Specialist Jobs in Springfield

... market. Responsibilities The Clinical Documentation Specialist (CDS) follows state and federal ... medical records. The Clinical Documentation Specialist conducts medication reviews of charts ... clinical diagnoses. The Clinical Documentation..

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Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Ortho Pediatrics Advanced Practitioner Opportunity in Springfield, MO! This group is powered by Physicians, Advanced Practitioners, and an engaged support staff focused on quality patient care.  This Opportunity Offers:Days (24hr/wk)Outpatient Clinic  ..

Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to ..

M-F, 8a-5pFull Time, 40 hours a week!Mercy Springfield Clinic- Ophthalmology Key Benefits:Tuition reimbursement up to $2,000 for continuing educationHealth/Dental/Vision available after day oneAnnual contribution of $100 per month to eligible dependent ..

Cardiac Med Telemetry Advanced Practitioner Opportunity in Springfield, MO! This Opportunity Offers:Days: 7p-7a  Full-time positionSystem-wide Epic EMRComprehensive benefits including health, dental, vacation, 401K and CMERelocation assistance and Malpractice insuranceExperience is preferred, ..

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain ..

Hospitalist Nurse Practitioner Clinical Specialist Opporutnity at Mercy Hospital Springfield in MO! This Opportunity Offers:Nights (7 on/7 off)0.9 FTE or 0.5 FTE option available  Full-time positionSystem-wide Epic EMRComprehensive benefits including health, ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Cardiac Med Telemetry Advanced Practitioner Opportunity in Springfield, MO! This Opportunity Offers:Days: 7a-7p  Full-time positionSystem-wide Epic EMRComprehensive benefits including health, dental, vacation, 401K and CMERelocation assistance and Malpractice insuranceExperience is preferred, ..

Hospitalist Advanced Practitioner Opportunity in Springfield, MO! This Opportunity Offers:Nights: 7on/7off, 7pm - 5amFull-time positionSystem-wide Epic EMRComprehensive benefits including health, dental, vacation, 401K and CMERelocation assistance and Malpractice insuranceInpatient experience is ..

Description Job Description Summary Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..

Psychiatry Advanced Practitioner Opportunity in Springfield, MO! This group is powered by 2 Physicians, 3 Advanced Practitioners, and an engaged support staff focused on quality patient care. Experience is preferred, but ..

Job Information Humana Care Manager, Telephonic Nurse 2 Certified Diabetes Care and Education Specialist-Remote-US in Springfield Missouri Description The Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless nursing ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Pediatrics Advanced Practitioner Opportunity in Springfield, MO! This group is powered by Physicians, Advanced Practitioners, and an engaged support staff focused on quality patient care.  This Opportunity Offers:PRN - 8am-5pmOutpatient Clinic   ..

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

  We are seeking progressive and entrepreneurial Advanced Practitioners (Physician Assistant/Nurse Practitioner) who have adult and pediatric experience to join our team. Mercy and GoHealth Urgent Care have partnered to create ..