Utilization Review Nurse jobs in Kansas

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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
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
Prior Authorization Nurse I
Sunflower 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...
Sponsored by CareerArc.com

Utilization Management Rep I, II or IIISK

Anthem, Inc. 616 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...

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 981 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...

Nurse Medical Management RN II

Ensyma-IngenioPeople - Overland Park, KS
2-5 years Utilization Management experience preferred. Conducts pre-certification, continued stay review, care coordination, or discharge planning for...
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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...

Nurse Medical Mgmt I or II SK

Anthem, Inc. 616 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...

RN- Staff Nurse, Hospice House

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,...

Utilization Review Nurse

- Overland Park, KS
Utilization Review Experience preferred. Utilization Review Nurse for their office in Overland Park, KS. The team of Nurse Medical Managers works with both...
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 asa Registered...
Sponsored by HCA Inc
Utilization Manager
New Directions Behavioral Health 7 reviews - Topeka, KS
Previous experience in Utilization Review. This includes utilization review activities, care management activities (which may include on-site reviews) and...
Sponsored by New Directions Behavioral Health

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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.