- Humana (Topeka, KS)
- …of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting… more
- Humana (Topeka, KS)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- Mental Health Association of SCK (Wichita, KS)
- …functioning of outpatient services for MHA; including recruitment and supervision of clinical staff . Provide therapy services with individuals and groups to ... services in the manner required by payers. + Provides Clinical supervision to staff not independently licensed....the program. + Ensures compliance with payer systems, including utilization review functions. + Completes quality assurance and … more
- Highmark Health (Topeka, KS)
- …and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or ... Utilize robust, data-driven insights from complex healthcare datasets (eg, claims, clinical , utilization , pharmaceutical) to inform policy development, identify… more
- Blue KC (KS)
- …or special consideration (eg, benefits) should be made. + Participate in existing client utilization and renewal meetings or tell our clinical value story as ... engagement, and interventions for cost containment. + Regular communications with Blue KC Clinical Operations staff to ensure identified members are addressed as… more
- Elara Caring (Topeka, KS)
- …care setting + Proficiency with Medical Terminology + Experience working with clinical management team + Proficiency with office equipment including computer, ... + Assists staff in maintaining current and accurate medical records and utilization review. + Assists clinical supervisor with non- clinical phone… more
- Humana (Topeka, KS)
- …corporate communications to be shared with senior leadership. + Supports trend management by conducting analysis of drug spend, utilization , and/or approval ... communicating with staff in different positions and all levels of management positions + Manages the Humana Michigan FIDE-SNP health plan relationship with our… more
- HCA Healthcare (Wichita, KS)
- …Wesley Medical Center have the opportunity to make a real impact. As a(an) Clinical Nurse Coordinator Progressive Care you can be a part of change. **Benefits** ... of nursing and improve positive outcomes for your patients as a (an) Clinical Nurse Coordinator Progressive Care. We want your knowledge and expertise! **Job Summary… more
- HCA Healthcare (Wichita, KS)
- …CNC's with 1+ years of experience!** Do you have the career opportunities as a Clinical Nurse Coordinator General Surgery you want in your current role? We invest in ... the general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of all… more
- HCA Healthcare (Wichita, KS)
- …with 1+ years of experience!** Do you have the career opportunities as a(an) Clinical Nurse Coordinator Surgical Oncology you want in your current role? We invest in ... the general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of all… more