Clinical Utilization Review Specialist
5 days ago
Join Centene Corporation, a leading healthcare company, as a Clinical Utilization Review Specialist. In this role, you will play a critical part in ensuring our members receive the most appropriate care for their mental health and substance abuse needs.
Key Responsibilities:- Evaluate member treatment plans for mental health and substance abuse to ensure medical appropriateness
- Perform prior authorization reviews for mental health and substance abuse services
- Conduct concurrent reviews of behavioral health inpatient services to determine overall member health and treatment needs
- Analyze member data to improve quality and utilization of behavioral health services
- Provide education to providers, members, and their families on behavioral health utilization processes
- Interact with behavioral health providers to discuss level of care and services
- Collaborate with medical directors and leadership to improve care quality and efficiency
- Formulate and present cases in staffing and integrated rounds
- Graduate of an accredited school of nursing or bachelor's degree
- 2-4 years of related experience
- Independent licensure to practice as a clinical professional
- Master's degree in behavioral health required
- Clinical knowledge and ability to review and assess treatment plans for mental health and substance abuse
- Competitive pay
- Comprehensive benefits package
- Flexible work arrangements
- Opportunities for professional growth and development
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Clinical Utilization Analyst
4 weeks ago
Columbia, Missouri, United States Lexington Medical Center Full timeDepartment: Utilization ManagementSchedule: PRNShift: RotatingHours: Variable About Lexington Medical Center: Consistently recognized as a leading healthcare provider, Lexington Medical Center is dedicated to delivering high-quality medical services tailored to the needs of the community. It is ranked #1 in the Columbia metro area by U.S. News & World Report...
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Utility Production Maintenance Specialist III
3 weeks ago
Columbia, Missouri, United States University of Missouri-Columbia Full timeJob SummaryWe are seeking a highly skilled Utility Production Maintenance Specialist III to join our team at the University of Missouri-Columbia. This is a critical role that requires a strong background in mechanical maintenance and repair, with a focus on utility production equipment.Key ResponsibilitiesPerform routine inspections of utility production...
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Utility Production Maintenance Specialist III
2 weeks ago
Columbia, Missouri, United States University of Missouri-Columbia Full timeJob SummaryWe are seeking a highly skilled Utility Production Maintenance Specialist III to join our team at the University of Missouri-Columbia. This is a critical role that requires a strong background in mechanical maintenance and repair, as well as excellent problem-solving skills.Key ResponsibilitiesPerform routine maintenance and repairs on utility...
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Utility Production Maintenance Specialist III
2 weeks ago
Columbia, Missouri, United States University of Missouri-Columbia Full timeJob SummaryWe are seeking a highly skilled Utility Production Maintenance Specialist III to join our team at the University of Missouri-Columbia. This is a critical role that requires a strong background in mechanical maintenance and repair, as well as excellent problem-solving skills.Key ResponsibilitiesPerform routine maintenance and repairs on utility...
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Utilities Locator Specialist
2 weeks ago
Columbia, Missouri, United States Socket Full timeJob Title: Utilities Locator **Job Summary:** We are seeking a skilled Utilities Locator to join our team at Socket. As a Utilities Locator, you will be responsible for locating underground utility lines for our Fiber Plant, ensuring compliance with state and local regulations. **Key Responsibilities:** * Locate underground utility lines using utility...
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Clinical Training Specialist
3 weeks ago
Columbia, Missouri, United States Burrell Behavioral Health Full time{"Job Title": "Clinical Training Partner", "Job Summary": "We are seeking a skilled Clinical Training Partner to collaborate with clinical departments, HR, and Compliance to assess training needs, design and implement effective training methods, and ensure clinical and operational competence across the organization.Key Responsibilities:* Collaborate with...
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Credentialing Specialist II
1 week ago
Columbia, Missouri, United States MU Health Care Full timeAbout the JobMU Health Care is seeking a skilled Credentialing Specialist II to support the credentials verification process for medical staff, advanced practice professionals, and University Physician (UP) billing staff. This role will be responsible for assembling, preparing, verifying, and presenting credentialing and re-credentialing application...
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Clinical Training Specialist
4 weeks ago
Columbia, Missouri, United States Burrell Behavioral Health Full timeJob SummaryWe are seeking a highly skilled Clinical Training Partner to join our team at Burrell Behavioral Health. As a trusted ally, you will collaborate with clinical departments, HR, and Compliance to assess training needs, design and implement effective training methods, and ensure clinical and operational competence across the organization.Key...
