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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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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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Evolent Health
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Jefferson City, Missouri
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, Client Services oversees daily utilization management and directs the medical care of our members on ... or TAT timely.
Responsible for monitoring utilization management resources, incoming provider
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SSM Health
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Bridgeton, Missouri
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and ancillary departments and serves as an educational consultant on clinical practice issues ... patients requiring an advanced level of knowledge and management of their nursing care.
**Job
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Acadia Healthcare
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Columbia, Missouri
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regarding patient needs and anticipated plans.
Collaborates with Utilization Management staff and ... clinical related mental health field.
Experience : Therapist I: One (1) year experience, but
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Acadia Healthcare
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Columbia, Missouri
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FUNCTIONS:
Direct and oversee program operations, including budget management, developing marketing and strategic plans and independent decision making for program requiring clinical expertise
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The Cigna Group
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St. Louis, Missouri
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, pipeline reports, and various reports and financial/clinical models within the Analyst tool
Perform analysis of claims utilization including analysis of trend, most common indications, drug level market
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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.**
PRN Perioperative Clinical ... Emergency Medicine and Critical Care, with world-class expertise in chronic disease management and women’s
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Oracle
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Jefferson City, Missouri
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product updates to our Oracle Health Surgery/Anesthesia and Clinical Inventory Management venues across all multi-tenant and sales domain stakeholders. Serving as a crucial link between customers clinical
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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 Lead Float ... Emergency Medicine and Critical Care, with world-class expertise in chronic disease management and women’s
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Burrell Behavioral Health
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Independence, Missouri
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individual supervisions and administrative team meetings.
Provide clinical oversight and guidance for ... .
Assist team members in identification of case management needs.
Review all critical intervention
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The Cigna Group
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St. Louis, Missouri
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clients with close attention to detail and accuracy
Review custom Utilization Management policies for ... standard utilization management review as needed
Create client presentations and present to senior
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Elevance Health
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St. Louis, Missouri
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Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process.
Collaborates with providers to
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HCA Healthcare
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Kansas City, Missouri
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, utilization, integration, and optimization activities related to advanced clinical applications and tools in ... Support Analyst Pharmacy serves as the primary clinical IT&S resource for the development, implementation
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Medtronic
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Kansas City, Missouri
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Collaborate with Clinical Territory Managers and or Diabetes Clinical Educators to educate physicians, nurses, educators, and other referral sources regarding the importance of intensive diabetes management and
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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 ... , doctors, and clinical staff.
Ability to follow oral and written instructions.
Ability to lift up
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Elevance Health
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St. Louis, Missouri
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Nurse Medical Management I
At Federal Health Products and Services - FHPS , a proud ... (EST) shift rotation twice a month.**
The Nurse Medical Management I is responsible for
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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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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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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 ...
TB
Department Specific
Age Appropriate Care (for clinical staff only
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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 ... employment. Good verbal communication skills to interact and greet patients, families, doctors, and clinical
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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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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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Truman Medical Centers
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Kansas City, Missouri
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disease management and women’s services, including high-risk maternity care. The Health Sciences District ... documented experience in a current healthcare setting providing clinical care under supervision. Exceptions
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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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Walmart
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O Fallon, Missouri
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healthcare and this your chance to be part of it. A Walmart Associate Optometrist is the clinical partner to ... lens care, disease state management, and safety factors.
Consult with other health professionals
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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 - Critical ... Emergency Medicine and Critical Care, with world-class expertise in chronic disease management and women’s
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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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• Collaborates with the Learning and Performance Team to develop clinical training for care management staff ... best-in-class operating and clinical models in both our Dually Eligible Special Needs Plan (DSNP) and
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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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