- 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 ... education, gerontology, or related health and human services area or be a Registered Nurse (RN). Full-time experience in the field may be substituted for the degree… more