- 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...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- CenterWell (Topeka, KS)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work… more
- CVS Health (Topeka, KS)
- …is subject to change based on business needs. **Preferred Qualifications** 6+ months Case Management or Utilization Management experience Case Management ... responsible for telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the… more
- Ascension Health (Wichita, KS)
- **Details** + **Department:** Case Management + **Schedule:** Full-time, Day Shift, 3 12 hour shifts per week, Friday-Sunday or Saturday-Monday + **Hospital:** ... plan of care for patients from admission to discharge for the Case Management department. + Create plan for care across the continuum. Integrate patient/family… more
- HCA Healthcare (Wichita, KS)
- …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** Wesley Medical ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- CVS Health (Topeka, KS)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- HCA Healthcare (Wichita, KS)
- …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** Wesley ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Wichita, KS)
- …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 what ... matters most to nurses like you - at home , at work, and at every stage in your...of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of… more
- HCA Healthcare (Wichita, KS)
- …for patients in the unit. Responsibilities include fiscal, human resource, risk management , and operational functions. The Assistant Nurse Manager contributes to ... what matters most to nurses like you - at home , at work, and at every stage in your...employment start date + Kansas or Multi State Registered Nurse License + 2 years management experience… more
- Evolent (Topeka, KS)
- …responsible for support and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices ... is 11:30-8:00 eastern** **OTHER SKILLS and ABILITIES:** Strong clinical, management , communication, and organizational skills. Demonstrated leadership skills Analytic… more
- Fresenius Medical Center (Salina, KS)
- …Quality, and Technical Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- CenterWell (Overland Park, KS)
- …+ Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent environment. + Home ... On-site **Branch Location** : Overland Park, KS **This is not a remote or work-from- home position. This position requires you to sit on-site at our Overland Park, KS… more
- Ascension Health (Wichita, KS)
- …areas of utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revise assignments daily to ... **Details** + **Department:** Case Management + **Schedule:** Full-time, 40 hours/week, Monday-Friday, 8am-4:30pm,...One or more of the following required: + Registered Nurse credentialed from the Kansas Board of Nursing obtained… more
- CVS Health (Topeka, KS)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... and every day. **This is a remote work from home role anywhere in the US with virtual training.**...residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
- HCA Healthcare (Wichita, KS)
- …or 2 years of critical care experience is preferred + Certification in case management or utilization review is preferred + InterQual experience is preferred ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Wichita, KS)
- …or 2 years of critical care experience is preferred + Certification in case management or utilization review is preferred + InterQual experience is preferred ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...When you work as an RN for our Case Management Team, you are joining an elite team of… more
- Sharecare (Topeka, KS)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more