- 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
- Intermountain Health (Topeka, KS)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... (RN) or Compact license **Preferred Qualifications:** + Bachelor's degree in Nursing . + Certified Case Manager (CCM). Relevant certification as determined… more
- Elevance Health (Topeka, KS)
- The Nurse Case Manager Lead is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, ... claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and...developing associated corrective action plans at direction of the manager . + Serves as first line contact for conflict… 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 (Topeka, KS)
- …of Kansas. Requires minimum of 3 years acute care clinical experience or case management , utilization management or managed care experience; or any ... to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process. + Collaborates with providers to assess member's needs… more
- Highmark Health (Topeka, KS)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... Management + Experience in a clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care… more
- ZOLL Medical Corporation (Topeka, KS)
- …patients suffering from serious cardiopulmonary and respiratory conditions.The Cardiac Management Solutions division of ZOLL Medical Corporation develops products to ... points include: Physicians (Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and administrators.… 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
- 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
- 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