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Utilization Review Nurse
Healthcare Scouts - Lenexa, KS
$65,000 a year
1 + year performing utilization review duties. Unrestricted license as a RN license Required. As a Utilization Review Nurse, you will promote the quality and...
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Registered Nurse M-F
Crossroads Hospice of Kansas - Lenexa, KS
RN will co-sign all LPN documentation. Submit for review and filing following business day. RN will case manage team of patients as assigned....
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RN QAPI Coordinator
Analyzes, summarizes and validates program data/outcome data for monitoring and utilization review requirements and external data reporting requirements....
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Prior Authorization Nurse I (Utilization review experience p...

Sunflower State Health Plan - Lenexa, KS
Current state’s RN license. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors...

Director of Case Management

Apogee - 20 reviews - Kansas
Possess a thorough knowledge of Medicare Medicaid and managed care utilization review requirements. State RN license in good standing....
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AMBULATORY CLINIC RN CARE COOR

The University of Kansas Hospital - 92 reviews - Kansas
RN Required or Eligible. We currently have an opening for Ambulatory Clinic RN Care Coordinator. RN State license and current registration with the State Board...

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...

On Call After Hours Weekend Nurse Days (RN) Part Time

Crossroads Hospice of Kansas - Lenexa, KS
RN TRIAGE DUTIES. RN & LPN DUTIES. Review on call staffing to ensure adequate staffing, review call offs and determine pre-scheduled after hour patient needs....
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Clinical Appeals Coordinator

Sunflower State Health Plan - Lenexa, KS
Managed care or utilization review experience preferred. LPN, LVN, or RN license. Prepare reviews for cases that did not meet criteria....

RN Care Manager - Utilzation Review

St. Francis Health Center, Topeka, KS - 39 reviews - Topeka, KS
Provides ongoing communication with health plan utilization review departments regarding medical necessity for prospective, concurrent and retrospective reviews...

QA Nurse

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

CONTINUUM OF CARE MGR

The University of Kansas Hospital - 92 reviews - Kansas
RN Required or Eligible. Provides expertise and experience in the development and implementation of an orientation and staff development program, which...

Prior Authorization Nurse

Meridy Staffing Solutions - Lenexa, KS
Current state’s RN license. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors...
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Registered Nurse
PART-TIME RN 6P-6A. Reviews and revises plan of care as indicated; Actively participates in Utilization Management or Interdisciplinary Care Management Meeting...
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RN/Registered Nurse/Charge Nurse
Quality Health Care, Inc./Sumner Regional Medical Center - Wellington, KS
Consistently completes all nursing assessments accurately within 8 hours of admission as evidenced by nightly chart audits and monthly QA review.A Nursing Care...
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