4,840 Results for

Clinical Social Worker Jobs in Springfield, MO

Jobs

Specialty Physician Coder Iconma LLC

Fountain Valley, CA

This role is responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. Analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines.

30+ days ago

Physician Assistant or Nurse Practitioner Concentra

Irwindale, California

$155,000–$185,000 / year

Monitors key clinical center metrics that are provided by Clinical Analytics and relate to quality outcomes: Practice Indicators, COP, GRV, LOS, TAT, Specialist Referral Rate, Primary Care Case Duration, Days to First Recheck, % of cases with Lost Time, Limited Duty, and Full Duty. This position is eligible to earn a base compensation rate in the range of $155,000.00 - $185,000.00 plus Shift tipend , base salary depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority.

24 days ago

Supervisor - Claims Delegation Oversight Astrana Health, Inc.

Monterey Park, California

$78,000–$91,000 / year

Collaboration Build and maintain productive & collaborative intradepartmental relationships with department leads (UM, CM, Pharmacy, Eligibility, Performance Programs, Accounting/ Finance, Recovery, Compliance, Configuration, Network Management, IT Ops, etc.) to enable effective and timely problem/improvement identification & resolution and drive operational excellence. External Audit planning, execution & support Develop and implement the operational strategy for driving all external audits for Astrana Health to ensure audit planning and readiness, successful audit execution and delivery, CAP management, and improve overall audit score.

20 days ago

Physical Therapist Center Director Concentra

Irwindale, California

$90,000–$120,000 / year

This position is eligible to earn a base compensation rate in the state range of $90k to $120k annual salary depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. Masters use of clinical systems to ensure efficient and excellent supportive documentation, appropriate and optimal coding levels, charge capture, and follow-through on all patient care orders.

19 days ago

RAC Manager Prime Healthcare Management Inc

Ontario, California

$71,760–$94,619.20 / year
Full time

Extensive knowledge of nursing care, clinical measurement tools, and clinical outcomes; ability to establish cooperative working relationship with diverse groups and individuals, the medical staff, and other healthcare disciplines; program and database development a plus. Working with the Supervisor(s), a RAC manager functions as a subject matter expert (SME) for the appeals process and takes an active role in managing the process and coordinating with the RAC team, Corporate Utilization Review and Clinical appeals team.

30+ days ago

Patient Care Service Representative Modena Allergy + Asthma

Huntington Beach, CA

$20–$28 / hour

Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.

6 days ago

Financial Clearance Specialist III - Prearrival - Full Time 8 Hour Rotating (Non-Exempt) (Non-Union) University of Southern California

Los Angeles, CA

$26–$41.28 / hour

When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. As a leading academic medical center, hundreds of clinical trials are currently taking place at Keck Hospital and its affiliated research institutions, giving patients access to novel and promising therapies that are generally not available elsewhere.

30+ days ago

RN, Clinical Documentation Integrity Specialist myPlace Health

Compton, CA

$71,700–$105,000 / year

Operating within the PACE model, the CDI Specialist conducts clinically supported chart reviews, identifies documentation opportunities, and collaborates with physicians, nurse practitioners, and care teams to support compliant CMS-HCC capture and sustainable documentation improvement. This clinically credentialed role partners with providers, interdisciplinary care teams, and risk adjustment stakeholders to ensure documentation reflects each participant's clinical complexity, disease burden, severity of illness, and care needs.

30+ days ago

Product Manager Cohere Health Technologies LLC

Remote

$101,000–$110,000 / year

By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.

12 days ago

Director, Risk Adjustment Prospective Programs Inland Empire Health Plan

Rancho Cucamonga, California

$154,128–$204,214.40 / year
Full time

Advanced Analytics & Suspecting Engine Governance: Suspecting Models: Partner with Healthcare Data Analytics teams to optimize "suspecting engines" that evaluate historic claims, prescription data, lab results, and social determinants of health (SDOH) to predict undocumented or under-documented chronic illnesses. Operating within a network structure comprised of independent, Fee-for-Service (FFS) practices and delegated Independent Physician Associations (IPAs), this Director leads programs such as in-home and virtual assessments, pre-visit suspecting, point-of-care documentation supports, and concurrent validation.

