• Complex Case Manager

    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 (01/25/25)
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  • Case Manager RN

    CVS Health (Jefferson City, MO)
    …solutions to make health care more personal, convenient and affordable. **Position Summary:** **This RN Case Manager position is 100% remote and candidates ... Sunday both) per the needs of the team.** The RN Case Manager is responsible...complex health issues and social indicators. + Utilizes case management processes in compliance with regulatory and company… more
    CVS Health (01/29/25)
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  • Telephonic Case Manager

    Sedgwick (Jefferson City, MO)
    …work. Great 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 worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
    Sedgwick (01/22/25)
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  • Care Manager - Remote

    Sharecare (Jefferson City, MO)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… more
    Sharecare (01/17/25)
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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 ... 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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