert.
+ Pull and research necessary documentation for audits
+ Support updates necessitated by our business partners, internal departments and external clients.
+ Provide customer oversight for our customers who have unique requirements and timelines to ensure compliance.
+ Depending on level, investigate interim license actions.
+ Participate in projects which streamline, automate, or otherwise enhance credentialing functions.
+ Other duties as assigned or requested.
**QUALIFICATIONS**
**Minimum**
+ High School Diploma or GED
+ 3-5 years of related, progressive experience. Grandfathered experience requirements effective August 2016.
+ Experience in Provider Data Management, Customer Services or Claims.
+ Microsoft office experience (i.e. Word, Excel, PowerPoint, etc.)
**Preferred**
+ A familiarity with credentialing processes and the URAC standards.
+ Experience in the use of ULTRA and Dental Provider File systems.
+ Experience with the Customer Service inquiry system or claims processing concepts.
**Knowledge, Skills and Abilities**
+ Good written and verbal communication
+ Proficiency in the use of the Provider file and the credentialing of providers.
+ Proven diplomacy and a professional demeanor for effective communication with provider offices, internal personnel, vendors, accounts and committees.
+ Strong written communication and presentation skills are essential.
**SCOPE OF RESPONSIBILITY**
Does this role supervise/manage other employees?
No
**WORK ENVIRONMENT**
Is Travel Required?
No
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement:_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$20.31
**Pay Range Maximum:**
$29.53
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J
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5
Telephonic Bilingual Care Coach
62762 Springfield, Illinois
Humana
Posted 1 day ago
Job Viewed
Job Description
**Become a part of our caring community and help us put health first**
Discover a rewarding opportunity to make a meaningful difference as a Bilingual (English/Spanish) Care Coach with Humana Gold Plus-Integrated in Illinois. In this vital role, you will be at the forefront of supporting members' health and wellness by conducting comprehensive assessments, identifying needs, and guiding members and their families to essential resources for optimal care. Join a dedicated team where your expertise helps break down barriers to effective healthcare, empowers individuals to achieve their best outcomes, and strengthens our commitment to delivering compassionate, patient-centered service. Take the next step in your healthcare career and help shape positive change in the lives of those we serve.
+ Employs a variety of strategies, approaches and techniques to manage a member's health issues telephonically.
+ Identifies and resolves barriers that hinder effective care.
+ Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessments, data, conversations with member, and active care planning.
+ Understands own work area professional concepts/standards, regulations, strategies and operating standards.
+ Makes decisions regarding own work approach/priorities and follows direction.
+ Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
+ Follows established guidelines/procedures.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree in a health or social service-related field or LPN licensure in Illinois.
+ Bilingual in English/Spanish. Must be able to speak, read, and write in both languages without limitations or assistance. See _Additional Information_ on testing.
+ 2 or more years of case management experience.
+ Experience utilizing Microsoft Word, Excel and Outlook.
+ Experience with electronic information applications/software programs.
**Preferred Qualifications**
+ Certified Case Manager (CCM).
+ Master's degree in a health or social service-related field.
+ Prior experience with Medicare & Medicaid recipients.
+ Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems.
+ Experience with health promotion, coaching and wellness.
+ Knowledge of community health and social service agencies and additional community resources.
+ Experience with case management, discharge planning and patient education for adult acute care.
**Additional Information**
+ **Workstyle:** remote, work from home.
+ **Work Location:** must reside in Illinois.
+ **Typical Work days/hours:** Monday - Friday, 8:00am - 5:00pm CST, occasional flexibility in scheduling may be required to accommodate client needs.
**Language Proficiency Testing**
Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
**WAH Internet**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**HireVue**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$53,700 - $72,600 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
Discover a rewarding opportunity to make a meaningful difference as a Bilingual (English/Spanish) Care Coach with Humana Gold Plus-Integrated in Illinois. In this vital role, you will be at the forefront of supporting members' health and wellness by conducting comprehensive assessments, identifying needs, and guiding members and their families to essential resources for optimal care. Join a dedicated team where your expertise helps break down barriers to effective healthcare, empowers individuals to achieve their best outcomes, and strengthens our commitment to delivering compassionate, patient-centered service. Take the next step in your healthcare career and help shape positive change in the lives of those we serve.
