- Mirror (Newton, KS)
- … Management, the URC is responsible for the implementation, and maintenance of utilization review programs to facilitate the use of behavioral health resources ... Actively participates with team meetings to discuss any issues related to utilization review processes or delays. + Participates in team meetings and actively… more
- Conviva (KS)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... Coordinator - Phone Intake contributes to administration of utilization management. The UM Administration Coordinator performs varied activities… more
- Highmark Health (Topeka, KS)
- …**Job Description :** **JOB SUMMARY** This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the ... and then creates the case (data entry) in Highmark's utilization management system for clinical review . Ensures all accurate information is entered at the onset… more
- CVS Health (Topeka, KS)
- …Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and ... - Through the use of care management tools and information/data review , conducts comprehensive evaluation of referred member's needs/eligibility and recommends an… more
- CVS Health (Topeka, KS)
- …Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and ... Through the use of care management tools and information/data review , conducts comprehensive evaluation of referred member's needs/eligibility and recommends… more
- GovCIO (Topeka, KS)
- …and Information System Security Officers (ISSO) to establish efficient team utilization . **Responsibilities** + Attend work groups, meeting and other technical ... GovCIO and VA management to interpret their needs and requirements. + Review system documentation (Security Plans, Risk Assessments, Network Diagrams and SOPs) to… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- …for revenue-related issues from both CPAC and Medical Center staff. Provides revenue utilization review . Serves as the revenue educator for Veterans on service ... tracking and pre-authorization of mental health encounters. 3) Provides revenue utilization review support, address revenue reported issues, and address… more
- Veterans Affairs, Veterans Health Administration (Wichita, KS)
- Summary The incumbent serves as a Transportation Assistant - Transportation Coordinator acts as primary contact to Veterans for transportation needs. The incumbent ... Veterans. Duties: The incumbent serves as a Transportation Assistant - Transportation Coordinator acts as primary contact to Veterans for transportation needs. The… more
- Mental Health Association of SCK (Wichita, KS)
- …and philosophy of the program. + Ensures compliance with payer systems, including utilization review functions. + Completes quality assurance and utilization ... ethics and professional development. + Works with Senior Director/Billing Manager/Clinical Coordinator to ensure effective and efficient front office processes. +… more
- Veterans Affairs, Veterans Health Administration (Topeka, KS)
- …at functions or multidisciplinary clinical committees such as tumor conference, transfusion utilization review committee, ICU committee and others as assigned. ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Topeka VA is committed to Diversity… more
- University of Kansas (Lawrence, KS)
- …analysis, including method development, sample preparation, analysis, data generation, utilization of software for analyzing data, report writing, manuscript writing ... to handle inquiries regarding the nondiscrimination policies and is the Title IX coordinator for all KU and KUMC campuses: Associate Vice Chancellor for Civil Rights… more
- University of Kansas (Lawrence, KS)
- …Scheduling** Coordinate the scheduling of all DCCP classes while ensuring optimal utilization of facilities, faculty time, and meeting student needs. + Maintain and ... to handle inquiries regarding the nondiscrimination policies and is the Title IX coordinator for all KU and KUMC campuses: Associate Vice Chancellor for Civil Rights… more
- Mental Health Association of SCK (Wichita, KS)
- …Residential Team Leader FLSA CLASSIFICATION: Non-Exempt REPORTS TO: Residential Coordinator and Director of Residential Clinical Services POSITIONS SUPERVISED: ... to Residential Care employees in matters related to; licensing standards, utilization of residential facilities and services, scheduling special activities, and… more