Utilization Review Nurse jobs in Kansas

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Clinical Documentation Specialist, RN - Care Coordination
Lawrence Memorial Hospital 45 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...
Sponsored by Lawrence Memorial Hospital
Registered Nurse
MTC Medical 5 reviews - United States
Review medical files to determine all provided services are documented. Practice basic cost containment and utilization management for patient care and...
Sponsored by NurseJobsNationwide.com
Clinical Reviewer - Musculoskeletal
EviCore Healthcare - United States
Registered Professional Nurse, Licensed Practical Nurse, Radiology Technician or currently Licensed Health Professional....
Sponsored by HEALTHeCAREERS Network

Registered Nurse (RN) Utilization Management (UM) Nurse Cons...

Aetna 551 reviews - Wichita, KS 67206
Ability to review records. Assist non-clinical staff with reviews. Click here to review the benefits associated with this position....

Prior Authorization Nurse I

Centene Corporation 238 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...

Workers Compensation RN Medical Case Mgr

The Travelers Companies, Inc. 4 reviews - Overland Park, KS
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....


VC Hospital in Pittsburg - Pittsburg, KS
Experience in Utilization Review is preferred. Position is a registered nurse that assists with utilization management including completing review functions and...

Case Manager

Olathe Health System - Olathe, KS
Certified Case Management (CCM) or Certified Professional Utilization Review (CPUR) preferred. 1 - 3 years case management or utilization experience preferred....


VC Hospital on N St Francis - Wichita, KS
Registered Nurse (RN) in state of Kansas. Clinical care coordination, 2) utilization management, and 3) transitional planning....

Clinical Care Coordinator - Kansas City Area

Humana 1,015 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...


The University of Kansas Hospital 62 reviews - Kansas
Utilizes clinical knowledge to identify need to clarify documentation in records, and utilizes strong commination skills with physician, physician extender,...

RN Case Manager- Hospice Home Care

Midland Care 2 reviews - Topeka, KS
Current unrestricted State of Kansas License to practice as a Registered Nurse. Manages patient care within accepted standards for utilization of DME,...


VC Hospital in Manhattan - Manhattan, KS
Registered Nurse (RN) in state of Kansas. Clinical care coordination, 2) utilization management, and 3) transitional planning....
On Call After Hours Weekend Nurse Days (RN)
Crossroads Hospice of Kansas - Lenexa, KS
Review on call staffing to ensure adequate staffing, review call offs and determine pre-scheduled after hour patient needs....
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Sponsored by Crossroads Hospice of Kansas
Health Management Utilization Management Senior Manager
Accenture 3,406 reviews - United States
Minimum of 5 years experience with Utilization Management services including Pre-Certification/Authorization, Concurrent Review, Capacity Management, Level &...
Sponsored by Accenture

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Company with Utilization Review Nurse jobs
Lawrence Memorial Hospital is dedicated to providing personal and high-quality health and wellness services for the community of Lawrence,KS