- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- CVS Health (KS)
- …years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals experience in Utilization ... **Position Summary** The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the development and… more
- AdventHealth (Shawnee Mission, KS)
- …and Miami Counties in Kansas. **The role you'll contribute:** The Home Health Registered Nurse ( RN ) Care Manager is a professional nurse who ... on individual patient needs. The RN Care Manager is responsible for independent management of...**Minimum qualifications:** + Active American Heart Association BLS + Registered Nurse - State Licensure and/or Compact… more
- Saint Luke's (Overland Park, KS)
- …Experience: 1 year Basic Life Support - American Heart Association or Red Cross, Registered Nurse - Various Bachelor's Degree - Science in Nursing **Job ... RN to join their team as a Case Manager /Care Coordinator!** + This position is onsite at Saint...4:30 pm + The ideal candidate will have Case Management and Adult Acute Hospital nursing experience! The Care… more
- Fresenius Medical Center (Salina, KS)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- CVS Health (KS)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Select Medical (Wichita, KS)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates...**Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN)or a Respiratory Therapist… more
- CenterWell (Overland Park, KS)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... on-site at our Overland Park, KS branch location.** The ** RN Clinical Manager ** coordinates and oversees all...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Elevance Health (KS)
- …responsiveness to client needs, and direct, hands-on engagement. The ** RN Case Manager ** is responsible for overall management of member's case within the ... ** RN Case Manager (LTSS Service Coordinator-...face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
- Elevance Health (KS)
- …patients with IDD and patients with special needs is preferred. + Home Health, Utilization Management or Case Management experience strongly preferred. + ... **Transitions of Care - RN , 100% Virtual, CareBridge** Location: This role enables...for participating in delivery of patient education and disease management interventions and for performing health coaching for members,… more
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