Top 14 Utilization review Jobs in Springfield, Mo

Case Manager
Lakeland Behavioral Health System —Springfield, MO
- Full-time
- CPR Certification
- BLS Certification
- Mid-level
5d
Support Coordinator (Next Step) (FT H)
Abilities First —Springfield, MO
- From $21 an hour
- Full-time
- Background check
- Experience working with individuals with developmental disabilities
- Clean driving record
- Flexible schedule
1d
RN Care Manager II-IPCM - Days - PRN
Mercy —Springfield, MO
- Part-time
- CPR Certification
- Nursing
- Hospital
- Health insurance
- Dental insurance
MDS Coordinator (LPN or RN)
Ozark Care & Rehab Center —Ozark, MO
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Dental insurance
- 401(k)
Quick Apply
9d
Clinician
Burrell Behavioral Health —Nixa, MO
- Full-time
- Background check
- LMFT
- Clean driving record
- Wellness program
- Paid holidays
Quick Apply
Medicaid Specialist - Onsite
Burrell Behavioral Health —Springfield, MO
- Full-time
- High school diploma or GED
- In-person
- Entry level
- Wellness program
- Paid holidays
Quick Apply
13d
Clinical Documentation Specialist - Registered Nurse
CoxHealth —Springfield, MO
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
Remote Psychologist - US Location
APN Staffing & Employment Solutions —United States
- $100,000 a year
- Full-time
- Remote
- Word processing
- Writing skills
- Mid-level
Quick Apply
3d

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Registered Nurse Case Manager (RN) $5,000 Sign on bonus!
St. Croix Hospice —Bolivar, MO
Must have reliable transportation, valid driver’s license, and proof of auto insurance. Associates, Bachelors, or Masters of an accredited nursing program (RN).
Quick Apply
14d
Registered Nurse (RN) Case Manager, Home Health
Phoenix Home Care and Hospice —Branson, MO
As a Home Health Case Manager, you will play a vital role in delivering hands-on patient care right in the comfort of their own homes.
$65,000 - $90,000 a year
Quick Apply

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
Staff Pharmacist
Charitable Pharmacy of Central Ohio —Columbus, OH
Valid state pharmacist license with current practicing credentials. Familiarity with HIPAA guidelines, clinical confidentiality policies, USP 797 standards for…
$110,000 - $125,000 a year
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4d

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utilization review jobs near springfield, mo

Case Manager

Lakeland Behavioral Health System -
Springfield, MO

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Job Details

Full-time
5 days ago

Qualifications

CPR Certification
BLS Certification
Bachelor's degree

Full Job Description

Overview:

PURPOSE STATEMENT:

Manage the client's/patient's/resident’s cases with a solid background of clinical knowledge and expertise and may be responsible for providing some therapeutic services to clients/patients/residents.

Responsibilities:

ESSENTIAL FUNCTIONS:

Provide case management and care coordination services for clients/patients/residents in the facility.
Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements.
Responsible for psychosocial assessment and for conducting individual, family and group sessions.
Conduct various duties related to coordinating treatment and discharge activities, as needed.
Provide quality care through developing, implementing, managing and evaluating client/patient care plans.
Collect, correlate and provide clinical data to the treatment team.
Convey medical criteria and clinical information between the insurance provider and treatment team as warranted.
May also correlate clinical data for business office as required.
Coordinate in a timely manner, issues or activities relevant to the treatment team.

Qualifications:

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

Bachelor’s degree in Social Work, Counseling or related human service field required.
One or more years’ experience working in a behavioral health setting preferred.
Previous experience with the patient population served by the facility preferred.
Previous experience in case management and/or utilization review preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

Current license required within the state the facility is operating in if required.
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

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utilization review jobs in springfield, mo

Case Manager

Support Coordinator (Next Step) (FT H)

RN Care Manager II-IPCM - Days - PRN

MDS Coordinator (LPN or RN)

Clinician

Medicaid Specialist - Onsite

Clinical Documentation Specialist - Registered Nurse

Remote Psychologist - US Location

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