- Sharecare, Inc. (Topeka, KS)
- …enrollment / new hire plan selection, claims issues, ID card issues, grievances/ appeals , utilization management (UM) status, including but not limited to medical, ... 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status +...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- Centene Corporation (Topeka, KS)
- …long term care services + Assist member with filing and resolving complaints and appeals + Performs other duties as assigned + Complies with all policies and ... standards **Education/Experience:** Bachelor's degree or Registered Nurse License and 2+ years of care management experience,...and 2+ years of care management experience, Licensed Practical Nurse and 4+ years of care management experience, or… more