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Case Management/Quality Assurance Coordinator
Hodgeman County Health Center - Jetmore, KS
Conducts review of admissions for medical necessity and utilization of services to ensure the appropriate level of care with the use of Milliman's web-based...
Desired Experience: Discharge Planning, RN
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Resident Assessment MDS Registered Nurse
Overland Park Nursing & Rehab - 115 reviews - Overland Park, KS 66210
Reviews resident referral information from a variety of sources. Monitors the assignment of residents to Resource Utilization Groups (RUGs) and the payment...
Desired Experience: RN, BLS Certification
Resident Assessment MDS LPN
Overland Park Nursing & Rehab - 115 reviews - Overland Park, KS 66210
Reviews resident referral information from a variety of sources. Current or Licensed Practical/Vocational Nurse (LPN/LVN) in the state practicing....
Desired Experience: BLS Certification

Prior Authorization Nurse I

Centene Corporation - 703 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...
Desired Experience: RN

Concurrent Review Nurse I

Sunflower State Health Plan - 703 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...
Desired Experience: Discharge Planning, RN

Manager, Care Guide

BlueCross BlueShield of Kansas City - 5,418 reviews - Olathe, KS
3 years of health plan care management or utilization review experience preferred. 1 year of utilization review, disease management, and/or case management...
Desired Experience: Case Management, Pediatrics, Patient Care, RN, NCQA Standards

Behavioral Health UR Specialist

The University of Kansas Health System - 200 reviews - Overland Park, KS
The Utilization Review Specialist compiles and reports daily review activity and facility statistics. The Utilization Review Specialist must be licensed at the...
Desired Experience: RN

Care Navigator (RN) FT Days

Shawnee Mission Medical Center - 781 reviews - Shawnee Mission, KS 66202
Kansas Registered Nurse License. Apply appropriate criteria to identify patients who are at high risk for readmission or for high care utilization....
Desired Experience: Discharge Planning, RN

Quality Review Nurse

Brookdale - 2,016 reviews - Shawnee, KS 66216
Full Time Quality Review Nurse All Shifts Available. Complete the clinical documentation reviews of all clinicians involved in the care of patients in a timely...
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ACCESS CASE MANAGER

The University of Kansas Health System - 200 reviews - Kansas City, KS
Registered Nurse in State of Kansas. Consistently applies standardized criteria as part of admission and continued stay reviews....
Desired Experience: Discharge Planning, RN

Regional Clinical Manager

Great Plains Healthcare - Kansas City, KS   +1 location
Registered Nurse (RN) (Required). Assists facilities with medication assistance/administration and pharmacy utilization trends....
Desired Experience: RN
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Hospice RN Case Manager (FT)

Midland Care Connection - 8 reviews - Topeka, KS 66606
Current unrestricted State of Kansas License to practice as a Registered Nurse. Manages patient care within accepted standards for utilization of DME,...
Desired Experience: RN
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Director - Quality Improvement

WellCare - 885 reviews - Topeka, KS 66612
All other states, a licensed Registered Nurse (RN) preferred. For FL/IA/IL/MO/NJ/CA/NE, a current unrestricted Registered Nurse (RN) License required....
Desired Experience: CPHQ, RN, NCQA Standards
Sterile Processing Manager, CRCST or CBSPD-Surgical Services
Registered Nurse (Preferred). CNOR - Certified Nurse - Perioperative Services (Helpful). Current Registered Nurse license to practice in Kansas....
Desired Experience: RN, BLS Certification
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