- Mental Health Association of SCK (Wichita, KS)
- …functioning of outpatient services for MHA; including recruitment and supervision of clinical staff . Provide therapy services with individuals and groups to ... services in the manner required by payers. + Provides Clinical supervision to staff not independently licensed....the program. + Ensures compliance with payer systems, including utilization review functions. + Completes quality assurance and … more
- Blue KC (KS)
- …or special consideration (eg, benefits) should be made. + Participate in existing client utilization and renewal meetings or tell our clinical value story as ... engagement, and interventions for cost containment. + Regular communications with Blue KC Clinical Operations staff to ensure identified members are addressed as… more
- Fresenius Medical Center (Salina, KS)
- …courses and that licensures/certifications are current. + Provides support for all clinical staff members at regular intervals and encourages professional ... eligibility for treatment. + Reports changes in patient status regarding any clinical , insurance, or travel and transportation issues. STAFF : + Participates… more
- Elara Caring (Topeka, KS)
- …care setting + Proficiency with Medical Terminology + Experience working with clinical management team + Proficiency with office equipment including computer, ... + Assists staff in maintaining current and accurate medical records and utilization review. + Assists clinical supervisor with non- clinical phone… more
- HCA Healthcare (Wichita, KS)
- …Wesley 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** ... of nursing and improve positive outcomes for your patients as a (an) Clinical Nurse Coordinator Progressive Care. We want your knowledge and expertise! **Job Summary… more
- Humana (Topeka, KS)
- …corporate communications to be shared with senior leadership. + Supports trend management by conducting analysis of drug spend, utilization , and/or approval ... communicating with staff in different positions and all levels of management positions + Manages the Humana Michigan FIDE-SNP health plan relationship with our… more
- HCA Healthcare (Wichita, KS)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Nurse Coordinator Postpartum you want in your current role? We invest in what ... the general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of all… more
- HCA Healthcare (Wichita, KS)
- …with 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 ... the general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of all… more
- Evolent (Topeka, KS)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse… more
- HCA Healthcare (Wichita, KS)
- …RN's with 1+ years of experience!** Do you have the career opportunities as a Clinical Nurse Coordinator Derby ER Room you want in your current role? We invest in ... in the areas of service and quality care. The Clinical Nurse Coordinator performs delegated duties and functions within...the assessment and evaluation of staffing patterns for proper utilization of personnel, according to patient acuity levels. +… more
- Veterans Affairs, Veterans Health Administration (Topeka, KS)
- …Veterans. Responsible for the direct supervision of Physician Leaders, program leads, and clinical support staff as assigned within the service, including but ... providers; provides direct patient care to patients as required and provides clinical guidance to advanced practice providers. Responsible to coordinate within their… more
- Evolent (Topeka, KS)
- … Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more
- HCA Healthcare (Wichita, KS)
- …patients in the unit. Responsibilities include fiscal, human resource, risk management , and operational functions. The Assistant Nurse Manager contributes to ... + Assists with assessment and evaluation of staffing patterns for proper utilization of personnel, according to patient acuity levels. + Assists in investigations,… more
- Highmark Health (Topeka, KS)
- …per week (Tuesday-Thursday).** This role supports the full application product lifecycle for ** clinical and utilization management software** , with a ... and technical teams. They function as a pivotal bridge, translating high-level ** clinical and utilization management software** business needs into… more
- Evolent (Topeka, KS)
- …Cardiologist)** Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical ... appropriate, high-value care aligned with clinical guidelines. + Collaborate with leadership, management , and clinical staff to address complex cases and… more
- Parexel (Topeka, KS)
- …Data Management Lead to join our team. If you have a passion for clinical research, strong project management skills, and a knack for data management , ... Science, OR equivalent industry experience. + 7+ years experience in pharmaceutical/biotech clinical data management / Biometrics ( clinical trial data… more
- Evolent (Topeka, KS)
- …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more
- Evolent (Topeka, KS)
- …As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more
- HCA Healthcare (Overland Park, KS)
- … monitors quality of the interactions, documentation and assessments of the case management staff . The Manager for Case Management coordinates activities ... case management team. The Manager for Case Management functions as an expert clinical practitioner,...case management team. The Manager for Case Management supervises and monitors professional and support staff… more
- Evolent (Topeka, KS)
- …Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... better health outcomes. **Collaboration Opportunities:** . Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more