+ Employs a variety of strategies, approaches and techniques to manage a member's health issues telephonically.
+ Identifies and resolves barriers that hinder effective care.
+ Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessments, data, conversations with member, and active care planning.
+ Understands own work area professional concepts/standards, regulations, strategies and operating standards.
+ Makes decisions regarding own work approach/priorities and follows direction.
+ Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
+ Follows established guidelines/procedures.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree in a health or social service-related field or LPN licensure in Illinois.
+ Bilingual in English/Spanish. Must be able to speak, read, and write in both languages without limitations or assistance. See _Additional Information_ on testing.
+ 2 or more years of case management experience.
+ Experience utilizing Microsoft Word, Excel and Outlook.
+ Experience with electronic information applications/software programs.
**Preferred Qualifications**
+ Certified Case Manager (CCM).
+ Master's degree in a health or social service-related field.
+ Prior experience with Medicare & Medicaid recipients.
+ Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems.
+ Experience with health promotion, coaching and wellness.
+ Knowledge of community health and social service agencies and additional community resources.
+ Experience with case management, discharge planning and patient education for adult acute care.
**Additional Information**
+ **Workstyle:** remote, work from home.
+ **Work Location:** must reside in Illinois.
+ **Typical Work days/hours:** Monday - Friday, 8:00am - 5:00pm CST, occasional flexibility in scheduling may be required to accommodate client needs.
**Language Proficiency Testing**
Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.
**WAH Internet**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**HireVue**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$53,700 - $72,600 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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6
Medical Director - Medicaid (IL)
62762 Springfield, Illinois
CVS Health
Posted 1 day ago
Job Viewed
Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary:**
Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this opportunity with Aetna, a CVS Health company!
Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Texas, Virginia and West Virginia. This is a regional role that primarily supports the Aetna Better Health Plan of Illinois.
This UM (Utilization Management) Medical Director will be a "Work from Home" position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but part of a centralized team that supports Illinois, Michigan, Kansas and Oklahoma. Support for other regions may occasionally be required.
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request.
This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on inpatient or outpatient services, acute and post acute services, pharmacy, appeals and state fair hearings. You will be part of a rotating on call schedule for providing weekend and holiday coverage.
**Required Qualifications:**
- Five or more years of experience providing direct patient care.
- Illinois state medical license without encumbrances
- M.D. or D.O., Current and Active Board Certification in ABMS or AOA recognized specialty; including post-graduate direct patient care experience
- Board certification in Family Medicine or Internal Medicine / Pediatrics
- Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred Qualifications:**
-Preferred Illinois residency
-Health plan/payor Utilization Management / Review experience.
-Managed Care experience.
-Medicaid experience.
**Education:**
-M.D. or D.O.
**Pay Range**
The typical pay range for this role is:
$174,070.00 - $374,920.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary:**
Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this opportunity with Aetna, a CVS Health company!
Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Texas, Virginia and West Virginia. This is a regional role that primarily supports the Aetna Better Health Plan of Illinois.
This UM (Utilization Management) Medical Director will be a "Work from Home" position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but part of a centralized team that supports Illinois, Michigan, Kansas and Oklahoma. Support for other regions may occasionally be required.
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request.
This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on inpatient or outpatient services, acute and post acute services, pharmacy, appeals and state fair hearings. You will be part of a rotating on call schedule for providing weekend and holiday coverage.
**Required Qualifications:**
- Five or more years of experience providing direct patient care.
- Illinois state medical license without encumbrances
- M.D. or D.O., Current and Active Board Certification in ABMS or AOA recognized specialty; including post-graduate direct patient care experience
- Board certification in Family Medicine or Internal Medicine / Pediatrics
- Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred Qualifications:**
-Preferred Illinois residency
-Health plan/payor Utilization Management / Review experience.
