- CVS Health (Jefferson City, MO)
- …network management, clinical coverage, and policies. **Position Summary/Mission** Community Care Case Manager use a collaborative process of assessment, ... and healthcare personnel as appropriate. * Implements and coordinates all case management activities relating to catastrophic cases and chronically ill… more
- Elevance Health (Columbia, MO)
- BH Case Manager I **Location:** Missouri Alternate locations may be considered. This position will work in a hybrid model (remote and office). This position will ... be based within the location listed above. The BH Case Manager I will be responsible for...and Experiences:** + Current active unrestricted license as an RN , LCSW (as applicable by state law and scope… more
- SSM Health (Jefferson City, MO)
- …and their commitment to our mission is what sets us apart. The role of the RN - Case Manager supports our organization by ensuring patients are discharged from ... management process, admission process, and act as a case manager liaison with post acute providers...Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by… more
- Highmark Health (Jefferson City, MO)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Elara Caring (Jefferson City, MO)
- …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring, we care where you are and ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- Elara Caring (Columbia, MO)
- …providing the Right Care, at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring, we care where you are and ... have countless ways to make a difference as a Registered Nurse Home Health. Being a part...pursuant to HIPAA Privacy Final Rule. + Assesses assigned case load of home health care patients and families… more
- CenterWell (Columbia, MO)
- …community and help us put health first** As a **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Home Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
- Highmark Health (Jefferson City, MO)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
- Highmark Health (Jefferson City, MO)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Highmark Health (Jefferson City, MO)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Humana (Jefferson City, MO)
- …managed care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience ... and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate...+ Minimum of 1 year of managed care and case management experience + An active designation as a… more
- Sharecare (Jefferson City, MO)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
- Humana (Jefferson City, MO)
- …of post-degree clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years ... Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate...Abuse Disorder (SUD) patients. + Managed Care Experience. + Case Management Certification (CCM). + Experience with behavioral change,… more
- Takeda Pharmaceuticals (Jefferson City, MO)
- …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
- Sharecare (Jefferson City, MO)
- **Job Description:** **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the ... supervision, as well as supporting colleague development. The VBCM Operations Manager ensures that the quality, clinical and operational performance objectives of… more
- CVS Health (Jefferson City, MO)
- …into available internal/external programs - Using holistic approach consults with Manager or others to overcome barriers with assisting members in meeting ... Care and Medicare experience **Preferred Qualifications** Healthcare licensure and/or certifications ( RN , LPN, MSW, LCSW, CDE etc) highly preferred -5 years practice… more