• Registered Nurse ( RN

    St Croix Hospice (Jefferson City, MO)
    Registered Nurse ( RN ) Case Manager Job Details Level Experienced Job Location Jefferson City MO - Jefferson City, MO Education Level 2 Year Degree ... Job Shift Day Job Category Nurse Description TheRegistered Nurse Case ...toward self-sufficiency and optional comfort care. + Acts as RN Case Manager when assigned… more
    St Croix Hospice (12/24/24)
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  • Case Manager RN - Field (St.…

    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
    CVS Health (01/01/25)
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  • BH Case Manager I

    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
    Elevance Health (01/09/25)
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  • RN Case Manager

    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
    SSM Health (11/30/24)
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  • Complex Case Manager RN

    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
    Highmark Health (11/20/24)
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  • Hospice Registered Nurse

    Gentiva (Jefferson City, MO)
    …performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...need with dignity, grace, and love. **As a Hospice RN / RN Case Manager more
    Gentiva (01/07/25)
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  • Registered Nurse RN Home…

    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 (12/25/24)
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  • Registered Nurse , Home Health Per…

    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
    CenterWell (12/18/24)
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  • Excess Risk Managed Care Clinician

    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 (11/25/24)
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  • Care Manager RN - Weekends (Remote)

    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 (01/07/25)
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  • Mgr Utilization Review RN

    Baylor Scott & White Health (Jefferson City, MO)
    …at least five years of relevant work experience + Hold a valid registration as a Registered Nurse As a health care system committed to improving the health of ... may vary based on position type and/or level **Job Summary** As a Manager for Utilization Review, you guide and supervise staff. You oversee care coordination… more
    Baylor Scott & White Health (01/10/25)
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  • Care Manager Behavioral Health - Part Time…

    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
    Highmark Health (12/12/24)
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  • Field Care Manager , Behavioral Health

    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
    Humana (11/20/24)
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  • Care Manager - Remote

    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
    Sharecare (12/04/24)
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  • Senior Manager , PV Operations

    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
    Takeda Pharmaceuticals (01/10/25)
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  • Site Activation CAR-T Senior Manager , Cell…

    J&J Family of Companies (Jefferson City, MO)
    …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field… more
    J&J Family of Companies (12/18/24)
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