• Field Care Manager

    Humana (Jefferson City, MO)
    …and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's ... care and wellbeing of members. The Field Care Manager , Behavioral Health 2...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** an… more
    Humana (11/20/24)
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  • Care Manager Behavioral

    Highmark Health (Jefferson City, MO)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
    Highmark Health (12/12/24)
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  • Behavioral Health Therapist - Lead,…

    SSM Health (Jefferson City, MO)
    …+ Or + Licensed Behavioral Practitioner (LBP) - Oklahoma State Board of Behavioral Health + Or + Licensed Clinical Social Worker (LCSW) - Oklahoma State ... while respecting teamwork and collaboration. Our therapist roles are an integral piece in our care team and we see it as a partnership. At SSM Health, we know the… more
    SSM Health (11/12/24)
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  • Assistant Clinical Supervisor- Hybrid

    BrightSpring Health Services (Jefferson City, MO)
    Our Company SpringHealth Behavioral Health and Integrated Care Overview ASSISTANT CLINICAL SUPERVISOR POSITION AVAILABLE HYBRID- 2 DAYS IN CLINIC Come Join ... a more positive quality of life! Responsibilities * Assist Clinical Supervisor, Clinical Manager with...with developmental disabilities. About our Line of Business SpringHealth Behavioral Health and Integrated Care offers a… more
    BrightSpring Health Services (11/23/24)
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  • Care Manager (BH)

    Centene Corporation (Jefferson City, MO)
    …license is required. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health ... plan/service plan for the best outcome, which may include behavioral health and social determinant needs + May perform...outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care more
    Centene Corporation (01/10/25)
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  • Clinical Registered Nurse - Remote

    Sharecare (Jefferson City, MO)
    …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
    Sharecare (01/08/25)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Jefferson City, MO)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (01/07/25)
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  • BH Case Manager I

    Elevance Health (Columbia, MO)
    …to meet identified needs of the member in terms of integrated (physical and behavioral ) whole person care . + Coordinates social determinants of health to meet ... BH Case Manager I **Location:** Missouri Alternate locations may be...scope of licensure for special programs, such as Foster Care . Manages overall healthcare costs for the designated population… more
    Elevance Health (01/09/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Jefferson City, MO)
    …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
    Highmark Health (11/20/24)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Jefferson City, MO)
    …Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
    Highmark Health (11/25/24)
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  • Occupational Therapist, Home Health Full Time

    CenterWell (Columbia, MO)
    …of patients. + Report patient status and progress to the physician, rehabilitation staff, Clinical Manager , patient and family members. + Participate in care ... + Confer with the patient's physician and other health care team members and participate in development/revision of the...the retraining programs in a manner consistent with the behavioral goals of each patient and within the guidelines… more
    CenterWell (10/30/24)
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  • Risk Management Lead - Home Health

    CenterWell (Jefferson City, MO)
    …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... of various healthcare payer models, including episodic, fee-for-service, and value-based care + Successful track record in influencing, facilitating, and consulting… more
    CenterWell (01/11/25)
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  • RN Registered Nurse - AHN Home Infusion…

    Highmark Health (Jefferson City, MO)
    …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more
    Highmark Health (12/06/24)
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  • Strategy Advancement Advisor, MSO Operations

    CenterWell (Jefferson City, MO)
    …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... improvement and membership growth. This role is within Centerwell's Primary Care Organization and requires an understanding of value-based agreements and primary… more
    CenterWell (12/21/24)
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  • Senior Data and Reporting Professional

    CenterWell (Jefferson City, MO)
    …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... opportunities. Application Deadline: 03-30-2025 **About us** About CenterWell Senior Primary Care : CenterWell Senior Primary Care provides proactive, preventive … more
    CenterWell (01/01/25)
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  • PBM Sr Business Intelligence Data Visual…

    Prime Therapeutics (Jefferson City, MO)
    …engineering, physics, accounting, finance, economics, computer sciences or business/social and behavioral science or related area of study, or the equivalent ... and ability to adjust focus **Reporting Structure** + Reports to Principal, Manager , Director, or Sr Director in the Health Outcomes, Pharmacy Audit, Pricing,… more
    Prime Therapeutics (01/08/25)
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