FULL_TIME

FEED

UNKNOWN

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Coordinates discharge planning needs including but not limited to; home health services, physician follow up care, durable medical equipment, medical supplies, healthcare services, outpatient therapy, dialysis, skilled nursing care, assisted living care, hospice care, private duty care, etc.

Lifepoint Rehabilitation

Case Manager (CM) Rehabilitation

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Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

The Rehabilitation Institute of St. Louis, an affiliation of BJC HealthCare and Encompass Health

Case Manager

OTHER

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. *********Minimum Requirements: - High School Degree and 2+ years clinical experience required; Associate's Degree preferred or equivalent combination of education or experience.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Clinical Review Lead Coordinator, LPN/RN

equestftpin

At least 12 years of health care experience, including at least 10 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or special programs, or equivalent combination of relevant education and experience, or equivalent combination of relevant education and experience. Identifies and reviews new products to enhance care service delivery, safety net planning, development of alternative levels of care (with anticipated improved outcomes with cost offsets), predictive modeling, integration with medical care management, or other approaches that support the patient centered medical home.

YEAR

Molina Healthcare Inc.

VP, Healthcare Services (Nevada)

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Hannibal Regional Hospital

Case Manager - Rehabilitation - Lifepoint Health

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Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp.

Utilize clinical expertise and critical thinking skills to work collaboratively with residents, resident family/significant other, healthcare providers, insurers, community resources and other involved parties to develop and implement a plan of care that provides extraordinary care for the patient while being sensitive to costs and resources. Must be able to effectively communicate with, and promote cooperation and collaboration between individuals including residents/families/caretakers, physicians, nurses and other ancillary partners.

PACS

Functions as an advocate for the beneficiary by ensuring access to necessary care and maintaining Beneficiary's safety, locating specialized services outside the network by identifying providers, exploring nature of services offered, and facilitating process. Independent Thinking / Self-Initiative: Resourceful critical thinker who is able to prioritize tasks essential to achieving desires outcomes, demonstration a proactive commitment to task completion and the ability to identify and secure necessary resources.

TriWest Healthcare Alliance

In support of TRICARE beneficiaries enrolled in the Autism Care Demonstration (ACD), the Autism Services Navigator (ASN) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services for TRICARE beneficiaries diagnosed with autism spectrum disorder (ASD). • Current unrestricted licensure in an appropriate state or territory of the United States, as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Social Worker (LCSW), Registered Nurse, or other licensed mental health professionals who possess a Certification in Case Management (CCM).

Autism Services Navigator

A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Elevance Health

Administrative Assistant (PRN) - Paragon Infusion Centers

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Administrative Assistant (Prn) - Paragon Infusion Centers

Possesses a vigorous and enthusiastic desire to learn and to grow both personally and professionally, and to improve one's skills in order to deliver the best possible care for our customers. 2. Exercises diligence to assist Hospital in keeping controllable costs of medical services to a minimum, including participation in utilization review and peer review programs.

Bothwell Regional Health Center

Crna

Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient''s journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp

Our Sales Team is growing and seeking a full-time Regional Account Manager to strengthen existing client partnerships and drive new business opportunities across the Kansas City territory . Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients.

Ethos Risk Services

Regional Account Manager

Talent Acquisition

Attend, absorb, and utilize training to learn about emerging technology, new products, custom solutions, etc. and stay informed about market trends in the Payment Integrity space via Zelis competitive intelligence information and self-learning from online resources. The Senior Solution Advisor will be responsible for partnering with Sales and Client Management to drive revenue acquisition Price Optimization solutions by providing pre and post sales engineering support.

Zelis Healthcare, Inc.

Senior Solution Advisor, Payment Integrity

The Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.

Transition of Care Coordinator RN/LCSW

Elevance Health Inc

Hyperfine, Inc. (Nasdaq: HYPR) is the groundbreaking health technology company that has redefined brain imaging with the Swoop ® system—the first FDA-cleared, portable, ultra-low-field, magnetic resonance brain imaging system capable of providing imaging at multiple points of care in a healthcare facility. The Clinical Support Specialist is responsible for all aspects of the initial training and support for the customer team, including physicians, nurses, radiographers, MRI Technologists, and other relevant personnel in the use of Hyperfine's Swoop Portable MRI System.

Hyperfine

Clinical Support Specialist - Midwest

GreenHouseAPI

Zelis

IRecruitee

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. This role provides direct, individualized interventions aligned with treatment plans, coordinates care with internal and external providers, and promotes recovery, resilience, and academic achievement.

Utilization Management Nurse Jobs in Missouri

Case Manager (CM) Rehabilitation Lifepoint Rehabilitation

Case Manager The Rehabilitation Institute of St. Louis, an affiliation of BJC HealthCare and Encompass Health

Clinical Review Lead Coordinator, LPN/RN Maximus

VP, Healthcare Services (Nevada) Molina Healthcare Inc.

Case Manager - Rehabilitation - Lifepoint Health Hannibal Regional Hospital

Case Manager Encompass Health Corp.

Case Manager PACS

Case Manager TriWest Healthcare Alliance

Autism Services Navigator TriWest Healthcare Alliance

Administrative Assistant (PRN) - Paragon Infusion Centers Elevance Health

Administrative Assistant (Prn) - Paragon Infusion Centers Elevance Health

Crna Bothwell Regional Health Center

Case Manager Encompass Health Corp

Regional Account Manager Ethos Risk Services

Senior Solution Advisor, Payment Integrity Zelis Healthcare, Inc.

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Administrative Assistant (PRN) - Paragon Infusion Centers Elevance Health Inc

Clinical Support Specialist - Midwest Hyperfine

Senior Solution Advisor, Payment Integrity Zelis

School Based Support Specialist (Moberly) Brightli

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