- Evolent Health (Topeka, KS)
- …the mission. Stay for the culture. **What You'll Be Doing:** As an Initial Clinical Reviewer , you will be a key member of the utilization management team. We can ... providing better health outcomes. **Collaboration Opportunities:** As an Initial Clinical Reviewer , you will routinely interact with leadership and management staff,… more
- Veterans Affairs, Veterans Health Administration (Topeka, KS)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Topeka VA is committed to Diversity ... our Nation's Veterans. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
- Phoenix Home Care and Hospice (Topeka, KS)
- …succeed! Children and young adults with specialized health care needs are searching for a Nurse to bring a New Beginning, a fresh start on a journey that is ... door of a home as a daily difference-maker a NURSE . We are looking for a compassionate LPN or...unique needs and treatment plans. + Assists in development, review , and revision of the plan of care. +… more
- Humana (Topeka, KS)
- …caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation… more
- Humana (Topeka, KS)
- …to improve the lives of others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient ... iCare guidelines, and PA Department policies and procedures. + Review PA requests for inpatient medical stays, skilled nursing...an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin or have a… more
- CVS Health (Topeka, KS)
- …years of clinical experience + 1+ year(s) of utilization management, concurrent review and/or prior authorization experience + 5+ years of equipment experience ... including phone, computer, and clinical documentation systems + A Registered Nurse that must hold an unrestricted license in the state of Kansas, with… more
- Marriott (Topeka, KS)
- **Additional Information** Nurse CARE Manager (CARE - Coordinated Action and Response)Registered Nurse license required **Job Number** 24069165 **Job Category** ... Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely, appropriate, quality, occupational illness/injury care… more
- Fresenius Medical Center (Topeka, KS)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
- Merck (Topeka, KS)
- …may include:** + Health care providers such as physicians, physician assistants, nurse practitioners, nurses, pharmacists as well as quality directors and office ... at product workshops and conferences, as well as consistent and ongoing review of Company promotional materials. + Providing Company management with updates on… more
- Fresenius Medical Center (Topeka, KS)
- …dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. ... including efficient utilization of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and on-site state or… more
- Merck (Topeka, KS)
- …(Oncology group purchasing organizations, wholesalers, and specialty pharmacies). + Review and evaluate patterns for products purchased and prescribed (outpatient ... the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more.… more
- CVS Health (Topeka, KS)
- …and programs are comprised of network management, clinical coverage, and policies. Nurse Case Manager is responsible for telephonic and/or face to face assessing, ... clinical coverage policies. Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and… more