- Evolent (Jefferson City, MO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact ... as part of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to… more
- Evolent (Jefferson City, MO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of ... a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and… more
- Baylor Scott & White Health (Jefferson City, MO)
- …**SPECIALTY/DEPARTMENT:** Care Management: Case Management Utilization Management Appeals or grievances **SHIFT/SCHEDULE:** Full-time days, Monday-Friday, 8:00 ... vary based on position type and/or level **Job Summary** A Registered Nurse in Nursing Professional Development Generalist role uses expertise to enhance healthcare… more
- Children's Mercy Kansas City (Kansas City, MO)
- …Management and Workforce Engagement + Oversees and directs the work of Nurse Case Managers, Social Workers, and Utilization Review specialist team members and ... and evaluates decisioning making by tracking and assessing overturned appeals , physician decision trends related to level of care...One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire + One… more
- Elevance Health (St. Louis, MO)
- …Director is responsible for collaborating with health plan partners, company nurse practitioners, and an interdisciplinary team to ensure delivery of high-quality ... a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any… more