17 days ago

Clinical Documentation Specialist San Antonio Regional Hospital

Upland, California

$47.90–$71.84 / hour
Full time

License/Certifications: Current CA RN License, Nurse Practitioner, Physician Assistant, MD graduate/educated in UR or foreign country, Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP). The CDI Specialist collaborates with providers, coders, and other healthcare team members to ensure accurate documentation that supports compliant reimbursement, quality reporting, regulatory requirements, and organizational performance.

13 days ago

DRG Coder Astrana Health Inc

Orange, CA

In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.

30+ days ago

Senior Manager, Applied Science Cohere Health Technologies LLC

Remote

$225,000–$240,000 / year

As a player-coach, you''ll combine hands-on technical contributions with team leadership, helping to establish best practices, mentor team members, and drive high-impact solutions in close partnership with Product, Engineering, Clinical, and Analytics stakeholders. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

30+ days ago

Developer I - BI & Analytics Inland Empire Health Plan

Rancho Cucamonga, CA

The role is expected to design and develop scalable solutions using AI tools and machine-learning models; utilize big data computation and storage tools to create prototypes and datasets. Be an independent self-starter who is driven to success, takes great pride in accomplishments and works with a sense of urgency to meet deadlines and address competing priorities.

30+ days ago

Manager, Data Science Inland Empire Health Plan

Rancho Cucamonga, California

$154,128–$204,214.40 / year
Full time

The Manager, Data Science enables the development of production-grade ML models, building GenAI applications (LLMs, RAG pipelines, prompt engineering, finetuning, multimodal models), and drives measurable business outcomes. This role requires a strong balance of technical expertise in advanced machine learning (including Generative AI), leadership experience, health care domain knowledge preferably in the managed care space, and the ability to align AI-driven solutions with business strategy.

30+ days ago

Plan Coder (50456) Western Growers

Irvine, CA

This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers' summary plan descriptions. Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.

30+ days ago

Executive Director, HIMS Services City of Hope

City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. This enterprise leader oversees HIMS operations and regulatory compliance, Clinical Documentation Integrity, coding and data quality, documentation support and release of information, document imaging, records management and related functions.

26 days ago

Clinical Director LifeStance Health

Irvine, California

Partners with Practice Group Manager and other team leaders to support new clinicians through provision of clinically focused regional onboarding training, promoting caseload ramp, and engaging in new employee orientation. The Clinical Director will provide oversight and support for psychotherapy clinicians, engaging through coaching and education of new and tenured clinicians and enhancing ongoing clinician professional growth and development.

24 days ago

RAC Manager Prime Healthcare Services Inc

Ontario, CA

$71,760–$94,619.20 / year

Extensive knowledge of nursing care, clinical measurement tools, and clinical outcomes; ability to establish cooperative working relationship with diverse groups and individuals, the medical staff, and other healthcare disciplines; program and database development a plus 1+ year of clinical experience in acute care setting preferred. Working with the Supervisor(s), a RAC manager functions as a subject matter expert (SME) for the appeals process and takes an active role in managing the process and coordinating with the RAC team, Corporate Utilization Review and Clinical appeals team.

30+ days ago

Healthcare Analyst II Cohere Health Technologies LLC

Remote

$85,000–$92,000 / year

30+ days ago

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Clinical Social Worker Jobs in Springfield, MO

Specialty Physician Coder Iconma LLC

Physician Assistant or Nurse Practitioner Concentra

Supervisor - Claims Delegation Oversight Astrana Health, Inc.

Physical Therapist Center Director Concentra

RAC Manager Prime Healthcare Management Inc

Patient Care Service Representative Modena Allergy + Asthma

Financial Clearance Specialist III - Prearrival - Full Time 8 Hour Rotating (Non-Exempt) (Non-Union) University of Southern California

RN, Clinical Documentation Integrity Specialist myPlace Health

Product Manager Cohere Health Technologies LLC

Director, Risk Adjustment Prospective Programs Inland Empire Health Plan

Clinical Documentation Specialist San Antonio Regional Hospital

DRG Coder Astrana Health Inc

Senior Manager, Applied Science Cohere Health Technologies LLC

Developer I - BI & Analytics Inland Empire Health Plan

Manager, Data Science Inland Empire Health Plan

Plan Coder (50456) Western Growers

Executive Director, HIMS Services City of Hope

Clinical Director LifeStance Health

RAC Manager Prime Healthcare Services Inc

Healthcare Analyst II Cohere Health Technologies LLC

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