- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Compliance Professional 2 ensures compliance with governmental requirements. The ... and independent determination of the appropriate courses of action. The Compliance Professional 2 develops and implements compliance policies and procedures.… more
- CVS Health (Jefferson City, MO)
- …clinical tools and information/data. * Utilizes case management processes in compliance with regulatory and company policies and procedures. * Facilitates ... degree preferred. * Certified Case Manager is preferred. * Additional national professional certification (CRC, CDMS, CRRN, COHN, or CCM) is preferred, but not… more
- CenterWell (Jefferson City, MO)
- …help patients get back to the life they love. As a fulltime **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up ... patients in Osage Beach area + Current and unrestricted Registered Nurse licensure + Current CPR certification...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity… more
- Highmark Health (Jefferson City, MO)
- …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware RN license must be ... established industry and corporate standards and are within the care manager's professional discipline. + Function in accordance with applicable state, federal laws… more
- CVS Health (Jefferson City, MO)
- …with Microsoft Office products and VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding or Sales ... outcomes. Facilitate sessions on clinic operations, quality standards, regulatory compliance , member experience and patient-centered care to enhance provider skills… more
- Centene Corporation (Jefferson City, MO)
- …of utilization management and appeals principles preferred. **License/Certification:** + RN - Registered Nurse - Compact State Licensure required This is a ... one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national… more
- Fujifilm (Jefferson City, MO)
- …+ Bachelor's degree in biomedical engineering, healthcare, computer science or registered nurse , sonographer, technologist - desired, but not required. ... mapping for project and or post go-live support cases in compliance with the company's quality procedures. **Company Overview** At FUJIFILM Healthcare… more