- 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)
- Location: Candidate must reside in the state of Kansas. The ** Utilization Management Representative II** is responsible for managing incoming calls, including ... provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer; and handles...eligibility information. + May act as liaison between Medical Management and internal departments. + Responds to telephone and… 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