- CVS Health (Topeka, KS)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more
- CVS Health (Topeka, KS)
- …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... additional Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma… more
- CenterWell (Topeka, KS)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Ascension Health (Wichita, KS)
- **Details** + **Department:** Case Management + **Schedule:** Full-time, Day Shift, 3 12 hour shifts per week, Friday-Sunday or Saturday-Monday + **Hospital:** ... plan of care for patients from admission to discharge for the Case Management department. + Create plan for care across the continuum. Integrate patient/family… more
- US Tech Solutions (Wichita, KS)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION ... 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior...in state of residence + Must have prior authorization utilization experience + Experience with Medcompass **Skills:** + MUST… more
- Veterans Affairs, Veterans Health Administration (Fort Scott, KS)
- …promotion, health education and coaching on wellness, disease prevention, and chronic care management . The nurse will assist in directing the provision of ... Summary The Registered Nurse (RN) delivers fundamental knowledge-based care to assigned...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- HCA Healthcare (Wichita, KS)
- …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** Wesley ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...designated shifts. In collaboration with other members of the management team, this individual is responsible for the ongoing… more
- HCA Healthcare (Wichita, KS)
- …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 what ... of individuals in the areas of service and quality care. The Clinical Nurse Coordinator performs delegated duties and functions within the philosophy and overall… 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 ... general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of all functions… more
- HCA Healthcare (Wichita, KS)
- …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 what ... general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of all functions… more
- HCA Healthcare (Wichita, KS)
- …for patients in the unit. Responsibilities include fiscal, human resource, risk management , and operational functions. The Assistant Nurse Manager contributes to ... with assessment and evaluation of staffing patterns for proper utilization of personnel, according to patient acuity levels. +...employment start date + Kansas or Multi State Registered Nurse License + 2 years management experience… more
- Evolent (Topeka, KS)
- …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… 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. ... in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. + Advocates, educates and coaches… more
- Humana (Topeka, KS)
- …Office products including Word, Excel and Outlook **Preferred Qualifications** + Utilization Review/Quality Management experience + Experience working with MCG ... community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals... 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments are varied and frequently require… more
- Elevance Health (KS)
- …nursing preferred. + Participation and/or certification in a managed care or utilization management organization preferred. + Ability to understand clinical ... two-week period which includes Saturday and Sunday every other weekend. The **Triage Nurse I - CareBridge** is responsible for determining the appropriate Care … more
- Fresenius Medical Center (Salina, KS)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Ascension Health (Wichita, KS)
- …areas of utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revise assignments daily to ... **Details** + **Department:** Case Management + **Schedule:** Full-time, 40 hours/week, Monday-Friday, 8am-4:30pm,...One or more of the following required: + Registered Nurse credentialed from the Kansas Board of Nursing obtained… more
- Select Medical (Wichita, KS)
- … within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with ... current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
- HCA Healthcare (Wichita, KS)
- …compliance with case management regulatory guidelines per CMS. + Manages VPro utilization for case management vendors + Assists in setting up new employees ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...of critical care experience preferred + Certification in case management or utilization review preferred + InterQual… more