RN Utilization Review jobs in Kansas

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RN | Utilization Review
Edge Recruitment Solutions - Overland Park, KS
RN Utilization Review:. In this role you will.conduct pre-certification, continued stay review, care coordination or discharge planning for appropriateness of...
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Sponsored by Edge Recruitment Solutions
PRN On Call Nurse
Crossroads Hospice of Kansas - Lenexa, KS
RN TRIAGE DUTIES. RN & LPN DUTIES. Review on call staffing to ensure adequate staffing, review call offs and determine pre-scheduled after hour patient needs....
Easily apply
Sponsored by Crossroads Hospice of Kansas
Admission Nurse (RN)
Crossroads Hospice of Kansas - Lenexa, KS
Must exhibit or demonstrate the ability to learn computer skills related to required clinical software and electronic clinical record utilization....
Easily apply
Sponsored by Crossroads Hospice of Kansas

Clinical Documentation Specialist, RN

Lawrence Memorial Hospital 44 reviews - Lawrence, KS
O Utilization review or coding experience. Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the...

Prior Authorization Nurse I

Centene Corporation 222 reviews - Lenexa, KS
Current state’s RN license. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors...

Appeals and Denial Manager

Olathe Health System - Olathe, KS
Case Manager Certification (CCM) or Certified Professional in utilization Review (CPUR) - Preferred. Knowledge of Health Plan Concurrent Review process....

Concurrent Review Nurse I

Centene Corporation 222 reviews - Lenexa, KS
Current state’s RN license. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors...

Nurse Medical Mgmt I or II SK

Anthem, Inc. 616 reviews - Overland Park, KS
Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure...

Quality Improvement Coordinator II

Centene Corporation 222 reviews - Lenexa, KS
Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits....

Registered Nurse - Utilization Review

Corizon Health- Niche - Topeka, KS
Requires 1-2 years experience in utilization management, Experience with InterQual and/or Milliman Care guidelines....

RN- Staff Nurse, Hospice House

Midland Care 2 reviews - Topeka, KS
Manages patient care within accepted standards for utilization of DME, medications and supplies. Reviews and evaluates requests for approval from accounts...

Certified Case Manager

HealthSouth - Overland Park, KS 66211
The CCM performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team....

RN | Utilization Management

Edge Recruitment Solutions - Overland Park, KS
In this role you will .conduct pre-certification, continued stay review, care coordination or discharge planning for appropriateness of treatment setting...
Easily apply
RN Primary Care Clinic
Department of Veterans Affairs 1,053 reviews - Wichita, KS
Practice, ethics and resource utilization; Applying online will allow you to review and track the status of your application....
Sponsored by Nurse.com
RN Hutchinson Community Based Outpatient Clinic (CBOC)
Department of Veterans Affairs 1,053 reviews - Hutchinson, KS
Practice, ethics and resource utilization; Applying online will allow you to review and track the status of your application....
Sponsored by Nurse.com

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