- Highmark Health (Jefferson City, MO)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Jefferson City, MO)
- …September 8th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Jefferson City, MO)
- …overall wellness within a high-risk maternity case management program. The Case Manager RN is empowered to take care of all aspects of a member's maternity ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...team and experience with this is required. The Case Manager RN is responsible for telephonically and/or… more
- CVS Health (Jefferson City, MO)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Highmark Health (Jefferson City, MO)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Centene Corporation (Jefferson City, MO)
- …Bachelor's degree in Nursing and 5 - 7 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... benefits including a fresh perspective on workplace flexibility. **Location: Remote role, preferred locations Texas or Missouri.** **Position Purpose:** Oversees… more
- Public Consulting Group (Jefferson City, MO)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... financial, regulatory, and operational challenges of today's changing health care landscape, so they can provide the best ...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Sharecare (Jefferson City, MO)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Centene Corporation (Jefferson City, MO)
- …to competitive benefits including a fresh perspective on workplace flexibility. POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN MISSOURI THIS ROLE WILL WORK WITH THE ... FOSTER CARE POPULATION **Position...Health Professional (eg, LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required… more
- Cardinal Health (Jefferson City, MO)
- …Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is responsible for ... the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall...that will lead our Rheum program. **Location** - Fully remote with the expectation of 15-20% travel. Travel does… more
- Sedgwick (Jefferson City, MO)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager **We are growing all across the US and are looking for experienced ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Centene Corporation (Jefferson City, MO)
- …and Certifications:** A license in one of the following is required: Licensed Registered Nurse ( RN ), Licensed Clinical Social Worker (LCSW), Licensed ... evidence of expected clinical performance within contractual and Model of Care standards. + Conducts clinical file assessments by reviewing clinical documentation… more
- Somatus (Jefferson City, MO)
- …work as an extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their ... offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position...+ Works under the guidance of physicians and/or a nurse care manager . + Follow-up… more