Utilization Management Clinician PacificSource Health PlansUtilization Management ClinicianMO$70,950–$106,424.99 / yearEducation, Certificates, Licenses: Active, unrestricted Registered Nurse (RN) license, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), or Psychiatric Mental Health Nurse Practitioner, (PMHNP) credential required. Identify cases that require discharge planning, including transfer to skilled nursing facilities, rehabilitation centers, residential, and outpatient to include behavioral health, home health, and hospice services while considering member co-morbid conditions.
Utilization Management Clinician (Tuesday - Saturday) PacificSource Health PlansUtilization Management Clinician (Tuesday - Saturday)MO$70,950–$106,424.99 / yearEducation, Certificates, Licenses: Active, unrestricted Registered Nurse (RN) license, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), or Psychiatric Mental Health Nurse Practitioner, (PMHNP) credential required. Identify cases that require discharge planning, including transfer to skilled nursing facilities, rehabilitation centers, residential, and outpatient to include behavioral health, home health, and hospice services while considering member co-morbid conditions.
CASE Office Assistant - Student Employee Maryville UniversityCASE Office Assistant - Student EmployeeSt. Louis, MOJob Summary: As a Student Assistant for the College of Arts, Sciences, and Education (CASE), you will support office operations, assist faculty and staff with administrative tasks, manage inventory and supplies, and help maintain an organized and professional office environment. Create flyers for department events and post them on digital signage to promote engagement and participation.
NewHospice Case Manager RN Dover HealthHospice Case Manager RNSaint Louis, MOFocused on providing comprehensive healthcare services to seniors, Dover Health aims to bridge the gap between traditional medical care and the evolving needs of aging populations through services such as home health, hospice care, private duty services, and primary care. Dover Health is a part of The Dover Companies, a vertically integrated healthcare organization established in 2007, which also includes Cedarhurst Senior Living, Dover Development, Brahms Construction, Dover Capital, and Medicine Express.
Special Services Coordinator--Case Mgt. - SCPH Ochsner Clinic FoundationSpecial Services Coordinator--Case Mgt. - SCPHSaint Charles, MissouriEven though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. This job provides administrative and clerical support, creates data management reports, performs data analysis, acts as a liaison between immediate supervisor, upper management, direct reports and consultants, and manages special projects, functions and/or programs.
Quality Management Nurse Consultant CVS Health CorpQuality Management Nurse ConsultantMO$60,522–$129,615 / yearContributes to the development, revision, and implementation of policies, procedures, and guidelines that focus on system performance, network provider and community partner performance, and addressing barriers including health disparity and health related social needs, to improve clinical quality, promote best member and provider experience, and ensure patient safety. Collaborates with all POSC stakeholders and participants to ensure cross-functional collaboration, education and participation in establishing, measuring and evaluating best practice interventions aimed to achieve Quality performance goals.
Management and Program Analyst Project Manager Department of the Treasury, USManagement and Program Analyst Project ManagerSaint Louis, MO$106,437–$172,980 / yearYou must also meet the following requirement(s): TIME AFTER COMPETITIVE APPOINTMENT (TACA): Current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. If applying for a higher grade and you met time-in-grade (TIG) at another agency, it is recommended that you provide an SF-50(s) (Notification of Personnel Action) (or equivalent) which demonstrates you meet the 52-week TIG requirement (e.g., Promotion with an effective date more than one (1) year old, Within-Grade-Increase at the highest grade held).
NewSUPERVISORY RECORDS AND INFORMATION MANAGEMENT SPECIALIST U.S. Department of Veterans AffairsSUPERVISORY RECORDS AND INFORMATION MANAGEMENT SPECIALISTOverland, MO$109,137–$141,880 / yearThe incumbent performs a variety of complex tasks associated with the review and analysis of mail and records received from the VA Regional Offices, VA Medical Centers, National Cemetery Administration, FBI, Claimants, Veteran Service Organizations, Federal and State Offices, and other high level government officials nationwide. The incumbent participates fully in the efficient and economical operation of CSD and is responsible for all activities associated with Freedom of Information Act (FOIA) requests, Privacy Act (PA) requests, PIES request to include telephone inquiries, emails, written correspondence, and automated VAF 70-3101-4s.
Care Management Associate CVS Health CorpCare Management AssociateMO$18.50–$35.29 / hourProvides support services to team members by answering telephone calls from providers and members, taking accurate messages, supporting electronic transmission review and referrals as appropriate, utilizes internal tools to determine required steps to ensure proper review based on clinical requirements as well as established plan guidelines. Additional responsibilities include but not limited to the following: Evaluates patients using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical services staff, and coordinate the required services by the benefit plan.
