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Clinical Documentation Specialist
ST CATHERINE HOSPITAL - 325 reviews - Garden City, KS 67846
3 years nursing experience required and experience in case management, health information management or utilization review preferred....
UBC - Professional Nurse Clinician - RN
Express Scripts - 2,207 reviews - Overland Park, KS 66213
Previous clinical criteria review experience preferred; The Nurse Clinician – RN is responsible for reviewing escalated clinical criteria reviews for providers,...
Clinical Assessment Coordinator
Horizon Health - 43 reviews - Fredonia, KS
$50,000 a year
Experience in Psychiatric Utilization review and inpatient psychiatric treatment is preferred. RN, LCSW, LMSW, or LBSW....
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Utilization Management Nurse Consultant (RN)- Registered Nur...

Aetna - 2,275 reviews - Overland Park, KS
The UM nurse Consultant utilizes their technical skills to multitask through multiple systems at a rapid pace in order to process Utilization Management...

Registered Nurse - Utilization Review

Medova Healthcare Financial Group, LLC - Wichita, KS 67203
Utilization Review experience. Active RN license. It includes proactive procedures and processes, such as pre-certification, concurrent planning and reviews,...
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Clinical Appeals Nurse, RN - Home Infusion

UnitedHealth Group - 5,540 reviews - Lenexa, KS
Prior authorization, pre - certification, utilization review and / or appeals experience. There's an energy and excitement here, a shared mission to improve the...

Behavioral Care Advocate - Telephonic and Field based

UnitedHealth Group - 5,540 reviews - Hays, KS 67601  +25 locations
Administer benefits and review treatment plans. As a Field based and Telephonic Behavioral/Mental Health Care Advocate you will be responsible for case...

Medicare Medical Review Registered Nurse (RN)

NCI Information Systems, Inc. - 6 reviews - Kansas City, KS
At least 2 years utilization/quality assurance review and ICD-9/10-CM/CPT-4 coding experience. As the Medicare Medical Review Registered Nurse (RN), you will be...

Utilization Review Coordinator

The University of Kansas Hospital - 149 reviews - Overland Park, KS 66213
We currently have an opening for Utilization Review Coordinator. Demonstrates knowledge of Utilization Review practices/principles, third party insurance...

Client Relations Specialist Nurse MCMCOVERLANDPARK03241701

MCMCLLC - Overland Park, KS
LPN, LVN or RN. Experience in utilization review/health care industry helpful. Ensure that turnaround times are met with a quality review....

Care Manager Autism Services - Remote, KS

New Directions Behavioral Health - 11 reviews - Kansas
Conducts utilization review activities for all levels of behavioral health care, including inpatient, residential, partial hospitalization intensive outpatient,...

Nurse Coordinator - Organ Transplant

The University of Kansas Hospital - 149 reviews - Kansas City, KS 66110  +1 location
Reviews potential recipient's current medical status to determine eligibility for transplant. Collects and reviews data pertinent to recipient's health and...

Manager, Behavioral Care Advocates

UnitedHealth Group - 5,540 reviews - Overland Park, KS  +5 locations
This position will manage a team of Behavioral Care Advocates providing telephonic and in person case management and utilization review of behavioral health and...
RN House Coordinator
McPherson Hospital Inc. - 10 reviews - McPherson, KS 67460
Submits patient information to the utilization review vendor when the utilization review coordinator is not on duty....
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Home Health RN Manager of Clinical Practice
Admissions Nurse, Admission Nurse, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management,...

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