-Managed Care experience.
-Medicaid experience.
**Education:**
-M.D. or D.O.
**Pay Range**
The typical pay range for this role is:
$174,070.00 - $374,920.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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7
Telephonic Care Coach
62762 Springfield, Illinois
Humana
Posted 1 day ago
Job Viewed
Job Description
**Become a part of our caring community and help us put health first**
Discover a rewarding opportunity to make a meaningful difference as a Care Coach with Humana Gold Plus-Integrated in Illinois. In this vital role, you will be at the forefront of supporting members' health and wellness by conducting comprehensive assessments, identifying needs, and guiding members and their families to essential resources for optimal care. Join a dedicated team where your expertise helps break down barriers to effective healthcare, empowers individuals to achieve their best outcomes, and strengthens our commitment to delivering compassionate, patient-centered service. Take the next step in your healthcare career and help shape positive change in the lives of those we serve.
+ Employs a variety of strategies, approaches and techniques to manage a member's health issues telephonically.
+ Identifies and resolves barriers that hinder effective care.
+ Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessments, data, conversations with member, and active care planning.
+ Understands own work area professional concepts/standards, regulations, strategies and operating standards.
+ Makes decisions regarding own work approach/priorities and follows direction.
+ Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
+ Follows established guidelines/procedures.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree in a health or social service-related field or LPN licensure in Illinois.
+ 2 or more years of case management experience.
+ Experience utilizing Microsoft Word, Excel and Outlook.
+ Experience with electronic information applications/software programs.
**Preferred Qualifications**
+ Bilingual English/Spanish.
+ Certified Case Manager (CCM).
+ Master's degree in a health or social service-related field.
+ Prior experience with Medicare & Medicaid recipients.
+ Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems.
+ Experience with health promotion, coaching and wellness.
+ Knowledge of community health and social service agencies and additional community resources.
+ Experience with case management, discharge planning and patient education for adult acute care.
**Additional Information**
+ **Workstyle:** remote, work from home.
+ **Work Location:** must reside in Illinois.
+ **Typical Work days/hours:** Monday - Friday, 8:00am - 5:00pm CST, occasional flexibility in scheduling may be required to accommodate client needs.
**WAH Internet**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**HireVue**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$53,700 - $72,600 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
Discover a rewarding opportunity to make a meaningful difference as a Care Coach with Humana Gold Plus-Integrated in Illinois. In this vital role, you will be at the forefront of supporting members' health and wellness by conducting comprehensive assessments, identifying needs, and guiding members and their families to essential resources for optimal care. Join a dedicated team where your expertise helps break down barriers to effective healthcare, empowers individuals to achieve their best outcomes, and strengthens our commitment to delivering compassionate, patient-centered service. Take the next step in your healthcare career and help shape positive change in the lives of those we serve.
+ Employs a variety of strategies, approaches and techniques to manage a member's health issues telephonically.
+ Identifies and resolves barriers that hinder effective care.
+ Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessments, data, conversations with member, and active care planning.
+ Understands own work area professional concepts/standards, regulations, strategies and operating standards.
+ Makes decisions regarding own work approach/priorities and follows direction.
+ Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
+ Follows established guidelines/procedures.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree in a health or social service-related field or LPN licensure in Illinois.
+ 2 or more years of case management experience.
+ Experience utilizing Microsoft Word, Excel and Outlook.
+ Experience with electronic information applications/software programs.
**Preferred Qualifications**
+ Bilingual English/Spanish.
+ Certified Case Manager (CCM).
+ Master's degree in a health or social service-related field.
+ Prior experience with Medicare & Medicaid recipients.
+ Previous experience with electronic case note documentation and experience with documenting in multiple computer applications/systems.
+ Experience with health promotion, coaching and wellness.
+ Knowledge of community health and social service agencies and additional community resources.
+ Experience with case management, discharge planning and patient education for adult acute care.
