- Elevance Health (Overland Park, KS)
- …PulsePoint location.** **HOURS** **: Monday through Friday, 10:30 - 7:00 Eastern time** The ** Licensed Utilization Review II ** responsible for working ... HS diploma or equivalent and a minimum of 2 years of clinical or utilization review experience and minimum of 1 year of managed care experience; or any… more
- Elevance Health (Olathe, KS)
- … licensed staff supervision. + Previous experience in case management/ utilization management with a broad range of experience with complex psychiatric/substance ... and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses appropriate screening… more
- US Tech Solutions (Atchison, KS)
- …Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and ... resources. **Job Duties:** + Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and… more
- Veterans Affairs, Veterans Health Administration (Kansas City, MO)
- …throughout the care continuum. Contributes pharmaceutical guidance with development and review of evidence-based treatment protocols, criteria for use and new ... as an investigator as appropriate. Designs and coordinates drug utilization evaluations and the clinic's quality assurance program. This...accordance with the provisions in VA Handbook 5005, Part II , Chapter 3, section B, paragraph 16. May qualify… more
- Veterans Affairs, Veterans Health Administration (Kansas City, MO)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Kansas City VA Medical Center is ... by the service. Plans, coordinates, and ensures high quality care through utilization of multiple quality measurement tools. Improves patient outcomes through the… more