• Social Services Care Manager

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2, in a telephonic environment, ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 is a **Licensed,** **Masters level, social worker** who… more
    Humana (03/20/25)
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  • Staff Psychologist - Behavioral

    Veterans Affairs, Veterans Health Administration (Columbia, MO)
    …The psychologist for whom this functional statement applies is assigned to the Behavioral Health Interdisciplinary Team (BHIP) in the (BH) Service at the ... of clinical programming. The incumbent facilitates liaisons with other health care programs in order to effectively...board (IRB) and review process. May serve as the Behavioral Health representative for Truman VA, University… more
    Veterans Affairs, Veterans Health Administration (03/22/25)
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  • Care Manager (BH)

    Centene Corporation (Jefferson City, MO)
    …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... home anywhere in the United States. A valid Wisconsin behavioral health license is required. **Position Purpose:**...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
    Centene Corporation (01/10/25)
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  • Social Work Care Manager

    Intermountain Health (Jefferson City, MO)
    …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
    Intermountain Health (03/15/25)
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  • Care Manager (RN) OB

    Centene Corporation (Jefferson City, MO)
    …duties as assigned + Complies with all policies and standards RN with Behavioral health experience a plus **Education/Experience:** Requires a Degree from an ... the needs of the member, barriers to accessing the appropriate care , social determinants of health needs, focusing on what the member identifies as priority and… more
    Centene Corporation (03/19/25)
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  • Case Manager , RN

    CAI (Jefferson City, MO)
    …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
    CAI (02/01/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Jefferson City, MO)
    …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
    Highmark Health (03/13/25)
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  • Program Manager

    Highmark Health (Jefferson City, MO)
    …nationally recognized commitment to promote living health , inclusive of individuals' social health . The Program Manager will be an integral part of Highmark ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW** Highmark ...develop and implement SDOH programs that remove barriers to care and help people thrive, support evaluation frameworks to… more
    Highmark Health (03/15/25)
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  • Category Manager

    Highmark Health (Jefferson City, MO)
    …management and performance **Preferred** + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
    Highmark Health (02/18/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Jefferson City, MO)
    …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
    Highmark Health (03/06/25)
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  • Accreditation Manager

    Humana (Jefferson City, MO)
    …areas. **Preferred Qualifications** + Experience in managing a team. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... first** Humana Healthy Horizons is seeking an Accreditation Manager who will oversee and support a team of...millions of people we serve to achieve their best health - delivering the care and service… more
    Humana (03/21/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Jefferson City, MO)
    …for analyzing clinical data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ... + Analyze clinical data to assess potential stop loss and managed care claim liability and utilize Case Management oversight techniques to ensure front… more
    Highmark Health (02/24/25)
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  • Nurse Case Manager

    Sevita (Columbia, MO)
    …Today!_** **_\#LI-DVS_** Sevita is a leading provider of home and community-based specialized health care . We believe that everyone deserves to live a full, ... and case management and enjoy developing plans that improve people's lives? As Nursing Case Manager , you will be developing and implementing care plans for home … more
    Sevita (03/05/25)
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  • Provider Performance Manager

    Centene Corporation (Jefferson City, MO)
    …Counseling or Clinical Psychology preferred:** 3+ years of case management and/or behavioral health and/or quality work, value-based contracting, or process and ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....and support clinical/quality discussion on behalf of the internal Care Management team + Work in accordance with corporate… more
    Centene Corporation (03/20/25)
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  • Market VP, Value-Based Care Business…

    CenterWell (Jefferson City, MO)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/14/25)
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  • Senior Strategy Professional, Specialty…

    CenterWell (Jefferson City, MO)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/19/25)
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  • Senior Application Developer (Person360 & MDM)

    Highmark Health (Jefferson City, MO)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** We are on a mission to deliver remarkable health experiences, freeing people to be their ... requires an advanced 360 person-centered approach to deliver the right message, guidance, care , outcome, and experiences, all at the right time. This Sr Application… more
    Highmark Health (01/30/25)
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  • National leader, Provider Education

    CenterWell (Jefferson City, MO)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... or operational leadership experience in the areas of Population Health Management, Practice Management, (VBC) Value Based Care...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (03/06/25)
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  • Senior Clinical Pharmacy Technician

    CenterWell (Jefferson City, MO)
    …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (02/20/25)
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