- Humana (Topeka, KS)
- …of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting… more
- Humana (Topeka, KS)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- Mental Health Association of SCK (Wichita, KS)
- …functioning of outpatient services for MHA; including recruitment and supervision of clinical staff . Provide therapy services with individuals and groups to ... services in the manner required by payers. + Provides Clinical supervision to staff not independently licensed....the program. + Ensures compliance with payer systems, including utilization review functions. + Completes quality assurance and … more
- Highmark Health (Topeka, KS)
- …and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or ... Utilize robust, data-driven insights from complex healthcare datasets (eg, claims, clinical , utilization , pharmaceutical) to inform policy development, identify… 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 ... engagement, and interventions for cost containment. + Regular communications with Blue KC Clinical Operations staff to ensure identified members are addressed as… more
- Elara Caring (Topeka, KS)
- …care setting + Proficiency with Medical Terminology + Experience working with clinical management team + Proficiency with office equipment including computer, ... + Assists staff in maintaining current and accurate medical records and utilization review. + Assists clinical supervisor with non- clinical phone… more
- HCA Healthcare (Wichita, KS)
- …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. **Benefits** ... of nursing and improve positive outcomes for your patients as a (an) Clinical Nurse Coordinator Progressive Care. We want your knowledge and expertise! **Job Summary… more
- HCA Healthcare (Wichita, KS)
- …CNC's with 1+ years of experience!** Do you have the career opportunities as a Clinical Nurse Coordinator General Surgery you want in your current role? We invest in ... the general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of all… more
- HCA Healthcare (Wichita, KS)
- …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 invest in ... the general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of all… more
- Evolent (Topeka, KS)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse… more
- Prime Therapeutics (Topeka, KS)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... visa or residency sponsorship **Additional Qualifications** + 3-5 years' experience in clinical operations, quality, network, pharmacy or project management OR a… more
- HCA Healthcare (Wichita, KS)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Nurse Coordinator Woodlawn Surgical Acute you want in your current role? We ... the general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of all… more
- HCA Healthcare (Wichita, KS)
- …RN's with 1+ years of experience!** Do you have the career opportunities as a Clinical Nurse Coordinator Derby ER Room you want in your current role? We invest in ... in the areas of service and quality care. The Clinical Nurse Coordinator performs delegated duties and functions within...the assessment and evaluation of staffing patterns for proper utilization of personnel, according to patient acuity levels. +… more
- HCA Healthcare (Wichita, KS)
- …patients in the unit. Responsibilities include fiscal, human resource, risk management , and operational functions. The Assistant Nurse Manager contributes to ... + Assists with assessment and evaluation of staffing patterns for proper utilization of personnel, according to patient acuity levels. + Assists in investigations,… more
- Evolent (Topeka, KS)
- … Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more
- Highmark Health (Topeka, KS)
- …per week (Tuesday-Thursday).** This role supports the full application product lifecycle for ** clinical and utilization management software** , with a ... and technical teams. They function as a pivotal bridge, translating high-level ** clinical and utilization management software** business needs into… more
- Evolent (Topeka, KS)
- …Cardiologist)** Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical ... appropriate, high-value care aligned with clinical guidelines. + Collaborate with leadership, management , and clinical staff to address complex cases and… more
- Parexel (Topeka, KS)
- …Data Management Lead to join our team. If you have a passion for clinical research, strong project management skills, and a knack for data management , ... Science, OR equivalent industry experience. + 7+ years experience in pharmaceutical/biotech clinical data management / Biometrics ( clinical trial data… more
- Evolent (Topeka, KS)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more
- Evolent (Topeka, KS)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more