- Humana (Topeka, KS)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… 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
- CVS Health (Topeka, KS)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… 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 ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Overland Park, KS)
- **Description** **Introduction** Do you have the career opportunities as a(an) PRN Registered Nurse Case Manager you want with your current employer? We have an ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… 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 ... matters most to nurses like you - at home , at work, and at every stage in your...the areas of service and quality care. The Clinical Nurse Coordinator performs delegated duties and functions within the… 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 ... matters most to nurses like you - at home , at work, and at every stage in your...of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of… 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 ... matters most to nurses like you - at home , at work, and at every stage in your...of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of… 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 ... what matters most to nurses like you - at home , at work, and at every stage in your...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
- Fresenius Medical Center (Salina, KS)
- …Quality, and Technical Services departments. + Collaborates with or functions as the Home Therapies Program Manager to oversee the facility's Home Therapies ... Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- CVS Health (Topeka, KS)
- …all with heart, each and every day. **Position Summary** **This is a work at home position with working hours of one of the following shifts 8:00/8:30/9:00 AM - ... health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care,… 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 ... or 2 years of critical care experience preferred + Certification in case management or utilization review preferred + InterQual experience preferred **For more… more
- HCA Healthcare (Wichita, KS)
- …or 2 years of critical care experience is preferred + Certification in case management or utilization review is preferred + InterQual experience is preferred ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Sharecare (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...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- HCA Healthcare (Wichita, KS)
- …or 2 years of critical care experience is preferred + Certification in case management or utilization review is preferred + InterQual experience is preferred ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...When you work as an RN for our Case Management Team, you are joining an elite team of… more
- HCA Healthcare (Wichita, KS)
- …or 2 years of critical care experience is preferred + Certification in case management or utilization review is preferred + InterQual experience is preferred ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care...When you work as an RN for our Case Management Team, you are joining an elite team of… more
- Humana (Topeka, KS)
- …others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient therapies, skilled nursing ... inpatient and subacute activity daily for outcomes related to readmission, utilization , quality of care and provider performance in compliance with Humana/iCare… more