- CVS Health (Topeka, KS)
- …And we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- Cognizant (Topeka, KS)
- …+ Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management experience with managed health care plan ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...care revenue cycle or clinic operations + Experience in utilization management to include Clinical … more
- Humana (Topeka, KS)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- CenterWell (Topeka, KS)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Elevance Health (Overland Park, KS)
- ** Utilization Management Representative II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... AM and 5:00 PM Pacific. The **Behavioral Health (BH) Utilization Management Representative II** is responsible for...with provider on referrals given. + Refers cases requiring clinical review to a nurse reviewer; and… more
- HCA Healthcare (Wichita, KS)
- …at 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. ... improve positive outcomes for your patients as a (an) Clinical Nurse Coordinator Progressive Care. We want...designated shifts. In collaboration with other members of the management team, this individual is responsible for the ongoing… more
- HCA Healthcare (Wichita, KS)
- …for RN's with 1+ years of experience!** Do you have the career opportunities as a Clinical Nurse Coordinator Derby ER Room you want in your current role? We ... in the areas of service and quality care. The Clinical Nurse Coordinator performs delegated duties and...the assessment and evaluation of staffing patterns for proper utilization of personnel, according to patient acuity levels. +… more
- Evolent (Topeka, KS)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- HCA Healthcare (Wichita, KS)
- **Description** **Introduction** Do you have the career opportunities as a Clinical Nurse Coordinator Ortho Spine you want in your current role? We invest in ... Under the general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of… more
- HCA Healthcare (Wichita, KS)
- …RN's 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 ... Under the general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of… more
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