• Consultant, Nurse Disability

    Lincoln Financial Group (Jefferson City, MO)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
    Lincoln Financial Group (01/03/25)
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  • Clinical Review Clinician - Appeals

    Centene Corporation (Jefferson City, MO)
    …other duties as assigned + Complies with all policies and standards ** Registered Nurse with behavioral health and Medicare appeals experience preferred.** ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact… more
    Centene Corporation (01/24/25)
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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, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (01/17/25)
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  • Associate Quality Practice Advisor

    Centene Corporation (Jefferson City, MO)
    …Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse (RN), Acute Care Nurse Practitioner (APRN) ... access to competitive benefits including a fresh perspective on workplace flexibility. CLINICAL LICENSE STRONGLY PREFERRED THIS POSITION IS REMOTE FOR MISSOURI… more
    Centene Corporation (01/10/25)
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  • HEDIS Quality Program Strategist II

    Centene Corporation (Jefferson City, MO)
    …of quality experience, provider/market partnership or CAHPS experience preferred. **License/Certification:** Registered Nurse (RN), Licensed Practical Nurse , ... competitive benefits including a fresh perspective on workplace flexibility. NOTE: This remote role will develop strategy and execute interventions start to finish… more
    Centene Corporation (01/23/25)
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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 ... Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability,… more
    Highmark Health (11/25/24)
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  • Utilization Review Clinician - Behavioral Health

    Centene Corporation (Jefferson City, MO)
    …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
    Centene Corporation (01/10/25)
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  • Director, Compliance Operations

    WelbeHealth (Jefferson City, MO)
    …compliance with regulatory standards **Job Requirements:** + Bachelor's degree required + Registered Nurse (RN), master's degree, or other relevant advanced ... 100% REMOTE OPPORTUNITY At WelbeHealth, each participant of our...is guided by our interdisciplinary team (IDT), composed of clinical and non- clinical members who work cohesively… more
    WelbeHealth (01/23/25)
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  • Field Care Manager, Behavioral Health

    Humana (Jefferson City, MO)
    clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **(RN)** license with at least three years of experience ... Virginia, or West Virginia.** + An active, unrestricted Licensed Masters Clinical Social Worker **(LCSW),** Licensed Professional Clinical Counselor **(LPCC)**… more
    Humana (11/20/24)
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  • Utilization Management Behavioral Health…

    Humana (Jefferson City, MO)
    …Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **(RN)** or other professional license. + Three (3) ... independent determination of the appropriate courses of action. + Utilizes clinical knowledge, communication skills, and independent critical thinking skills towards… more
    Humana (11/13/24)
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