- Humana (Topeka, KS)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the… more
- Humana (Topeka, KS)
- …independent determination of the appropriate courses of action. The Post-Acute Utilization Management Nurse 2: + Review cases using clinical knowledge, ... part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Lincoln Financial Group (Topeka, KS)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- Centene Corporation (Topeka, KS)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Elevance Health (Topeka, KS)
- …of Kansas. Requires minimum of 3 years acute care clinical experience or case management , utilization management or managed care experience; or any ... commute each way of the above Elevance Health location. **Responsible to review medical records against criteria and coding guidelines to determine if services… more
- Prime Therapeutics (Topeka, KS)
- …of post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Magellan Credentialing ... and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description Summary** Under supervision, is responsible for performing… more
- Fresenius Medical Center (Kansas City, KS)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Sedgwick (Topeka, KS)
- …and consult review ; and two (2) years of experience in daily application of nurse auditing, utilization review and bill review . **Skills & ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Bill Review **PRIMARY PURPOSE** **:** To review hospital and professional medical… more
- Highmark Health (Topeka, KS)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES:** + Implement care management review processes that are consistent with established… more
- Spira Care, LLC (Overland Park, KS)
- …Certification + 5 years' experience, including at least three years of Care/Case/Disease Management , Health Plan, or Utilization Review experience + Thorough ... + Associate or bachelor's degree in nursing + Valid and active Registered Nurse (RN) in Kansas and Missouri or multi-state compact license + BLS certification… more
- Vyaire Medical (Kansas City, KS)
- …within and across functional groups. Communicate information related to quality management system efficiency. + Directly support the timely and quality sale, ... of new products and services; make recommendations to drive client acceptance and utilization of new medical devices. Facilitate UPE's for new products. + Develop,… more
- Fresenius Medical Center (Topeka, KS)
- …dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. ... data collections and auditing activities. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review… more
- HCA Healthcare (Overland Park, KS)
- …capital equipment requests + You will be responsible for the fiscal management of department; assure proper utilization of organization's financial resources ... organizational and department goals + You will utilize talent review data for pipeline development + You will foster...and/or experience + Currently licensed as a registered professional nurse in the state in which he or she… more