- Humana (Topeka, KS)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- Centene Corporation (Topeka, KS)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Elevance Health (Topeka, KS)
- …participates in cross-functional corporate teams which design and implement new care/case/ utilization management programs. + Develops and implements process and ... will require a Licensed Psychologist or an Advanced Practice RN (with psychiatric experience) in the state of Kansas.**...utilization and administration and/or delivery of EAP or Behavioral Health services. + May lead team(s) of clinicians… more
- Elevance Health (Topeka, KS)
- …supervision. **Preferred Skills, Capabilities, and Experiences:** + Previous experience in case management / utilization management with a broad range of ... **JR129977** ** Behavioral Health Care Manager I** The Behavioral...equivalent background. + Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by… more
- Elevance Health (Topeka, KS)
- …supervision. **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of ... ** Behavioral Health Care Manager I** **Location:** This position...an equivalent background. Current active unrestricted license, such as RN , LCSW, LMSW, LMHC, LPC, LBA (as allowed by… more
- Elevance Health (Topeka, KS)
- …in **Kansas City/Olathe/Topeka and surrounding areas.** The **LTSS SERVICE COORDINATOR - RN CLINICIAN** is responsible for overall management of member's case ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- Highmark Health (Topeka, KS)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- Elevance Health (Topeka, KS)
- …LTSS/IDD), behavioral health or physical health needs. + Submits utilization /authorization requests to utilization management with documentation ... a risk is identified related to the members LTSS, physical or behavioral health supports (including, but not limited to, potential for high-risk complications).… more
- Elevance Health (Topeka, KS)
- …services and supports (LTSS) members' needs are identified, including physical health, behavioral health, and social services for older adults, LTSS populations and ... and oversees program operations in support of corporate and health plan management . + Directs and collaborates with functional managers to develop and implement… more
- Elevance Health (Topeka, KS)
- …services and supports (LTSS) members' needs are identified, including physical health, behavioral health, and social services for older adults, LTSS populations and ... include, but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members,...in a related field, including minimum of 1 year leadership/ management experience; or any combination of education and experience,… more