Medical Case Manager jobs in Missouri

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MEDICAL CASE MANAGER

Communicate effectivelywhile performing customer telephonic interviewing and communication with external contacts. Communicate effectivelywhile interactingwith Case Management Specialists, Management Team, Physician Advisors an...

CompanyHighmark Health
AddressRemote - Delaware, United States
CategoryHealthcare
Job typeFull time
Date Posted 2 months ago See detail

Medical Case Manager

Highmark Health

Remote - Delaware, United States

Communicate effectivelywhile performing customer telephonic interviewing and communication with external contacts. Communicate effectivelywhile interactingwith Case Management Specialists, Management Team, Physician Advisors an...

Nurse Case Manager

Medcost Llc

Remote

Confirm eligibility and policy provisions. Obtain consent for case management services and communicates case management objectives to the patient and their primary caregiver/support system and determine patient and family desires....

Oncology Nurse Case Manager

United Claim Solutions Llc

Remote

Coordinate and manage healthcare services for oncology patients, ensuring comprehensive care delivery and effective communication among healthcare providers. Assess patients' healthcare needs and develop personalized care plans ba...

Case Manager / RN

Medwatch Llc

Remote - Florida, United States

From $72,000 a year

The Registered Nurse Case Manager will practice within the scope of his/her licensure. Review all medical data which can be provided to establish, update and maintain accountability for a case management plan which will incorporat...

Remote RN Case Manager

Medex Reviews

Texas, United States

$55,000 - $65,000 a year

Work-from-home days. Relaxed atmosphere. Flexible schedule. Monday to Friday. Weekends as needed. Office. Remote. High school or equivalent (Preferred). Nursing: 3 years (Preferred). Case management: 1 year (Preferred). RN (Requir...

Medical Necessity Appeals Manager (RN)

Managed Resources

Remote

$88,000 - $110,000 a year

Leads a team of Clinical Appeal staff who pursue denials on behalf of Managed Resources Clients. Provides support to Clinical Appeals staff and serves as a resource and subject matter expert. Conduct reviews and assists in feedbac...

Medical Economics (Medical Expense Review) Manager

Cvs Health

Connecticut, United States

As part of the Medical Expense Review (MER) team, you will prepare for monthly presentations, and manage both long and short-term projects, working collaboratively with local market leaders to accomplish tasks and goals that will...

Case Manager, RN

Uf Health Central Florida

The Villages, FL

Bachelor's degree preferred. Diploma/associate's degree in nursing. Professional certification in case management preferred. Florida registered nurse license. Effective communication skills to facilitate contact with physicians, p...

Telephonic Nurse Case Manager

Johns Eastern Company?S

Florida, United States

Triage newly acquired claims to determine severity of reported injuries. Provide medical information and make recommendations for compensability of claims. Initiate contact with IW regarding medical management of the claim. Work w...

Financial Coach, Asylum Seekers Case Management Pilot Program

International Rescue Committee

United States

Job Overview: The IRC in Los Angeles is seeking a candidate to join an exciting and groundbreaking program for Asylum Seekers in the Los Angeles County area through a Pilot Program funded by the US Department of Homeland Security...

Clinical Case Manager - RRC

Naphcare

Alabama, United States

Serve as a liaison between the BOP, RRCs, inpatient and outpatient providers, and residents. Possess understanding of the principles and concepts of medical case management. Coordinate medical care with the Case Manager and the s...

Case Management Processor - Now Hiring

Molina Healthcare

Texas, United States

$13.41 - $29.06 per hour

Provides telephone, clerical, and data entry support for the Case Management team. Responsible for initial review of assigned case levels to assist in Case Management assignment. Reviews data to identify principal member needs and...

Case Manager - Foster Care - Now Hiring

Molina Healthcare

Henrico, VA

$21.6 - $46.81 per hour

Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment...

CVS Accountable Care - Field Case Manager RN Long Island, NY

Cvs Health

New York, United States

We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordab...

Case Manager (PRN Shift Only)

Cincinnati Rehabilitation Hospital

Ohio, United States

$45 an hour

Current state licensure as a Registered Nurse, Licensed Social Worker, PT, OT, SLP. Minimum of 3 years healthcare and clinical experience in a hospital setting. 1 year medical rehabilitation experience. Certification in case manag...

Site Occupational Health Nurse - Case Manager

Veranova, L.p.

