- Children's Mercy Kansas City (Kansas City, MO)
- …of, and training oversight of programs and services. Responsible for effective utilization review and proper resource management of patients, including patient ... reporting, quality, and Lean process improvements, and facilitating the quarterly Utilization Review Committee meetings. Provides evidence based and outcome… more
- Intermountain Health (Jefferson City, MO)
- …and ad hoc education in conjunction with System Physician Advisor. + Work with System Utilization Review Manager and others to adjust UR workflow to reflect ... geographic regions as assigned. Physician shall work in partnership with the utilization review committee to ensure procedures are in place to follow all rules… more
- Evolent (Jefferson City, MO)
- …and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , ... the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point...to determine if submitted requests require a prior authorization review or redirect as required. + Entering data into… more
- Deloitte (Kansas City, MO)
- …+ Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist, utilization review , informatics ... RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth knowledge and experience in medical terminology, medical coding, and ICD-10-CM/PCS, IPPS payment system is a plus' +… more
- Magellan Health Services (St. Louis, MO)
- …3 years of post degree experience for Care Managers with Ph.D. Experience to include utilization review . Licensure may also include one or more of the following: ... related field- Two year's clinical work experience- Knowledge of utilization management procedures, mental health and substance abuse community...+ TRFs to be reviewed by Masters level Care Manager only, but RNs may perform all other related… more
- Optiv (St. Louis, MO)
- Optiv is hiring a Resource Manager to join our RMO (Resource Management Office) organization. Resource Managers are critical to Optiv's success. Resource Managers ... right staff assignments are made in right timeframes. + Maximize utilization . + Increase visibility of availability. + Assess skills/certifications against pipeline,… more
- Burns & McDonnell (Kansas City, MO)
- **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day ... through project completion and warranty periods. The Construction Project Manager is responsible for managing the construction project safety, quality,… more
- Burns & McDonnell (Kansas City, MO)
- **Description** The Construction Project Manager supports infrastructure-focused Design-Build, Progressive Design-Build and Engineer Procure Construct (EPC) projects ... systems such as stormwater, sanitary sewer, and waterline installations. The Construction Project Manager supports the EPC Project Manager or Program Manager … more
- Burns & McDonnell (St. Louis, MO)
- **Description** The Project Manager will lead and motivate a team of managers and workers in the day-to-day management of project safety, quality, schedule, cost ... (EPC), Construction Management, Construction, and Program Management projects. The Project Manager oversees a project from inception to completion and may perform… more
- Truman Medical Centers (Kansas City, MO)
- …both spoken and written **Preferred Qualifications:** + RN experience in hospital utilization review , utilization management, or case management **Why ... into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Case Manager Care Continuity Services RN - Care Continuity - UH… more