- 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
- Children's Mercy Kansas City (Kansas City, MO)
- …requirements within 5 years of their hire date. + One of the following: Licensed RN - Kansas, Registered Nurse Multistate License Kansas required upon hire ... + One of the following: Licensed RN - MO, Registered Nurse ...Specialty Certification relevant to unit's patient population (determined by Nurse Manager /Director) Preferred Benefits at Children's Mercy… more
- Children's Mercy Kansas City (Kansas City, MO)
- …+ 1-2 years experience pediatric nursing experience + One of the following: Licensed RN - Kansas, Registered Nurse Multistate License Kansas required upon ... hire + One of the following: Licensed RN - MO, Registered Nurse ...Specialty Certification relevant to unit's patient population (determined by Nurse Manager /Director) Preferred Benefits at Children's Mercy… more
- Children's Mercy Kansas City (Kansas City, MO)
- …activities with the support and direction of an Advanced Practice Registered Nurse mentor. Qualifications + PNP- Acute Care Required upon hire + Master's ... on a case-by-case basis within preferred specialty. + Licensed RN - MO, Registered Nurse ...Specialty Certification relevant to unit's patient population (determined by Nurse Manager /Director) Preferred Benefits at Children's Mercy… more
- Children's Mercy Kansas City (Kansas City, MO)
- …activities with the support and direction of an Advanced Practice Registered Nurse mentor. Qualifications + PNP- Acute Care Required upon hire + Master's ... on a case-by-case basis within preferred specialty. + Licensed RN - MO, Registered Nurse ...Specialty Certification relevant to unit's patient population (determined by Nurse Manager /Director) Preferred Benefits at Children's Mercy… more
- Children's Mercy Kansas City (Kansas City, MO)
- …services, physicians, pharmacy, and care management. This role requires that the Nurse Care Manager uses advanced nursing process skills to promote ... safe, optimal, cost-efficient and satisfying patient/family outcomes. The Nurse Care Manager job functions...are all preferred. + One of the following: Licensed RN - MO, Registered Nurse … more
- Children's Mercy Kansas City (Kansas City, MO)
- …lives of children beyond the walls of our hospital. Overview The Professional Practice Nurse Care Manager Lead manages new employee orientation and ongoing ... improvements, operational efficiencies, and financial growth. The Professional Practice Nurse Care Manager Lead is...a previous role + One of the following: Licensed RN - MO, Registered Nurse … more
- Children's Mercy Kansas City (Kansas City, MO)
- …of children beyond the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, evidence-based guidelines, ... continued patient stays with Attending Physician, Physician Advisor, Inpatient Nurse Care Manager , and insurance/payer....a previous role + One of the following: Licensed RN - MO, Registered Nurse … more
- Children's Mercy Kansas City (Kansas City, MO)
- …resolve issues. The High-Risk Nurse Lead is an expert at the roles of Clinical Review Nurse Care Manager and Care Coordination Case Manager and ... and + 3-5 years experience + Experience as a care manager or demonstrated leadership skills in...a previous role + One of the following: Licensed RN - MO, Registered Nurse … more
- Children's Mercy Kansas City (Kansas City, MO)
- …improve the lives of children beyond the walls of our hospital. Overview The Nurse Manager manages unit-based patient care services; including personnel and ... and hospital performance improvement activities. Provides family centered patient care that is based on scientific theory and is...1-2 years experience + One of the following: Licensed RN - Kansas, Registered Nurse … more
- Children's Mercy Kansas City (Kansas City, MO)
- …staff and collaborating with multiple subspecialties that function at the East Urgent Care . The Advanced Practice Registered Nurse I (APRN-I) provides ... on a case-by-case basis within preferred specialty. + Licensed RN - MO, Registered Nurse ...relevant to unita€ (TM) s patient population (determined by Nurse Manager /Director) Preferred Benefits at Children's Mercy… 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
- Children's Mercy Kansas City (Kansas City, MO)
- …experience. Exceptions considered on a case-by-case basis within preferred specialty. + Licensed RN - MO, Registered Nurse Multistate License Missouri ... required upon hire + Licensed RN - Kansas, Registered Nurse ...Specialty Certification relevant to unit's patient population (determined by Nurse Manager /Director) Preferred Benefits at Children's Mercy… more
- Children's Mercy Kansas City (Kansas City, MO)
- …experience. Exceptions considered on a case-by-case basis within preferred specialty. + Licensed RN - Kansas, Registered Nurse Multistate License Kansas ... required upon hire + Licensed RN - MO, Registered Nurse ...relevant to unita€ (TM) s patient population (determined by Nurse Manager /Director) Preferred Benefits at Children's Mercy… more