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CVS Health
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Jefferson City, Missouri
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Position Summary
This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management is a 24/7 operation. Work schedules may include weekends and holidays and evening
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Elevance Health
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St. Louis, Missouri
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reviews.
The Medical Director typically has program management responsibilities including clinical ... .
Preferred Skills, Capabilities, and Experiences:
Utilization Management experience is a plus
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Elevance Health
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St. Louis, Missouri
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Director typically has program management responsibilities including clinical policy development, program ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to
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Guardian Life
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Jefferson City, Missouri
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The Vocational Rehabilitation Consultant (VRC) will develop cost effective strategies to assist ... to work strategies. The Vocational Rehabilitation Consultant provides assessment of LTD, STD and Life
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Lincoln Financial Group
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Jefferson City, Missouri
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motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for ... Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management
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The Cigna Group
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St. Louis, Missouri
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necessary (utilization and/or health management strategy/reporting) for each client assigned.
Acts in ...
Provides clinical oversight and management to business division, develops tools and training for carrying
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CVS Health
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Jefferson City, Missouri
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(MANAGER, BUSINESS CONSULTANT) who offer clinical insights and solutions to help improve health plan ... professional with a passion for consulting and improving overall population health to leverage clinical
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Elevance Health
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Missouri
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management, utilization management or managed care experience; or any combination of education and experience ... .
The Nurse Medical Management II is responsible to collaborate with healthcare providers and members
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Burrell Behavioral Health
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St. Louis, Missouri
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evolution based on information gathered from assessment.
Participate in clinical staffing/treatment ... with providing professional/clinical supervision to individuals in training once all professional
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J&J Family of Companies
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Jefferson City, Missouri
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& Johnson is currently seeking a Clinical Sales Specialist- Digital Spine to join our team located remotely in the US.
As a Clinical Sales Specialist- Digital you will be a subject matter expert within the
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Truman Medical Centers
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Kansas City, Missouri
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.myworkday.com/trumed/d/home.htmld) to search for positions and apply.**
Clinical Nurse RN ... disease management and women’s services, including high-risk maternity care. The Health Sciences District
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Truman Medical Centers
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Kansas City, Missouri
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Emergency Medicine and Critical Care, with world-class expertise in chronic disease management and women’s ... , Management or Educators in the established timeline for continued employment.
Completion of training as
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J&J Family of Companies
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Jefferson City, Missouri
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/.
Johnson & Johnson is currently seeking a Clinical Sales Specialist- Digital Spine to join our team located remotely in the US.
As a Clinical Sales Specialist- Digital you will be a subject matter expert within
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Truman Medical Centers
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Kansas City, Missouri
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Emergency Medicine and Critical Care, with world-class expertise in chronic disease management and women’s ... ) years; or has documented experience in a current healthcare setting providing clinical care under
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Prime Therapeutics
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Jefferson City, Missouri
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, specialty drugs, care management and utilization review.
Meets Magellan Credentialing criteria.
At ... of medical specialty drugs and the management of those drugs.
Understanding of the clinical
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SSM Health
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Saint Louis, Missouri
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) Reports risk management concerns.
D) Assumes responsibility for completing all annual mandatory ... possible.
B) Pain Management
Follows pain management plan of care, e.g
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Burrell Behavioral Health
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St. Louis, Missouri
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evolution based on information gathered from assessment.
Participate in clinical staffing/treatment ... with providing professional/clinical supervision to individuals in training once all professional
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Veterans Affairs, Veterans Health Administration
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Columbia, Missouri
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appointment management according to clinic guidelines, to include scheduling, cancelling, and re-scheduling ... and insurance information, among other aspects of appointment management. Independently makes choices
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Centene Corporation
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Jefferson City, Missouri
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, drug utilization review and clinical programs
Participate in the development and management of ... with client account team
Perform clinical data and drug utilization review analysis to meet client
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SSM Health
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Saint Louis, Missouri
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) Reports risk management concerns.
D) Assumes responsibility for completing all annual mandatory ... Management
Follows pain management plan of care, e.g.: repositioning, message, immobilization
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Elevance Health
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St. Louis, Missouri
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Management programs and specific identified members. Under direct supervision handles inbound/outbound ... Management programs by providing information about the program, outlining program features/value and
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SSM Health
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Saint Louis, Missouri
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) Reports risk management concerns.
D) Assumes responsibility for completing all annual mandatory ... trail release and removal of restraint as soon as possible.
B) Pain Management
1
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Vaco
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Jefferson City, Missouri
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and rank quality candidates for open EHR positions, with a focus on Epic’s clinical application suite ... with a focus on Epic’s clinical application suite
Updates, reviews, and actively utilizes a
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Spira Care, LLC
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Lee's Summit, Missouri
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behavioral health services into primary care. The Behavioral Health Consultant (BHC) provides direct ... health, functioning/quality of life, and patient self-management.
The BHC is a fully integrated
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CVS Health
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Jefferson City, Missouri
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support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions ... consultative clinical support to Account Management in support of Key Clients as assigned.
The Medical
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CVS Health
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Jefferson City, Missouri
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support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions ... consultative clinical support to Account Management in support of Key Clients as assigned.
The Medical
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RELX INC
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Maryland Heights, Missouri
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National Sales Executive, Clinical Path
Are you an accomplished ... teamwork with Marketing, Sales Operations, Product Management & other cross-businesscounterparts
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Actalent
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SAINT LOUIS, Missouri
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(regardless of timezone)
Job Description
Acute Care Utilization Management Nurse. You will virtually ... )
Utilization Management, Utilization Review, Concurrent Review
Knowledge of Medicare and Medicaid
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Truman Medical Centers
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Kansas City, Missouri
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.myworkday.com/trumed/d/home.htmld) to search for positions and apply.**
Periop Clinical Nurse RN ... Emergency Medicine and Critical Care, with world-class expertise in chronic disease management and women’s
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SSM Health
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Saint Louis, Missouri
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" above.
D) Recognizes significant changes in patient's clinical parameters and reports immediately ... associated care thoroughly.
B) Pain Management
Assess patient for presence of pain on
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