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Registered Nurse RN Direct Admit (7am to 7pm)
3 years of recent critical care or case management experience. Ensures proper utilization of hospital resources and level of care....
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,...
Sterile Processing Manager, CRCST - Sterile Processing Depar...
Registered Nurse (Preferred). Experience with inventory management automated system. Current Registered Nurse license to practice in Kansas....

Utilization Management Nurse Consultant (RN)- Registered Nur...

Aetna - 2,284 reviews - Overland Park, KS
The Registered Nurse (RN) - Utilization Management Nurse Consultant utilizes clinical skills to support the coordination, documentation and communication of...

Care Management Associate

Aetna - 2,284 reviews - Overland Park, KS
Identifies triggers for referral into Aetna's Case Management, Disease Management, Mixed Services, and other Specialty Programs....

UBC - Professional Nurse Clinician - RN

Express Scripts - 2,214 reviews - Overland Park, KS 66213
The Nurse Clinician – RN is responsible for reviewing escalated clinical criteria reviews for providers, members and patient client advocates within the Prior...

Concurrent Review Nurse I (RN preferred)

Sunflower State Health Plan - 457 reviews - Lenexa, KS
Educate providers on utilization and medical management processes. Enter and maintain pertinent clinical information in various medical management systems....

Case Management Nurse

Blue Cross and Blue Shield of Kansas - 6 reviews - Topeka, KS
$55,311 - $82,967 a year
Responsible for providing quality case management services in a manner compliant with department case management quality indicators....

RN or LPN - Clinical Care Coordinator - Quality - Overland P...

Humana - 2,726 reviews - Overland Park, KS 66213
Utilization management knowledge and experience. Research cost and utilization outliers, drilling down into metrics such as % of Annual Wellness Visits,...

RN Care Coach - State Avenue

Humana - 2,726 reviews - Kansas City, KS
You will interact with all levels of nursing and other departments to assure effective utilization of resources that meet the physiological and safety needs of...

Registered Nurse - Utilization Review

Medova Healthcare Financial Group, LLC - Wichita, KS 67203
Utilization Review experience. Experience in health insurance industry or case management. Develop disease management action plans and treatment plans....
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(RN) Onsite Nurse Health Advisor/Case Manager (Kansas City,...

Cigna - 2,257 reviews - Kansas
(RN) Onsite Nurse Health Advisor/Case Manager (Kansas City, MO). Educate and refer members on available health resources and CIGNA Medical Management programs...

Utilization Manager - KANSAS CITY - TOPEKA

New Directions Behavioral Health - 11 reviews - Topeka, KS
The Utilization Manager is responsible for providing utilization management, support and care management activities for New Directions’ members....
RN House Coordinator
McPherson Hospital Inc. - 10 reviews - McPherson, KS 67460
Registered Nurse (RN). Submits patient information to the utilization review vendor when the utilization review coordinator is not on duty....
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Case Management Nurse
Blue Cross and Blue Shield of Kansas - 6 reviews - Topeka, KS
$55,311 - $82,967 a year
Responsible for providing quality case management services in a manner compliant with department case management quality indicators....

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