• Registered Nurse Care Manager

    Intermountain Health (Topeka, KS)
    …and fully-funded and self-funded Commercial plan. The Care Manager 1 - Remote is a Registered Nurse who partners with members, their family and / or caregivers ... within three years of hire or promotion. + Current RN ( Nurse ) compact license to practice in...in clinical nursing in an ambulatory care setting, community health or home care. + Experience working… more
    Intermountain Health (05/14/24)
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  • Staff Professional-Risk Mgmt

    Marriott (Topeka, KS)
    …Work Hardening and Vocational Rehabilitation for injured workers per regional guidelines. + Oversee Home Health and Field Case Managers. Claims Services + ... or Certification** + Must be a licensed registered nurse + Certification as an occupational health nurse and/or case manager (or, progress… more
    Marriott (05/12/24)
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  • Case Manager RN Oncology

    CVS Health (Topeka, KS)
    …Perform medical necessity reviews Required Qualifications - 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty - A ... Registered Nurse that holds an unrestricted license...Abuse, Transplant or Medical/Surgical Preferred Qualifications - 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (04/17/24)
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  • Case Manager RN

    CVS Health (Topeka, KS)
    …cardiac) with Medicare members. * Minimum 2-3 years CM, discharge planning and/or home health care coordination experience * Ability to occasionally travel ... Bring your heart to CVS Health . Every one of us at CVS ... licenses if needed, company will provide. Education * Registered Nurse with active state license in… more
    CVS Health (04/28/24)
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  • Case Manager RN - Johnson/Wyandotte…

    CVS Health (Topeka, KS)
    …policies and programs are comprised of network management, clinical coverage, and policies. Nurse Case Manager is responsible for telephonic and/or face to face ... Bring your heart to CVS Health . Every one of us at CVS ...personal, convenient and affordable. A Brief Overview Coordinates all case management activities with members to evaluate medical needs… more
    CVS Health (05/07/24)
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  • Case Manager RN

    CVS Health (Topeka, KS)
    …and deliver solutions to make health care more personal, convenient and affordable. Case Manager RN This is a full-time telework position with less than 10% ... years clinical practical experience + Minimum 2+ years CM, discharge planning and/or home health care coordination experience + Must have active and unrestricted… more
    CVS Health (05/08/24)
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  • Case Manager RN

    CVS Health (Topeka, KS)
    …Medical Appropriateness and Quality of Care:- Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to ... Bring your heart to CVS Health . Every one of us at CVS ...critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare… more
    CVS Health (05/03/24)
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  • Special Programs Case Manager I

    Elevance Health (Topeka, KS)
    …ideal candidate will live within 50 miles of one of our Kansas Elevance Health PulsePoint locations. The **Special Programs Case Manager I** is responsible for ... performing case management telephonically and/or by home visits within the scope of licensure for special...healthcare costs for the designated population via integrated (physical health /behavioral health ) case management and… more
    Elevance Health (05/02/24)
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  • Clinical Strategy and Practice Lead, Pharmacy…

    CenterWell (Topeka, KS)
    …practice in a related specialty such as home infusion or specialty infusion, home health , oncology, IV therapy or critical care + Minimum 5 years nursing ... and keep records of criteria for admission to service, case assignments, and case management. + Represent...such as home infusion or specialty infusion, home health , oncology, IV therapy or critical… more
    CenterWell (05/08/24)
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  • Telephonic Utilization Management Nurse

    Humana (Topeka, KS)
    …etc. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) compact licensure with no disciplinary action ... part of our caring community and help us put health first** The Utilization Management Nurse 2...information for the appropriateness as compared to MCG; Communicating case status to the facility as needed. + Facilitating… more
    Humana (05/15/24)
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  • Pre-Authorization Nurse

    Humana (Topeka, KS)
    …of others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical equipment, outpatient therapies, skilled ... health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team....make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin… more
    Humana (05/14/24)
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