- CVS Health (Jefferson City, MO)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and knowledge in ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (Jefferson City, MO)
- …Must have active current and unrestricted RN licensure in state of residence + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area- + Managed Care experience preferred, especially Utilization Management + Preference for those residing in Central and Mountain… more
- CenterWell (Jefferson City, MO)
- …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
- CenterWell (Jefferson City, MO)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... high-volume community or mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a… more
- SSM Health (MO)
- …+ Two years' registered nurse experience and three years' utilization management experience, with two years' of demonstrated progressive leadership ... Oklahoma or Wisconsin. **Job Summary:** Oversees the system wide day-to-day operational management of Utilization Management (UM) activities and services… more
- CVS Health (Jefferson City, MO)
- …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… 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
- Sharecare (Jefferson City, MO)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- ChenMed (St. Louis, MO)
- …years' clinical work experience required + A minimum of 1 year of utilization review and/or case management , home health, discharge planning experience required ... great people to join our team. The Acute Care Nurse (ACN) is responsible for achieving positive patient outcomes....by either the RN or LPN include: + Conducts utilization view for appropriate utilization of services… more
- Veterans Affairs, Veterans Health Administration (MO)
- Summary The Nurse Bar Code Administration (BCMA) Coordinator Registered Nurse exercises leadership in the assessment, planning, implementation and evaluation of ... of education, orientation, competencies and providing quality improvement and outcomes utilization . Responsibilities Major Duties may include, but are not limited… more
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