**Additional Information**
+ **Workstyle:** remote, work from home.
+ **Work Location:** must reside in Illinois.
+ **Typical Work days/hours:** Monday - Friday, 8:00am - 5:00pm CST, occasional flexibility in scheduling may be required to accommodate client needs.
**WAH Internet**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**HireVue**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$53,700 - $72,600 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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8
Clinical Dietitian
62762 Springfield, Illinois
Compass Group, North America
Posted 1 day ago
Job Viewed
Job Description
Morrison Healthcare
**Position Title: ((title))**
**Reports To: Clinical Nutrition Manager**
**Location: Morrison Healthcare at HSHS St John's Hospital in Springfield, IL**
**Job Details: RD will cover adult inpatient units including the ICU so ICU experience is preferred but also willing to train so new grads are also encouraged to apply. Facility can offer an employment visa for qualified candidates including H-1B and TN visas.**
**Salary: $55,000-$80,000**
**Other Forms of Compensation:** meal plan, CEU's, AND and CDR dues paid, tuition and education reimbursement
**Morrison Healthcare** is a leading national food and nutrition services company exclusively dedicated to serving more than 600 hospitals and healthcare systems. Morrison's hospital kitchens, restaurants, and cafés feature socially responsible practices and exceptional guest experiences. The company's comprehensive Mindful Choices® wellness and sustainability platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier America's (PHA) Hospital Healthy Food Initiative positively impacts up to 41 million patients and 500 million hospital meals annually. Morrison has been named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for the past five years, and Training Magazine's Top 125 organizations for the past six consecutive years. The company is a division of Compass Group and has more than 1,200 registered dietitians, 300 executive chefs, and 17,000 professional food service team members.
**_This position is eligible for an Employee Referral Bonus! If you know someone that is qualified for this role, please use the 'job search' in PeopleHub to refer your referral and email them a link to apply. Your referral will be able to apply by clicking the link in the email. You can check the status through your profile, accessible via Careers in PeopleHub, by clicking on 'referral tracking.' For Employee Referral guidelines, FAQs and the Compass Employee Referral Policy, email **
**Job Summary**
We are seeking a **Clinical Dietitian** (FT) to join our Nutrition Team in an acute care medical center in Springfield, IL.
**Key Responsibilities:**
+ Provides medical nutrition therapy including nutrition assessment, diet modification, nutrition education, and intervention for the patient population
+ Follows all guidelines as outlined within the Company Diet Manual and the Clinical Nutrition Policies&Procedures Manual
+ Complies with all regulatory standards to include federal, state, and accrediting agencies while adhering to facility confidentiality, HIPAA regulations, and patient rights policies
+ Trains and mentors patient services staff and interns as applicable
+ Participates in patient satisfaction programs, departmental meetings, and facility wide Quality Assurance/Performance Improvement programs
**Qualifications** :
+ Credentialed as a Registered Dietitian by the Commission on Dietetic Registration (CDR)
+ Licensed by the State Dietetics Licensing/Credentialing Board, in states where required
+ One (1) year of hospital experience, preferred
+ Possess the necessary skills to effectively utilize Microsoft office applications, electronic medical record&diet office systems, and nutrient analysis programming
**Apply to Morrison Healthcare today!**
_Morrison Healthcare is a member of Compass Group USA_
Click here to Learn More about the Compass Story ( at Morrison Healthcare are offered many fantastic benefits.**
+ Medical
+ Dental
+ Vision
+ Life Insurance/ AD
+ Disability Insurance
+ Retirement Plan
+ Flexible Time Off
+ Paid Parental Leave
+ Holiday Time Off (varies by site/state)
+ Personal Leave
+ Associate Shopping Program
+ Health and Wellness Programs
+ Discount Marketplace
+ Identity Theft Protection
+ Pet Insurance
+ Commuter Benefits
+ Employee Assistance Program
+ Flexible Spending Accounts (FSAs)
Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here ( for paid time off benefits information.
**Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.**
**Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act. We encourage applicants with a criminal history (and driving history) to apply.**
**Applications are accepted on an ongoing basis.**
**Morrison Healthcare maintains a drug-free workplace.**
**Req ID:**
Morrison Healthcare
ANDREA NENOW
((req_classification))
**Position Title: ((title))**
**Reports To: Clinical Nutrition Manager**
**Location: Morrison Healthcare at HSHS St John's Hospital in Springfield, IL**
**Job Details: RD will cover adult inpatient units including the ICU so ICU experience is preferred but also willing to train so new grads are also encouraged to apply. Facility can offer an employment visa for qualified candidates including H-1B and TN visas.**
**Salary: $55,000-$80,000**
**Other Forms of Compensation:** meal plan, CEU's, AND and CDR dues paid, tuition and education reimbursement
**Morrison Healthcare** is a leading national food and nutrition services company exclusively dedicated to serving more than 600 hospitals and healthcare systems. Morrison's hospital kitchens, restaurants, and cafés feature socially responsible practices and exceptional guest experiences. The company's comprehensive Mindful Choices® wellness and sustainability platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier America's (PHA) Hospital Healthy Food Initiative positively impacts up to 41 million patients and 500 million hospital meals annually. Morrison has been named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for the past five years, and Training Magazine's Top 125 organizations for the past six consecutive years. The company is a division of Compass Group and has more than 1,200 registered dietitians, 300 executive chefs, and 17,000 professional food service team members.
**_This position is eligible for an Employee Referral Bonus! If you know someone that is qualified for this role, please use the 'job search' in PeopleHub to refer your referral and email them a link to apply. Your referral will be able to apply by clicking the link in the email. You can check the status through your profile, accessible via Careers in PeopleHub, by clicking on 'referral tracking.' For Employee Referral guidelines, FAQs and the Compass Employee Referral Policy, email **
**Job Summary**
We are seeking a **Clinical Dietitian** (FT) to join our Nutrition Team in an acute care medical center in Springfield, IL.
**Key Responsibilities:**
+ Provides medical nutrition therapy including nutrition assessment, diet modification, nutrition education, and intervention for the patient population
+ Follows all guidelines as outlined within the Company Diet Manual and the Clinical Nutrition Policies&Procedures Manual
+ Complies with all regulatory standards to include federal, state, and accrediting agencies while adhering to facility confidentiality, HIPAA regulations, and patient rights policies
+ Trains and mentors patient services staff and interns as applicable
+ Participates in patient satisfaction programs, departmental meetings, and facility wide Quality Assurance/Performance Improvement programs
**Qualifications** :
+ Credentialed as a Registered Dietitian by the Commission on Dietetic Registration (CDR)
+ Licensed by the State Dietetics Licensing/Credentialing Board, in states where required
+ One (1) year of hospital experience, preferred
+ Possess the necessary skills to effectively utilize Microsoft office applications, electronic medical record&diet office systems, and nutrient analysis programming
**Apply to Morrison Healthcare today!**
_Morrison Healthcare is a member of Compass Group USA_
Click here to Learn More about the Compass Story ( at Morrison Healthcare are offered many fantastic benefits.**
+ Medical
+ Dental
+ Vision
+ Life Insurance/ AD
+ Disability Insurance
+ Retirement Plan
+ Flexible Time Off
+ Paid Parental Leave
+ Holiday Time Off (varies by site/state)
+ Personal Leave
+ Associate Shopping Program
+ Health and Wellness Programs
+ Discount Marketplace
+ Identity Theft Protection
+ Pet Insurance
+ Commuter Benefits
+ Employee Assistance Program
+ Flexible Spending Accounts (FSAs)
Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here ( for paid time off benefits information.
**Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.**
**Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act. We encourage applicants with a criminal history (and driving history) to apply.**
**Applications are accepted on an ongoing basis.**
**Morrison Healthcare maintains a drug-free workplace.**
**Req ID:**
Morrison Healthcare
ANDREA NENOW
((req_classification))
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9