- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing...to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in IL, WI, MN, SD, ND, IA,… more
- Elevance Health (Olathe, KS)
- …is a hybrid role.** The ** Manager of Behavioral Health - Kansas - Utilization Management (BH UM)** will manage a team of licensed clinicians and non-clinical ... or federal requirements that may apply; provided that the manager 's director has one of the types of licensure...and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of… more
- Elevance Health (Olathe, KS)
- ** Utilization Management Rep I** **Location:** This position will work a hybrid model (remote and office). Candidates must reside in Olathe, KS, Topeka, KS, or ... Overland Park, KS. The ** Utilization Management Rep I** is responsible for...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- Elevance Health (Topeka, KS)
- …**Preferred skills, Capabilities, and Experience:** + Compact license is preferred. + Utilization Management experience preferred. + Medicaid Utilization ... **Licensed Utilization Review II** **Location** : KS, FL. and...the application of clinical guidelines but do not require nursing judgment. + Conducts pre-certification, inpatient, retrospective, out of… more
- Elevance Health (Topeka, KS)
- …1-2 late nights per month required 11:30am - 8:00pm ET The ** Nurse Case Manager II** is responsible for care management within the scope of licensure for ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more
- Prime Therapeutics (Topeka, KS)
- …+ Clinical and Quality oversight for this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse (RN). + 5 years ... post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Magellan Credentialing criteria.… more
- Elevance Health (Olathe, KS)
- …a hybrid role.** The ** Manager of Behavioral Health - Kansas - Case Management (BH CM)** will manage a team of licensed clinicians and non-clinical support staff ... consultation and education to customers and internal staff for efficient utilization of BH services; supports process improvement and quality assurance activities;… more
- ZOLL Medical Corporation (Topeka, KS)
- …patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed ... patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management -system/) (Heart Failure Management system) is a… more
- J&J Family of Companies (Topeka, KS)
- …https://www.jnj.com/ (https://url.us.m.mimecastprotect.com/s/MdKYCrkXYPSOGrNlC7pvw0?domain=jnj.com/) . The **Regional Clinical Manager ** will be responsible for the ... Regional Clinical Manager , Mid America - Abiomed - 2406189481W **Description**...and customer competency through the development, retention and performance management of the clinical team. + Manage the recruitment… more
- Elevance Health (Olathe, KS)
- …supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of ... **Behavioral Health Care Manager I** **Location:** This position will work a...a related behavioral health field or a degree in nursing , and minimum of 3 years of experience with… more
- Elevance Health (Topeka, KS)
- …supervision. **Preferred Skills, Capabilities, and Experiences:** + Previous experience in case management / utilization management with a broad range of ... **JR129987 Behavioral Health Care Manager I** The Behavioral Health Care Manager...a related behavioral health field or a degree in nursing , and minimum of 3 years of experience with… more
- Huron Consulting Group (Topeka, KS)
- …it promotes a culture of respect, unity, collaboration, and personal achievement. As a Manager , you will have the unique ability to specialize in certain areas that ... talent, training, supervising, coaching/mentoring, and providing feedback through performance management + Facilitate communication and collaboration between all key… more
- Sharecare, Inc. (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...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- Elevance Health (Olathe, KS)
- …The **LTSS SERVICE COORDINATOR - RN CLINICIAN** is responsible for overall management of member's case within the scope of licensure; provides supervision and ... face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Elevance Health (Topeka, KS)
- …participates in cross-functional corporate teams which design and implement new care/case/ utilization management programs. + Develops and implements process and ... include, but are not limited to: + Ensures appropriate utilization and administration and/or delivery of EAP or Behavioral...with state and federal regulations. + Collaborates with Care Management partners to resolve issues or find solutions. +… more
- Elevance Health (Olathe, KS)
- …documents to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which require the ... records to either approve or summarize and route to nursing and/or medical staff for review. + The grievance...as a liaison between grievances & appeals and/or medical management , legal, and/or service operations and other internal departments.… 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. ... Quality, and Technical Services departments. + Collaborates with the Home Therapies Manager to oversee the facility's Home Therapies Program. + Maintains integrity… more