Remote position; will cover all campuses The Opportunity: The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through utilization review ...
Remote position; will cover all campuses The Opportunity: The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through utilization review ...
Remote position; will cover all campuses The Opportunity: The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through utilization review ...
Remote position; will cover all campuses The Opportunity: The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through utilization review ...
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
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Must have active RN licensure in current state of practice. * 2-3 years of nursing experience with ... Remote work eligibility is subject to all work from home criteria met and based on business need.
Remote Registered Nurse (RN) Case Manager
Overland Park, KS · On-site +1
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Remote Registered Nurse (RN) Case Manager
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Remote Registered Nurse (RN) Case Manager
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Be Seen First
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Be Seen First
Kansas LPN • RN • CMA • Experienced Medical Assistant Part-Time | Remote | Family Practice Position Summary Seeking an experienced clinical professional to provide remote clinical support for a ...
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RN Field Case Manager
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RN Field Case Manager
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... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
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CA RN LICENSE REQUIRED Pay Range: $75,300.00 - $135,400.00 per year Centene offers a comprehensive ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
Supervisor, Utilization Management (RN)
Kansas City, MO · On-site +1
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REMOTE MDS Coordinator
Kansas City, MO · Remote
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Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... Master's degree in nursing, with a current RN license in good standing; Doctorate degree and CNE ...
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... Master's degree in nursing, with a current RN license in good standing; Doctorate degree and CNE ...
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$63K - $95K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Telephonic Case Manager I
Overland Park, KS · Remote
$63K - $95K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Telephonic Case Manager I
Overland Park, KS · Remote
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Telephonic Case Manager I
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Quick apply
Clinical Psychologist- Remote
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Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
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Part-time
Posted 7 days ago
Job description
Job DescriptionSaint Luke's is looking to add to the UR team!
Schedule: Day Shift
Status: PRN - 1 shift required every 2 weeks
MO/KS RN license required
Case Management experience preferred
Min of 2 years bedside experience preferred
Remote position; will cover all campuses
The Opportunity:
The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through utilization review and management. This position includes monitoring patient charts and utilization of health care services. Collaborates and communicates with physicians, Care Coordinators, Social Workers and other members of the multidisciplinary and revenue cycle teams.
Completes initial and concurrent reviews; identifies appropriate level of service and length of stay, using clinical guidelines (InterQual).
Complies with CMS regulation regarding utilization review/management.
Obtains and manages insurance authorizations and proactively works denials to help mitigate financial impact.
Submits referrals for secondary level review as appropriate and follows through on process.
Documents communication and work in electronic medical record.
Works with physicians and members of the multidisciplinary and revenue cycle teams to ensure appropriate level of service, level of care and billing.
Why Saint Luke's?
We believe in work/life balance.
We are dedicated to innovation and always looking for ways to improve.
We believe in creating a collaborative environment where all voices are heard.
We are here for you and will support you in achieving your goals.
Applicable Experience:
Less than 1 yearRegistered Nurse - VariousAssociate DegreeJob DetailsPRNDay (United States of America)The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.