- Skaggs Community Hospital Association (Branson, MO)
- …patient care team toward goal achievement in accordance with Standards of Nurse Anesthesia Practice, National Standards of Care as identified by respective ... to other team members. Excellent communication skills, leadership ability, time management , and problem solving skills required. * Job Requirements ◦ Education… more
- Humana (Jefferson City, MO)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Cognizant (Jefferson City, MO)
- …background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Lincoln Financial (Jefferson City, MO)
- …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- Humana (Jefferson City, MO)
- …put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional who utilizes behavioral health ... communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional work assignments are… more
- Children's Mercy Kansas City (Kansas City, MO)
- …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... To provide leadership to integrated inpatient teams; assists Director in the management of department; including personnel and fiscal management and development… more
- Saint Luke's (Kansas City, MO)
- …assuring the receipt of high quality, cost efficient medical outcomes through utilization review and management . This position includes monitoring patient charts ... using clinical guidelines (InterQual). + Complies with CMS regulation regarding utilization review/ management . + Obtains and manages insurance authorizations and… more
- Elevance Health (St. Louis, MO)
- **Medical Management Nurse ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The **Medical Management Nurse ** is responsible for review of the most complex… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …application. Former EDRP participants ineligible to apply. Responsibilities The Registered Nurse - Emergency Department position in Nursing Operations is located at ... nursing care of licensed practical nurses and unlicensed assistive personnel. The nurse will assist in directing the provision of nursing education, orientation,… more
- CVS Health (Jefferson City, MO)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- Summary The Research Registered Nurse is located in the Clinical Trials Unit, Research & Education Service, VA St. Louis Health Care System (VASTLHCS), St. Louis, ... improving holistic care through collaborative strategies with others. The Research Nurse will interact with Primary Investigators, research staff and study… more
- Veterans Affairs, Veterans Health Administration (Kansas City, MO)
- Summary Cardiac Catheterization/Electrophysiology Laboratory Registered Nurse (RN) located at located at the Kansas City VA Medical Center in Kansas City, MO ... education, orientation, competencies, providing quality improvement, and enhance outcomes utilization . Delivers and manages the care of patients undergoing… more
- AdventHealth (Kansas City, MO)
- …and Miami Counties in Kansas. **The role you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional nurse who coordinates and ... on individual patient needs. The RN Care Manager is responsible for independent management of the Home Health patient population requiring the use of advanced… more
- Saint Luke's (Lees Summit, MO)
- …Description** **Saint Luke's East Hospita** l in **Lee's Summit, MO** is seeking a ** Nurse Care Coordinator** to join our team. Full Time : Monday - Friday 8-4:30 ... is responsible for ensuring quality patient outcomes, monitoring resource utilization and mitigating obstacles to care delivery through interdisciplinary… more
- Visiting Nurse Association of Southeast Missouri (Kennett, MO)
- …agency and regulatory standards, quality patient care, and effective and efficient resources utilization . + The Nurse Practitioner plays an integral part in the ... Biweekly Pay | Other We are looking for a Nurse Practitioner for our Palliative Care program. This program...patient visits, face to face encounters, and other patient management encounters. JOB DUTIES AND RESPONSIBILITIES Patient Care: +… more
- Elevance Health (St. Louis, MO)
- …The **Telephonic Nurse Case Manager Senior** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager Senior** **Location:** This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and… more
- Elevance Health (St. Louis, MO)
- …criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members with complex and chronic care ... **Telephonic Nurse Case Manager II** **Location:** This role enables...claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum requirements:**… more
- Highmark Health (Jefferson City, MO)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... within the first 6 months of employment. **Preferred** + Certification in utilization management or a related field + Certification in Case Management … more
