- 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
- Blue KC (KS)
- …or special consideration (eg, benefits) should be made. + Participate in existing client utilization and renewal meetings or tell our clinical value story as ... discount program** **Job Description Summary:** Presents data-driven insights and clinical health information to large self-funded client groups and insurance… more
- Fresenius Medical Center (Salina, KS)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- US Tech Solutions (Wichita, KS)
- …Do you have experience with Utilization Review? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global ... and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. + Considers all documented...+ 3+ years of experience as an RN + Registered Nurse in state of residence +… more
- CVS Health (Topeka, KS)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… 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
- HCA Healthcare (Wichita, KS)
- …nurses at Wesley Medical Center have the opportunity to make a real impact. As a(an) Clinical Nurse Coordinator West ED you can be a part of change. **Benefits** ... improve positive outcomes for your patients as a (an) Clinical Nurse Coordinator West ED. We want...within 60 months of employment start date + (RN) Registered Nurse + Registered … more
- HCA Healthcare (Wichita, KS)
- …at Wesley Medical Center have the opportunity to make a real impact. As a(an) Clinical Nurse Coordinator Progressive Care you can be a part of change. ... improve positive outcomes for your patients as a (an) Clinical Nurse Coordinator Progressive Care. We want...within 30 days of employment start date + (RN) Registered Nurse + Registered … more
- Ascension Health (Wichita, KS)
- …clinical resources. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... obtained prior to hire date or job transfer date required. + Case Manager credentialed from the American Case Management Association (ACMA) preferred. + Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred. Education: +… more
- HCA Healthcare (Wichita, KS)
- …RN's with 1+ years of experience!** Do you have the career opportunities as a(an) Clinical Nurse Coordinator Surgical Oncology you want in your current role? We ... supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction...obtained within 30 days of employment start date + Registered Nurse must be obtained within 90… 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
- HCA Healthcare (Wichita, KS)
- …be obtained within 90 days of employment start date + Kansas or Multi State Registered Nurse License + 2 years management experience Wesley Healthcare, as part ... Nurses at Wesley Medical Center! **Job Summary and Qualifications** The Assistant Nurse Manager provides leadership through collaboration with the Nursing Manager of… more
- Humana (Topeka, KS)
- …help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... of action. The Utilization Management Behavioral Health Nurse uses clinical knowledge, communication skills, and...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… 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