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Care Manager Jobs in Evanston (IL)

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Search Results - Care Manager Jobs in Evanston (IL)
apartmentMolina HealthcareplaceEvanston (IL)event_available
Overview In this role you support care management and care coordination to deliver integrated member care across settings. You will work with a multidisciplinary team to move members toward outcomes while aligning with the organization’s quality...
apartmentCVS HealthplaceEvanston (IL)event_available
of care management tools and resources. Key Responsibilities  •  Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case...
apartmentMolina HealthcareplaceEvanston (IL)event_available
Overview In this role you support care management and coordination for members with high-need potential, working with a multidisciplinary team to deliver integrated LTSS services. You help ensure progress toward outcomes while contributing to cost...
apartmentEdward Elmhurst HealthplaceEvanston (IL)languageappcast.ioevent_available
strategies focused on: Network loyalty/catchment, Care Model Optimization, Care Standardization, and Utilization Management* Work in conjunction with CQTO, IPA Medical Director and MD Leadership to develop, implement and manage Physician VBC reporting...
apartmentMolina HealthcareplaceEvanston (IL)event_available
Overview In this role you will support care management and care coordination to ensure member progress toward outcomes. You will collaborate with a multidisciplinary team to deliver integrated care across the continuum and contribute to strategies...
placeEvanston (IL)languageicims.comevent_available
in the ambulatory setting and providing direct patient care managing medication therapy. The clinical pharmacy specialist ensures effective communication with prescribers regarding identified medication related problems and potential solutions and documents patient...
apartmentMolina HealthcareplaceEvanston (IL)event_available
Overview In this role you support care management and LTSS activities, coordinating with a multidisciplinary team to deliver integrated member care. You help members progress toward outcomes while aligning with the company’s quality and cost...
apartmentMolina HealthcareplaceEvanston (IL)event_available
Overview In this role you support care management and LTSS coordination, collaborating with a multidisciplinary team to align member care across the continuum. You help drive outcomes, contribute to cost-effective quality care, and engage members...
apartmentMolina HealthcareplaceEvanston (IL)event_available
Overview In this role you support care management and LTSS coordination to drive quality and cost-effective member care. You collaborate with a multidisciplinary team to align services across the care continuum and help members progress toward...
apartmentMolina HealthcareplaceEvanston (IL)event_available
Overview In this role you support care management and coordination for LTSS, collaborating with a multidisciplinary team to ensure high-need members progress toward outcomes. You help integrate behavioral health and LTSS services, monitor care...
apartmentMolina HealthcareplaceEvanston (IL)event_available
coordination for psycho/social, financial, and medical obstacles  •  Identify critical incidents and develop prevention plans  •  Collaborate with licensed care managers/leadership as needed  •  Travel 25-40% as required Key requirements  •  At least 2 years...
apartmentMolina HealthcareplaceEvanston (IL)event_available
/contract requirements Key requirements  •  At least 2 years in health care with 1 year in care management/managed care and 1 year with persons with disabilities, chronic conditions, substance use disorders, or LTSS  •  Active and unrestricted professional...
apartmentUST GlobalplaceEvanston (IL)event_available
processes (claims, membership, provider, care management)  •  Familiarity with visualization tools (Tableau, Power BI) for business reporting  •  Communication  •  facilitation  •  stakeholder management  •  Jira  •  Azure DevOps  •  Confluence...

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