Clinical Pharmacist - Utilization Management Archimedes Navitus Health Solutions, LLCClinical Pharmacist - Utilization Management ArchimedesEarth City, MissouriFull timeFounded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. This individual will be able to successfully communicate with physicians, nurses, pharmacists, and members related to high-cost case concerns, dose management, genetic testing, therapeutic substitutions and cost management related to specialty drugs.
Manager Social Services Program - Infectious Diseases Washington University in St LouisManager Social Services Program - Infectious DiseasesSt. Louis, MO$68,100–$105,500 / yearPrimary Duties & Responsibilities: Administers grants and service delivery awards including budget management, oversight of sub-awardees, submission of required reports and coordination with federal project officers and other funders. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Intensive Community Manager, Complex Care (RN) ChenMed LLCIntensive Community Manager, Complex Care (RN)St. Louis, MO$36.90–$52.70 / hourThe Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity patients, their primary care physicians, and other members of the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital arrivals, keep patients engaged in our intensive primary care model and maximize their healthy time at home. They will assess, evaluate, and coordinate the team's efforts to stabilize our highest risk patients, with special areas of focus including safe transitions of care from facilities back to our primary care teams, stabilization of our highest risk ambulatory patients and outreach to patients who are assigned to us but are not engaged in care.
Social Worker St. Louis County Library EPWORTH CHILDREN & FAMILY SERVICES INCSocial Worker St. Louis County LibrarySt. Louis, MOLouis region in social services areas, including crisis management, substance use, child abuse/neglect, housing insecurity, food insecurity, interpersonal and sexual violence, mental health conditions, and other areas as required. Louis County and make appropriate referrals in areas such as access to food, housing, employment, counseling (mental health service), emergency shelter, substance use treatment programs, child abuse and neglect prevention support.
Field Care Manager, Behavioral Health Humana IncField Care Manager, Behavioral HealthBelleville, ILRemote$65,000–$88,600 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Residential Services Supervisor The Salvation Army USAResidential Services SupervisorSt. Louis, MOThis position provides on-going supervision to the case management staff, which includes file monitoring, addressing client issues, providing staff support and conflict resolution, some clerical duties, and provides general assistance to guests and residents in the shelter and other housing programs. Social Services and Resources: Awareness of community resources, social services, and referral systems to support clients' needs, including housing, healthcare, mental health services, and employment resources.
Social Work Care Manager II-IPCM/FT-Onsite Mercy Hospital STL MercySocial Work Care Manager II-IPCM/FT-Onsite Mercy Hospital STLSaint Louis, MOPosition Details: Required Education: Master's in Social Work, or has satisfactorily completed all requirements for the MSW but awaiting conferment by the educational facility, for all Social Worker's hired after 12/25/2011. This role's responsibilities include conducting thorough assessments of clients' social, emotional, and environmental circumstances, developing personalized care plans, and coordinating access to necessary services and resources.
Social Work Care Manager II-IPCM (Exempt) MercySocial Work Care Manager II-IPCM (Exempt)Saint Louis, MOPosition Details: Required Education: Master's in Social Work, or has satisfactorily completed all requirements for the MSW but awaiting conferment by the educational facility, for all Social Workers hired after 12/25/2011. The Care Management model provides effective transition planning and length of stay oversight to maintain patient experience, safety, and quality of care utilizing performance metrics and adoption of best practices.
Social & Family Domain Lead (Remote) MaximusSocial & Family Domain Lead (Remote)St. Louis, MORemoteFull timeMaximus 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. - Working knowledge of family systems, human services principles, social support networks, community resources, and prevention-focused programming.
Director, Emergency Department and Care Coordination at Missouri Baptist Medical Center BJC HealthCareDirector, Emergency Department and Care Coordination at Missouri Baptist Medical CenterSaint Louis, MOOversees the care of patients referred to the Hospitalist Service to ensure timely hospital discharge and continuous communication with Primary Care Physicians, patients and families, specialists, hospital departments and administration. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services.
Acute Medicine Student Nurse Tech - PRN BJC HealthCareAcute Medicine Student Nurse Tech - PRNSaint Louis, MOMinimum Requirements Education Enrolled-accredited RN program Experience No Experience Supervisor Experience No Experience Preferred Requirements Education Enrolled-accredited BSN progrm Benefits and Legal Statement BJC Total Rewards At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. PRN REQUIREMENTS To maintain PRN employment status requires working 24 hours every six-weeks Overview Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report.