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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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position with responsibility for utilization management and clinical decision-making as outlined in the ... **
Tasks include, but are not limited to:
70% : Performing utilization management activities for
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CVS Health
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Topeka, Kansas
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quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and
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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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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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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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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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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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HealthEdge Software Inc
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Topeka, Kansas
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**direct responsibility for technical resource assignment and process management within a SaaS Healthcare ... documentation, creating/improving training material/methodologies and supporting management information and
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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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Highmark Health
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Topeka, Kansas
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patient, and then creates the case (data entry) in Highmark's utilization management system for clinical ... utilization management system.
Use knowledge of process and judgement to evaluate identified cases that
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J&J Family of Companies
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Topeka, Kansas
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management services
GPLA program is handled in positive partnership with a global external provider. The ... progress. As the world’s largest and most broadly-based healthcare company, we are committed to using our
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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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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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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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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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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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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
...
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
...
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
...
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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