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Clinical Nutrition Specialist
4 weeks ago
Columbia, Missouri, United States Landmark Hospitals Full timeLandmark Hospital of Columbia is in search of a licensed Clinical Dietitian to provide dietary support for our critical care patients on a flexible schedule. The dietitian will be integral in team treatment planning and will offer nutritional education to patients, families, and staff. Key Responsibilities Evaluating the health and nutritional requirements...
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Clinical Pathology Manager
5 days ago
Columbia, Missouri, United States Altasciences Full timeAbout the RoleAltasciences Preclinical Columbia (APC) is seeking a visionary Clinical Pathology Manager to spearhead our department. As a leader in the medical research field, we offer an exciting opportunity to innovate and expand our capabilities in a cutting-edge environment.Key ResponsibilitiesHarmonize clinical pathology practices across multiple sites,...
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Clinical Specialist, CRM
3 weeks ago
Columbia, Missouri, United States Abbott Laboratories company Full timeAt Abbott Laboratories, we are committed to advancing treatments for people with cardiovascular disease. As a global leader in Cardiac Rhythm Technologies, our breakthrough medical technologies help restore people's health so they can get back to living their best lives, faster.Key ResponsibilitiesProvide engineering, sales, educational, and technical...
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RN - Clinic Care Specialist
4 weeks ago
Columbia, Missouri, United States MU Health Care Full timeAbout the RoleMU Health Care is seeking a dedicated and compassionate Nursing Professional to join our team at the Missouri Orthopaedic Institute Clinic. As a vital member of our team, you will play a pivotal role in delivering exceptional patient care and utilizing your strong organizational and leadership skills to assess patient needs, implement effective...
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Clinical Nutrition Specialist
4 weeks ago
Columbia, Missouri, United States Landmark Hospitals Full timeLandmark Hospital of Columbia is in search of a licensed Clinical Dietitian to provide nutritional support for our critical care patients on a per diem basis. The dietitian will engage in collaborative treatment planning for all patients and deliver nutritional education to patients, families, and healthcare staff. Our scheduling is highly adaptable,...
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Utility Assistance Coordinator
1 month ago
Columbia, Missouri, United States Central Missouri Community Action Full timeJob OverviewEnergy Assistance Specialist required to evaluate and process applications for utility support. The ideal candidate will demonstrate exceptional communication abilities, proficient computer skills, and a commitment to reliable attendance while showing a genuine desire to assist individuals in need. We seek a positive and empathetic individual who...
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Clinical Services Director
21 hours ago
Columbia, Missouri, United States KVC Health Systems Full timeJob SummaryKVC Health Systems is seeking a highly skilled and compassionate Associate Director of Clinical Services to join our team. As a key member of our campus leadership team, you will provide inclusive leadership to ensure a safe, trauma-informed environment for clients and staff.The Associate Director of Clinical Services will oversee all clinical...
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Clinical Services Director
1 week ago
Columbia, Missouri, United States KVC Health Systems Full timeJob Title: Associate Director Clinical ServicesJob Summary:The Associate Director of Clinical Services will provide strategic leadership to ensure a safe and supportive environment for clients and staff. This role involves overseeing all clinical services, managing relationships with referral sources, and collaborating with the AD of Residential Services and...
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Clinical Case Manager
9 hours ago
Columbia, Missouri, United States US Tech Solutions Full timeJob Title: Clinical Case ManagerJob Summary:We are seeking a highly skilled Clinical Case Manager to join our team at US Tech Solutions. As a Clinical Case Manager, you will be responsible for providing telephonic case management services to our members, working closely with healthcare providers and patient representatives to ensure high-quality patient...
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Clinical Pharmacist
2 weeks ago
Columbia, Missouri, United States MU Health Care Full timeAbout the RoleMU Health Care is seeking a skilled Clinical Pharmacist to contribute to our hospital pharmacy team. As a key member of our healthcare team, you will utilize your clinical expertise to optimize medication management, ensuring patient safety and delivering cost-effective solutions.ResponsibilitiesReview, verify, and compound medications based on...
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Clinical Pharmacist
4 days ago
Columbia, Missouri, United States MU Health Care Full timeAbout the JobMU Health Care is seeking a skilled Clinical Pharmacist to join our dynamic team. As a key player in our healthcare team, you will utilize your clinical expertise to optimize medication management, ensure patient safety, and deliver cost-effective solutions. Your contributions will help us uphold the highest standards of...
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Cornea Specialist
7 days ago
Columbia, Missouri, United States University of Missouri School of Medicine & MU Health Care Full timeJob OpportunityWe are seeking a highly skilled Cornea Specialist to join our team at the University of Missouri School of Medicine & MU Health Care.Key Responsibilities:Provide exceptional patient care as a Cornea Specialist, utilizing advanced knowledge and skills in the diagnosis and treatment of corneal diseases.Collaborate with a multidisciplinary team...