- Sharecare (Jefferson City, MO)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… 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 ... put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs and… more
- 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 ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- 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 ... + Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of… more
- SSM Health (Jefferson City, MO)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... the patient, physician and multidisciplinary treatment team to pace care , achieve quality outcomes and negotiate appropriate reimbursement. Ensures...Registered Nurse ( RN ) - Missouri Division of Professional… more
- Centene Corporation (Jefferson City, MO)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... state of Missouri. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high… more
- Centene Corporation (Jefferson City, MO)
- …license is required. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental… more
- Centene Corporation (Jefferson City, MO)
- …perspective on workplace flexibility. POSITION IS REMOTE **Position Purpose:** Performs care management duties to assess, plan and coordinate aspects of medical ... and supporting services across the continuum of care for post-discharge members, promoting quality and cost...**License/Certification:** + LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required Pay Range: $54,000.00 - $97,100.00 per year… more
- Gentiva (Jefferson City, MO)
- …quality assessment and performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: ... for everyone, so we offer ongoing professional training, lower nurse -to-patient ratios, and comprehensive benefits for eligible employees. Here,...Care . **We Offer** **As a Full Time Hospice RN / RN Case Manager ,… more
- Sharecare (Jefferson City, MO)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing the objectives and goals of the Value… more
- Elara Caring (Jefferson City, MO)
- … Care , at the Right Time, in the Right Place. **Job Description:** ** Registered Nurse Home Health** At Elara Caring, we care where you are and believe the ... To continue to be an industry pioneer delivering unparalleled care , we need a Registered Nurse...team members. What is Required? + Current, unrestricted state RN licensee + 1+ year experience in a clinical… more
- Highmark Health (Jefferson City, MO)
- …implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse is fully responsible for all ... Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans,...committee meetings as required. + Cooperates with other health care team members and the Operations Manager … more
- SSM Health (Jefferson City, MO)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse ( RN ) - Missouri Division of Professional Registration + ... Identifies and resolves issues affecting the delivery of patient care services for the assigned unit(s). Develops and implements...Or + Registered Nurse ( RN ) Issued by...Or + Registered Nurse ( RN ) Issued by Compact State State… more
- SSM Health (Jefferson City, MO)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... is what sets us apart. The role of the RN -Case Manager supports our organization by ensuring...Registered Nurse ( RN ) - Missouri Division of Professional… more
- Highmark Health (Jefferson City, MO)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Jefferson City, MO)
- …and external partners. Ability to travel for business needs. **Preferred Qualifications:** Registered Nurse ( RN ) Previous leadership experience. AAPC Coding ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...and affordable. The Special Investigations Unit is seeking a Manager to lead our team of Certified Professional Coders… more
- Highmark Health (Jefferson City, MO)
- …degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than ... for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line… more
- Sedgwick (Jefferson City, MO)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured… more
- CVS Health (Jefferson City, MO)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** he Health Coach… more