- Mercy (St. Louis, MO)
- …grow, you'll grow with us. keyword(s): Nurse Manager RN Manager Nursing Manager Clinical Nurse Manager Nurse Supervisor Nurse Leader Nursing ... patient population on a 24-hour basis while achieving quality clinical outcomes and maximizing the utilization of... Management Jobs Healthcare Leadership Nursing Administration Nurse Operations Manager Nurse Team Leader … more
- Mercy (Joplin, MO)
- …and directing the department of Inpatient Nursing. They ensure the efficient utilization of available resources to meet productivity and financial goals. The ... Nurse Manager works collaboratively and effectively with other administrative...Manager is proactively involved in patient flow and bed management issues in collaboration with the Access Center and… more
- Mercy (Dexter, MO)
- …. Experience: Minimum three years nursing experience. Previous leadership/ management experience preferred. Certifications: BLS, ACLS, PALS Certification required ... staff members in the Med Surg and Outpatient Departments. Insures efficient utilization of available resources and meets productivity and/or financial goals. Meets… more
- Mercy (Springfield, MO)
- …Assists the physician in the treatment of the patients and completes related clinical paperwork. The incumbent in this position shall carry out his or her ... into his or her work ethic and style of management the Mercy Philosophy of caring for the sick...- Monday through Friday 8:00AM to 5:00PM Overview: The Clinical Supervisor assures delivery of safe, high-quality and cost-effective… more
- CVS Health (Jefferson City, MO)
- …And we do it all with heart, each and every day. **Position Summary** The ** Utilization Management Clinical Nurse Consultant** utilizes clinical ... Arizona Time Zone. **Preferred Qualifications** : + Previous experience with utilization management . + Previous clinical experience in Emergency Department,… more
- Humana (Jefferson City, MO)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- CVS Health (Jefferson City, MO)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in Central or Mountain… more
- CenterWell (Jefferson City, MO)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Truman Medical Centers (Kansas City, MO)
- …time **Work Schedule** 7:30AM - 4:00PM **Hours Per Week** 40 **Job Description** The Utilization Management Nurse (UM RN) collaborates with members of the ... solving, and proficient organization and planning skills Preferred Qualifications: + Utilization Management experience + Experience with managed care,… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... To provide leadership to integrated inpatient teams; assists Director in the management of department; including personnel and fiscal management and development… more
- Evolent (Jefferson City, MO)
- … Reviewer, Nurse , you will routinely interact with leadership and management staff, other CR's ( Clinical Reviewers), providers, office staff and Field ... culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer, Nurse , you will be a..., you will be a key member of the utilization management team. We can offer you… more
- Centene Corporation (Jefferson City, MO)
- …knowledge of Medicare and Medicaid regulations preferred. Strong knowledge of utilization management processes preferred. **License/Certification:** + LPN - ... be 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
- Actalent (Kansas City, MO)
- …Trucare Cloud preferred) + Knowledge of Medicaid or Medicare regulations and utilization management processes + Proficiency in Microsoft Word, Excel, and ... Clinical Review Nurse - Concurrent Review...systems + Medicaid, Medicare or insurance-related knowledge + Prior utilization management experience What We Offer +… more
- Evolent (Jefferson City, MO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Veterans Affairs, Veterans Health Administration (MO)
- …responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Follows ... Program (SARRTP) - The SARRTP Mental Health RN is employed in a clinical /direct care role caring for patient in a residential setting. SARRTP Duties include… more
- Veterans Affairs, Veterans Health Administration (MO)
- … nurse independently provides patient-centered and recovery-oriented care, milieu management , and maintains self-awareness while caring for patients living with ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
- CVS Health (Jefferson City, MO)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... self-insured clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Registered Nurse - Med/ Surg position is located at the John Cochran Division, VA ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
- ChenMed (St. Louis, MO)
- …expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage directional patient care advice ... client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Providing on-call coverage, the… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work ... Office products including Word, Excel and Outlook **Preferred Qualifications** + Utilization Review/Quality Management experience + Experience working with MCG… more
