- Centene Corporation (Jefferson City, MO)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external… more
- Datavant (Jefferson City, MO)
- …SMART software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and ... to realize our bold vision for healthcare. As an ** Inpatient Auditing Specialist** you will be instrumental in addressing...presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help… more
- CenterWell (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with… more
- Humana (Jefferson City, MO)
- …scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external physicians by phone to ... caring community and help us put health first** The Medical Director relies on medical ...or fellowship, which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more
- Humana (Jefferson City, MO)
- …Solutions as needed + Other activities as assigned by the managing Medical Director Travel: While this is a remote position, occasional travel to Humana's ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...subject matter contribution Preferred Qualifications + Experience in an inpatient environment and/or related to care of a Medicare… more
- Humana (Jefferson City, MO)
- …as needed** + **Other activities as assigned by the managing Medical Director ** Travel: While this is a remote position, occasional travel to Humana's ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...subject matter contribution** **Preferred Qualifications** + Experience in an inpatient environment and/or related to care of a Medicare… more
- Humana (Jefferson City, MO)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...meets compliance timelines. + Conduct comprehensive, timely, and compliant medical necessity reviews for inpatient services +… more
- Children's Mercy Kansas City (Kansas City, MO)
- …lives of children beyond the walls of our hospital. Overview The Nursing Director is responsible for ongoing leadership and operations of a clinical department and ... for nursing care safety and quality. The Nursing Director uses sound human resource and financial management principles...with the interdisciplinary team. 5 Sutherland is a general medical /surgical unit that cares for patients with renal failure… more
- Sumitomo Pharma (Jefferson City, MO)
- …a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face ... access/commercial experience. Rare disease experience is preferred + Excellent virtual/ remote customer engagement skills along with verbal and written communication… more
- Children's Mercy Kansas City (Kansas City, MO)
- …comprehensive, age appropriate nursing care for assigned patients on a variety of medical /surgical inpatient nursing units. Assists with the shift supervision of ... where we are assigned to work a few hours before the start of each shift. Inpatient Float Pool includes: Medical /Surgical Float Pool (RNs, CAs & PSTs) + 1 Hall +… more
- Children's Mercy Kansas City (Kansas City, MO)
- …improve the lives of children beyond the walls of our hospital. Overview The Director of Clinical Access Operations is responsible to support and sustain the mission ... of contact for projects overseen by this role. The Director of Clinical Access Operations will maintain a systematic...you and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with… more
- Children's Mercy Kansas City (Kansas City, MO)
- …within 5 years of their hire date. and 5-7 years experience Pediatric Inpatient Medical -Surgical or Critical Care experience + Bachelor's Degree Preferred for ... degree within 5 years of their hire date. and 5-7 years experience Pediatric Inpatient Medical -Surgical or Critical Care experience + One of the following:… more
- Merck (Jefferson City, MO)
- …Services (HMS) Manager, Solutions Consultant, Customer Strategies and Solutions (CSS), Regional Medical Director (RMD) and other key stakeholders to share key ... address customer needs + Works with solutions group (Headquarters - HQ) and/or Medical Account Executive (MAE) to develop and deliver relevant offerings that address… more
- Children's Mercy Kansas City (Kansas City, MO)
- …beyond the walls of our hospital. Overview To provide leadership to integrated inpatient teams; assists Director in the management of department; including ... of patients, including patient statusing processes, ongoing monitoring of medical necessity review functions utilizing InterQual and/or MCG screening guidelines,… more
- Children's Mercy Kansas City (Kansas City, MO)
- …structured intensive outpatient treatment program that serves as an avenue between inpatient admission and specialty ambulatory services. Our program is designed for ... children with medical complexities who are suffering with mental illness and...Certification relevant to unit's patient population (determined by Nurse Manager/ Director ) Preferred Upon Hire Benefits at Children's Mercy The… more