Top 9 Utilization management nurse Jobs in Springfield, Mo

Outreach Coordinator
Jordan Valley Health —Springfield, MO
- Full-time
- Current TB test
- Mid-level
- Bachelor's degree
- Health savings account
- AD&D insurance
Quick Apply
Clinical Documentation Specialist - Registered Nurse
CoxHealth —Springfield, MO
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
Appeal Analyst RN | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance
Physician Assistant/Nurse Practitioner (D), CVOR - Regional
Corewell Health —United States
- Weekends as needed
- Acute care
- Nursing
- Surgery
- Free parking
- Paid holidays

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Outreach Coordinator

Jordan Valley Health -
Springfield, MO

Quick Apply

Job Details

Full-time

Benefits

Health savings account
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Employee assistance program
Vision insurance
403(b)
Prescription drug insurance
Pet insurance

Qualifications

Community health & wellness
Community partnership development
Patient follow-up care
Electronic health records (EHR) management
Chronic disease management
Disease management patient education
Experience working with individuals with chronic illnesses
Mid-level
Community resource coordination in health services social work
Health education for families
Medical scheduling
Transitional care planning in clinical case management
Healthcare referral management
One-on-one patient counseling
Overseeing care coordination
Bachelor's degree
Data management
Clinical data registries
Client referral services
Chronic disease self-management support
Data reporting support
Resource utilization in healthcare
Patient transport coordination
Working with families
Medical Assisting
LPN
Medical assisting
Health information management
Community relationship building
Care coordination

Full Job Description

Description:

About Jordan Valley Health:

Jordan Valley Health (JVH) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community’s health through access and relationships. By working collaboratively with partners and continually innovating, JVH strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare.

Job Summary:

The Outreach Coordinator will facilitate care coordination to patients and patients' families enrolled in care management services and assist with data management and reporting for care management services. The Outreach Coordinator will also assist in coordinating referrals to self-management education and support services and provide outreach for population health management.

Key Responsibilities:

Data management for care management services. Maintain reports received from Mo HealthNet Primary Care Health Home (PCHH). Complete and submit monthly PCHH attestation.
Provide outreach to potential enrollees for PCHH and other care management services. Submit monthly enrollment, discharge, and transfer forms to Mo HealthNet PCHH.
Use care opportunity reports, health technology tools, and registries to provide outreach to patients and patients’ families enrolled in care management services. Provided proactive reminders to patient populations to address a variety of health needs.
Connect patients and patients’ families to community resources and internal services.
Communicate with patients and patients’ families in person (clinic or community), by phone, or through patient portal.
Facilitate or schedule medical/dental appointments. Determine transportation needs and assist in arranging transportation to medical/dental appointments.
Assist with patient(s) care transitions to primary care from hospitals, emergency departments, and other settings.
Identify individuals with high utilization of emergency rooms and/or inpatient care. Coordinate care with patients, families, and other healthcare team members to identify utilization patterns and provide intervention(s) to reduce inappropriate or preventable visits.
Promote individual and/or group health education and chronic disease self-management education. Coordinate logistics for patient education classes. Coordinate referrals to individual and group patient education.
Build relationships and interact professionally with community partnerships, health, and social service providers.
Document in electronic health record appropriately and in a timely manner.
All other duties as assigned.

Benefits Overview:

Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages.
Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
Dental and Vision Coverage: Dental insurance through Cigna’s DPPO network and vision coverage through EyeMed’s Insight network.
Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.
Pay on Demand Available

Holidays:

Nine paid holidays per year.

Health Requirements:

All employees are required to provide proof of vaccination for Flu, Hepatitis B and Tuberculosis (TB) as part of our commitment to maintaining a safe and healthy workplace.

Application Process:

Interested applicants should submit a resume and cover letter through the JVH career portal at Careers & Education - Jordan Valley. Applications will be accepted on a rolling basis until the position is filled.

Jordan Valley Health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Requirements:

Required Qualifications:

Minimum of two years’ clinical experience in case management, healthcare, or comparable position.

Preferred Qualifications:

Bachelor’s Degree in a health related field preferred.
Medical Assistant or Licensed Practical Nurse license preferred.

Quick Apply

Refine Your Search

utilization management nurse jobs in springfield, mo

Outreach Coordinator

Clinical Documentation Specialist - Registered Nurse

Appeal Analyst RN | Remote | Contract

Utilization Management Reviewer

Physician Assistant/Nurse Practitioner (D), CVOR - Regional

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