- Cognizant (Topeka, KS)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Topeka, KS)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- CVS Health (Topeka, KS)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Topeka, KS)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult inpatient… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- CVS Health (Topeka, KS)
- …a member's overall wellness through integration. - Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and ... functions as well as smooth transition to programs and plans. - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- …evaluation and analytical review of clinical information. Responsibilities The Revenue Utilization Review (RUR) Registered Nurse is under the supervision ... visit https://www.va.gov/ohrm/QualificationStandards/. Preferred Experience: 3-5 years clinical registered nursing experience, experience with authorizations, utilization … more
- AdventHealth (Shawnee, KS)
- …at our hospital in Shawnee Mission, Kansas. **The role you'll contribute:** The Charge Registered Nurse (RN) is an experienced RN, who in addition to providing ... necessary. Qualifications **The expertise and experiences you'll need to succeed:** + Kansas Registered Nurse License + BCLS obtained through the American Heart… more
- AdventHealth (Overland Park, KS)
- …Charge Nurse LDRP Full Time Nights **The role you'll contribute:** The Charge Registered Nurse (RN) is an experienced RN, who in addition to providing direct ... Qualifications **The expertise and experiences you'll need to succeed:** + Kansas Registered Nurse License + BCLS obtained through the American Heart… more
- AdventHealth (Overland Park, KS)
- …at our hospital in Shawnee Mission, Kansas. **The role you'll contribute:** The Charge Registered Nurse (RN) is an experienced RN, who in addition to providing ... Qualifications **The expertise and experiences you'll need to succeed:** + Kansas Registered Nurse License + BCLS obtained through the American Heart… more
- CenterWell (Overland Park, KS)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... at our Overland Park, KS branch location.** The **RN Clinical Manager** coordinates and oversees all direct care patient...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- AdventHealth (Overland Park, KS)
- …advanced imaging center, physical therapy and more. **The role you'll contribute:** The Charge Registered Nurse (RN) is an experienced RN, who in addition to ... Assistance* (Certifications and Degrees without out-of-pocket tuition expense) + Nursing Clinical Ladder Program* + Sign-On Bonus* **Our promise to you:** Joining… more
- HCA Healthcare (Overland Park, KS)
- …degree in nursing, required. + Master's Degree, preferred + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an ... is incentive eligible. **Introduction** Do you have the career opportunities as a Clinical Director Nursing you want with your current employer? We have an exciting… more
- Datavant (Topeka, KS)
- …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Spira Care, LLC (Kansas City, KS)
- …Minimum Qualifications + Associate or bachelor's degree in nursing + Valid and active Registered Nurse (RN) in Kansas and Missouri or multi-state compact license ... sensitive way. Completes these assessments in the areas of clinical , functional, financial, support system, psychosocial, cognitive and environmental realms.… more
- Highmark Health (Topeka, KS)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more