- CVS Health (Jefferson City, MO)
- …Perform medical necessity reviews. **Required Qualifications** + 5 + years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... This position consists of working intensely as a telephonic case manager with patients and their care...setting. + A Registered Nurse that holds an active, unrestricted… more
- Humana (Jefferson City, MO)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...4 weeks of training will be from 8:30AM to 5 :00PM EST. No time off is permitted during the… 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 ... the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...during the training period will be evaluated on a case by case basis and must be… more
- Highmark Health (Jefferson City, MO)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides...+ 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/Managed Care + 1 year in… more