- Centene Corporation (Topeka, KS)
- …Worker (LSCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), Registered Nurse ( RN ), or Advanced Practice Registered ... State stakeholder committees + Oversee all MCO functional areas, including quality management , utilization management , network development and management… more
- CVS Health (Topeka, KS)
- …ileage is reimbursable as per company policy. Preferred Qualifications + 2+ Managed care/ utilization review experience + Case management in an integrated model + ... Clay counties or surrounding areas. Responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing,… more
- Elevance Health (Topeka, KS)
- …week in-person with patients, members or providers. The **LTSS SERVICE COORDINATOR - RN CLINICIAN** is responsible for overall management of member's case within ... or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral … more
- Elevance Health (Topeka, KS)
- … with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, ... **Managed Care Coordinator Clinician Non RN ** **Location:** Remote, within 50 miles of an...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Sharecare, Inc. (Topeka, KS)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- Humana (Topeka, KS)
- …projects. **Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin or have a compact license. ... community and help us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the… more
- Molina Healthcare (Topeka, KS)
- … Registered Nursing ( RN ) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... the state health plan's Healthcare Services (clinical operations) teams including Utilization Management (prior-authorization, inpatient review) and Care … more
- Elevance Health (Topeka, KS)
- …care program in which members needs are identified, including physical health, behavioral health, social services for a special product/programs such as long term ... **How you will make an impact:** + 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