- Humana (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- AdventHealth (Kansas City, MO)
- …Clay, Cass Counties in Missouri **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse who ... on individual patient needs. The RN Care Manager is responsible for independent management of...in a Medicare-certified home health agency as a visit nurse o Home Health Case Manager Certification… more
- Fresenius Medical Center (Creve Coeur, MO)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Springfield, MO)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- CVS Health (MO)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Children's Mercy Kansas City (Kansas City, MO)
- …experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of...+ One of the following: Licensed RN - Kansas, Registered Nurse … more
- SSM Health (Jefferson City, MO)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... in standard work. + May also be responsible for: utilization management process, ED case management...Registered Nurse ( RN ) - Missouri Division of Professional… more
- Select Medical (St. Charles, MO)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
- HCA Healthcare (Independence, MO)
- …optimal care and appropriate resource utilization . **What qualifications you will need:** + ( RN ) Registered Nurse + Bachelor's Degree, Registered ... **Introduction** Do you have the career opportunities as a ** RN Case Manager PRN** you want with...your knowledge and expertise! **Job Summary and Qualifications** The Registered Nurse ( RN ) CM is… more
- HCA Healthcare (Kansas City, MO)
- …the UR physician to adhere to the self-denial process. **What qualifications you will need:** + ( RN ) Registered Nurse + Registered Nurse Diploma, or ... colleagues in their positions. Join our Team as a(an) RN Case Manager Lead and access programs...IQ criteria. + Adheres to HCA standards regarding observation management . In addition, the RN SM Lead… more
Recent Jobs
-
Physical Therapist - Outpatient Pediatrics
- St. Luke's Health System (Twin Falls, ID)