• Ascension (Wichita, KS)
    …care services regarding admissions, case management, discharge planning and utilization review . Review admissions and service requests within assigned unit ... for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provide case management and/or consultation for… more
    Upward (07/20/25)
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  • HCA Healthcare (Wichita, KS)
    …Registered Nurse Orthopedic Spine opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock ... place to deliver excellent care patients deserve? At Wesley Medical Center we support our colleagues in their positions....in their positions. Join our Team as a(an) Registered Nurse Orthopedic Spine and access programs to assist with… more
    Upward (07/18/25)
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  • HCA Healthcare (Wichita, KS)
    …next step in your career path, we encourage you to apply for our Registered Nurse High Risk OB Oncology opening. We review all applications. Qualified candidates ... Do you have the career opportunities as a(an) Registered Nurse High Risk OB Oncology you want in your...have an exciting opportunity for you to join Wesley Medical Center which is a part of the nation's… more
    Upward (07/19/25)
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  • Haysville Unified School (Haysville, KS)
    Job Description Position : School Nurse -RN Supervisor : District Nurse and Principal Payment rate: According to Educational Support Staff Salary Schedule ... Qualifications: Current Kansas Registered Nurse License Associates degree in nursing from an accredited...of immunization status. Notify parents of the need for medical and screening referrals, with follow up to ensure… more
    Upward (07/02/25)
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  • Medical Solutions (Omaha, NE)
    A facility in Port Charlotte, FL is seeking its next amazing RN (Registered Nurse ) to work in Case Management (Utilization Review ). Read on if this sounds like ... and build an amazing resume. When you work with Medical Solutions, we've got your back 100% - starting...Traveler discount program Free employee assistance program (EAP) Day-one medical , dental, and vision insurance 24/7 customer care Voluntary… more
    Upward (07/21/25)
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  • Baltimore County, MD (Towson, MD)
    …in the Department of Health and Human Services, Adult Evaluation and Review Services Program. Non-Merit positions are not classified within the Baltimore County ... and groups in home and community-based settings. Essential Job Duties Provides nurse monitoring for the In-Home Aide Services Program Provides nursing assessments,… more
    Upward (07/03/25)
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  • AmeriHealth Caritas Health Plan (Washington, DC)
    …with medical policies. When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical ... efficiently document and assess patient cases Strong understanding of utilization review processes, including medical necessity criteria, care coordination, and… more
    Upward (07/18/25)
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  • CareMed Health Solutions (Wichita, KS)
    DESCRIPTION Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in ... carry out the best care possible. While an interdisciplinary care team provides medical care to patients in long-term care facilities, you will have the opportunity… more
    Upward (07/12/25)
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  • Cottage Health (Goleta, CA)
    Job Description Cottage Health seeks a Utilization Review Manager, Registered Nurse for their Clinical Denials and Appeals department responsible for the overall ... management of utilization review processes and clinical denials between Cottage Health and...California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily… more
    Upward (07/23/25)
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  • Phoenix Home Care and Hospice (Wichita, KS)
    …Health LPN, you will be the point of contact between a patient and medical providers. The LPN should possess strong skills in physical assessment, and communication ... Speech Therapist and or Occupational Therapist. Benefits Multiple Major Medical Plans to Choose From ( Medical , Dental...training, and Supportive Home Health Team. Responsibilities Assists in review and revision of the plan of care. Provides… more
    Upward (07/10/25)
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