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Utilization Review Nurse
Healthcare Scouts - Lenexa, KS
$65,000 a year
1 + year performing utilization review duties. As a Utilization Review Nurse, you will promote the quality and cost effectiveness of medical care by applying...
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Associate Director Clinics
Demonstrated knowledge of accepted nurse practice acts. Conducts Financial analysis and review of Clinic operations....
Sponsored by HCA Inc
Registered Nurse
Reviews and revises plan of care as indicated; Actively participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate...
Sponsored by Genesis HealthCare

Prior Authorization Nurse I (Utilization review experience p...

Sunflower State Health Plan - Lenexa, KS
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Utilization Management Rep II

Anthem, Inc. - 1,629 reviews - Overland Park, KS
Refers cases requiring clinical review to a nurse reviewer; Utilization Management Rep II. The Utilization Management Rep II is responsible for managing...

Clinical Appeals Nurse (RN), Home Infusion - Lenexa, KS

UnitedHealth Group - 3,958 reviews - Lenexa, KS
Registered Nurse, Clinical Appeals, prior authorization, pre-certification, utilization review, case manager, specialty infusion, axelacare, Lenexa, KS, Kansas....

QA Nurse

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

RN Care Manager - Utilzation Review

St. Francis Health Center, Topeka, KS - 39 reviews - Topeka, KS
Previous experience as a case manager or utilization review nurse, preferred. Provides ongoing communication with health plan utilization review departments...

UBC - Nurse Clinician RN (Oncology)

Express Scripts - 1,719 reviews - Overland Park, KS
The Nurse Clinician – RN is responsible for reviewing escalated clinical criteria reviews for providers, members and patient client advocates within the Prior...

Registered Nurse - RN - Utilization Review

A Member of Ascension Health - Pittsburg, KS
The Registered Nurse - RN - Utilization Review provides health care services regarding admissions, case management, discharge planning and utilization review....

UBC - Clinical Nurse Specialist

Express Scripts - 1,719 reviews - Overland Park, KS
Clinical criteria review experience preferred; Nurse Clinician – RN is responsible for reviewing escalated clinical criteria....

ORGAN TRANSPLANT NURSE COORD

The University of Kansas Hospital - 92 reviews - Kansas
PROFESSIONAL IDENTITY STATEMENT FOR NURSES. Registered Nurse in State of Kansas required. We currently have an opening for Organ Transplant Nurse Coordinator....

TRIAGE NURSE COORDINATOR

The University of Kansas Hospital - 92 reviews - Kansas
Participates in financial clearance and utilization review assessments for appropriate populations. We currently have an opening for a Triage Nurse Coordinator....
Registered Nurse M-F
Crossroads Hospice of Kansas - Lenexa, KS
Submit for review and filing following business day. Also looking for PRN (Part-time) Nurses with Hospice experience!!...
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Sponsored
RN/Registered Nurse/Charge Nurse
Quality Health Care, Inc./Sumner Regional Medical Center - Wellington, KS
Must possess at least an academic diploma in nursing and be licensed to practice as a RN/Registered Nurse in Host Hospital State....
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