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US Tech Solutions
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Topeka, Kansas
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competitive business advantage for Healthcare. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and
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Humana
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Topeka, Kansas
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comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management ... independent determination of the appropriate courses of action.The Utilization Management Clinical Pharmacist
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Humana
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Topeka, Kansas
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Humana
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Topeka, Kansas
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of services provided by other healthcare professionals in compliance with review policies, procedures ... improving consumer experiences
Preferred Qualifications
Medical utilization management
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Humana
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Topeka, Kansas
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healthcare providers, clinical group practice management.
Utilization management experience in a medical ... medical interpretation and determinations whether services provided by other healthcare professionals are
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CVS Health
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Topeka, Kansas
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utilization/benefit management program.
Utilizes clinical experience and skills in a collaborative ... healthcare services/benefits for members
Gathers clinical information and applies the appropriate
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Humana
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Topeka, Kansas
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medical interpretation and determinations whether services provided by other healthcare professionals are ... participating in teams focusing on quality management, utilization management, case management, discharge
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Humana
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Topeka, Kansas
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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Elevance Health
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Topeka, Kansas
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the clinical healthcare management and interdisciplinary team in order to provide care coordination ... disabilities, to ensure cost effective and efficient utilization of long-term services and supports.
At
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Elevance Health
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Topeka, Kansas
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Submits utilization/authorization requests to utilization management with documentation supporting and ... healthcare management and interdisciplinary teams to provide care coordination support.
Manages non
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Elevance Health
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Topeka, Kansas
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Submits utilization/authorization requests to utilization management with documentation supporting and ... healthcare management and interdisciplinary teams to provide care coordination support.
Manages non
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HealthEdge Software Inc
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Topeka, Kansas
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.
About our "Wellframe" Product:
With Wellframe, we reimagine healthcare relationships through a ... need it. We call it Digital Health Management. Our comprehensive suite of Digital Health Management
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Humana
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Topeka, Kansas
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and determinations whether services provided by other healthcare professionals are in agreement with ... prior experience participating in teams focusing on quality management, utilization management, case
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Evolent Health
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Topeka, Kansas
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Summary:
Under the direction of the Patient Services Manager, the Patient Services Coordinator is ... utilization of computer-generated reports.
Documents contacts with outside individuals on billing issues
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CVS Health
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Topeka, Kansas
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Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization ... , plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services
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Humana
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Topeka, Kansas
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participating in teams focusing on quality management, utilization management, case management, discharge ... Systems, health insurance, other healthcare providers, clinical group practice management
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CBRE
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Topeka, Kansas
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environment preferred.
Proficient with Quality and Compliance management systems within Healthcare ...
Service line
GWS Segment
Role type
Full-time
Areas of Interest
Facilities Management
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CenterWell
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Topeka, Kansas
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care utilization).
Familiarity in integrated care management programs with primary care ... of Transitional Care and High-Risk Patient Management**
The Director of Transitional Care and High
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EY
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Topeka, Kansas
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Sciences and Wellness – Health and Supply Chain (SC) Consulting Services team assists clients with SC ... your time focused on providing client services in the following areas: Clinical business transformation
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CVS Health
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Topeka, Kansas
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healthcare to establish competitive business advantage for Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical
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Oracle
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Topeka, Kansas
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Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Direct ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
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CVS Health
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Topeka, Kansas
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utilization management, quality management, network management and clinical coverage and policies ... — our purpose sends a personal message that how we deliver our services is just as important as what we
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CVS Health
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Topeka, Kansas
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utilization management, quality management, network management and clinical coverage and policies ... secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
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CVS Health
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Topeka, Kansas
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utilization management, quality management, network management and clinical coverage and policies ... — our purpose sends a personal message that how we deliver our services is just as important as what we
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CVS Health
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Topeka, Kansas
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utilization management, quality management, network management and clinical coverage and policies ... — our purpose sends a personal message that how we deliver our services is just as important as what we
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CVS Health
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Topeka, Kansas
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utilization management, quality management, network management and clinical coverage and policies ... — our purpose sends a personal message that how we deliver our services is just as important as what we
...
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CVS Health
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Topeka, Kansas
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utilization management, quality management, network management and clinical coverage and policies ... — our purpose sends a personal message that how we deliver our services is just as important as what we
...
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CVS Health
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Topeka, Kansas
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utilization management, quality management, network management and clinical coverage and policies ... secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
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CVS Health
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Topeka, Kansas
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utilization management, quality management, network management and clinical coverage and policies ... — our purpose sends a personal message that how we deliver our services is just as important as what we
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Sutherland Global Services
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Topeka, Kansas
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Utilization Management Appeals
Prior Authorization Verification
Eligibility and Benefits
Status ... industries from financial services to healthcare, entertainment to retail, insurance to gaming, and
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