Deptford, NJ

$57.5K - $72.9K a year

Responsible for sites in NJ, PA, and MA but will be based in NJ. Provide emergency care or evaluation to employees/visitors as needed and direct treatment, when necessary, which may include reporting blood pressure, dispensing med...

RN Case Manager - Virtual Care

Sanford Health

United States

RN Case Manager - Virtual Care Careers With Purpose is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50...

Clinical Behavioral Health Case Manager II - Substance Abuse

Elevance Health

Washington, United States

Responds to more complex cases and account specific requests. . Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. . Conducts assessments to identify individual needs and develops specific...

Pretrial Case Manager

Justicepoint

Minnesota, United States

$45,000 Per Year

Hybrid schedule, 50% remote and 50% in the office!. FOUR day work work! Monday-Thursday or Tuesday-Friday (7am-4:30pm or 9am-6:30pm). 11 PAID holidays each year. PAID day off for your birthday. 24 hours of personal time. PAID vac...

utilization & case management educator (rn) - Baltimore, United States - LifeBridge Health

Lifebridge Health

United States

Description UTILIZATION & CASE MANAGEMENT EDUCATOR (RN)Baltimore, MDSINAI HOSPITALCARE MANAGEMENTFull-time - Day shift - 8:00am-4:30pmRN Other82791Posted:April 29, 2024Apply Now// Setting the Saved Jobs linkfunction setsavedjobs(e...

RN Case Manager

Prince George's County

Maryland, United States

$75 an hour

Provide consistent and equitable nursing case management services to clients during the prenatal and postpartum period to include infant care. Screen all clients on admission and as needed for the SDOH (Social Determinants of Heal...

Manager Medical Affairs Strategy, PBC

Biospace

California, United States

Create, revise and maintain Medical Affairs slide decks. Responsible for the development and execution of projects that will support and disseminate disease area background, medical questions or scientific data updates. Serves as...

Outreach Case Manager (CPSS)

Guild

Minnesota, United States

$22.00 - $24.00 Per Hour

Connect with individuals referred to Guild via SMAC Coordinated Entry System. Locate individuals in the community and offer Guild services. Coordinate intake and perform an individualized needs assessment to develop a Housing Supp...

Assistant Nurse Manager - Medical Progressive Care, Jefferson

Highmark Health

Pennsylvania, United States

Role model mission, vision, and values within their defined areas of responsibility. Demonstrates and role models professional behavior with all staff interactions. Serves as change agent and role model for change to assist staff...

inpatient case manager - Baltimore, United States - LifeBridge Health

Lifebridge Health

United States

Sign On Bonus Potential: $15,000. Baltimore, MD. SINAI HOSPITAL. CARE MANAGEMENT. Full-time - Day shift - 8:00am-4:30pm. RN Other. 77419. Posted:March 10, 2024. Basic professional knowledge; equivalent to a Bachelor's degree; work...

inpatient case manager rn - Baltimore, United States - LifeBridge Health

Lifebridge Health

United States

Sign On Bonus Potential: $15,000. Baltimore, MD. SINAI HOSPITAL. CARE MANAGEMENT. Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm. RN Other. 82661. Posted:April 1, 2024. Basic professional knowledge; equivalent to a Bac...

Medical ICU Assistant Nurse Manager - Saint Louis, United States - BJC HealthCare

Bjc Healthcare

United States

$12,500 Sign-On Bonus. Benefits Eligible. Salaried opportunity. Flexibility to work five 8's or four 10's (Monday thru Friday). BSN, RN Required. 2-5 Years RN Experience Required. Manages individual(s) including but not limited to...

Shelter Aftercare Case Manager

Tubman

Minnesota, United States

$23.50 Per Hour

Clients: Provide streamlined access to exceptional, relevant services. Community: Engage the community to take action. Culture: Invigorate organizational culture to lead with equity, well-being, and engagement. Capacity: Strengthe...

Housing Case Manager

International Institute Of Minnesota

Minnesota, United States

$50,000 - $52,000 Per Year

Locate initial housing for refugee families prior to their arrival in Minnesota by connecting with landlords and negotiating leases and rental terms on behalf of clients. Coordinate furniture orders and delivery via Bridging and o...

Consultant, Humanitarian Child Protection Case Management and Information Management. Req# 572572

Unicef

United States

Technical assistance to priority countries The consultant supports CM and IM4CM programming in L3, L2, refugee and mixed migration contexts, including both ongoing and potential new rollouts of CPIMS+, in close collaboration with...