Utilization Review Nurse jobs in Kansas

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RN | Utilization Review
Edge Recruitment Solutions - Overland Park, KS
RN Utilization Review:. It is also a great opportunity for a Utilization Review nurse in an acute care setting to work in another type of work environment where...
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Sponsored by Edge Recruitment Solutions
Medical Director
McCallum Place - Overland Park, KS
Participate in utilization reviews, consultations, and case management. Lead inter-disciplinary treatment planning, consulting and collaborating with...
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Sponsored by McCallum Place
OASIS Review Nurse Utilization Review Remote
BAYADA Home Health Care 479 reviews - United States
Review clinical information for appropriateness, congruency and accuracy as it relates to the OASIS and 485 while using the Medicare PPS billing model and CMS...
Sponsored by CareerArc.com

Utilization Management Rep I, II or IIISK

Anthem, Inc. 614 reviews - Overland Park, KS
Refers cases requiring clinical review to a Nurse reviewer. Responsible for coordinating cases for precertification and prior authorization review....

Prior Authorization Nurse I

Centene Corporation 222 reviews - 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...

Clinical Documentation Specialist, RN

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

Advanced Practice Registered Nurse

KVC Health Systems, Inc - Kansas City, KS  +1 location
May mentor or act as working supervisor to Registered Nurses, Licensed Practical Nurses, unlicensed assistive personnel and support staff consistent with the...

PACE Clinic Nurse LPN

Midland Care 2 reviews - Topeka, KS
Current unrestricted State of Kansas License to practice as a Licensed Practical Nurse; Maximizes utilization of resources within the organization to provide...

Concurrent Review Nurse I

Centene Corporation 222 reviews - 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...

Clinical Care Coordinator - Kansas City Area

Humana 977 reviews - Overland Park, KS
Utilization management knowledge and experience. Review member specific and provider specific data to identify concerns needing follow up by assigned Case...

Utilization Review Nurse

Judge Group - Overland Park, KS
This job will have the following responsibilities: Conducts pre-certification, care coordination, and discharge planning for appropriateness of treatment
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Nurse Medical Mgmt I or II SK

Anthem, Inc. 614 reviews - Overland Park, KS
Nurse Medical Mgmt I:. Nurse Medical Mgmt II:. Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness...

Medical Case Manager

Broadspire 26 reviews - Overland Park, KS
Nurse, insurance, employee health, office nurse, return to work, injured. Nurse, field case manager, occupational health....
INTEGRATED NURSING CASE MGR (UTILIZATION REVIEW)
Hospital Main Campus, KS - Kansas City, KS
PROFESSIONAL IDENTITY STATEMENT FOR NURSES. Promotes effective utilization and monitoring of health care resources;...
Sponsored by ExperiencedRN.com
Market Director Case Management
Wesley Medical Center 67 reviews - Wichita, KS
Knowledge of utilization review, care coordination, resource management, and discharge planning. Current Licensure in the State of Kansas as a Registered...
Sponsored by HCA Inc

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Company with Utilization Review Nurse jobs
Wesley cares by ensuring quality healthcare, providing compassion, offering comfort, and building trust with every patient, every time.