Nurse Consultant - Topeka

Only for registered members Topeka, United States

3 weeks ago

Default job background
$73,920 - $92,400 (USD)

Job summary

This job is responsible for the day-to-day operations of reviewing and processing predeterminations,
claims, appeals, and other inquiries utilizing independent decision making in accordance with medical policy,
standards of medical practice, and within contractual benefits.

Responsibilities

  • Responsible for independent timely resolution of predeterminations,
    claims, and appeals utilizing medical policy/Interqual criteria
    and/or physician consultant recommendations as needed.
  • Responsible for responding to inquiries regarding medical necessity,
    correct coding, allowances, audits/CSC requests,

Lorem ipsum dolor sit amet
, consectetur adipiscing elit. Nullam tempor vestibulum ex, eget consequat quam pellentesque vel. Etiam congue sed elit nec elementum. Morbi diam metus, rutrum id eleifend ac, porta in lectus. Sed scelerisque a augue et ornare.

Donec lacinia nisi nec odio ultricies imperdiet.
Morbi a dolor dignissim, tristique enim et, semper lacus. Morbi laoreet sollicitudin justo eget eleifend. Donec felis augue, accumsan in dapibus a, mattis sed ligula.

Vestibulum at aliquet erat. Curabitur rhoncus urna vitae quam suscipit
, at pulvinar turpis lacinia. Mauris magna sem, dignissim finibus fermentum ac, placerat at ex. Pellentesque aliquet, lorem pulvinar mollis ornare, orci turpis fermentum urna, non ullamcorper ligula enim a ante. Duis dolor est, consectetur ut sapien lacinia, tempor condimentum purus.
Get full access

Access all high-level positions and get the job of your dreams.



Similar jobs

  • Nurse Consultant

    1 month ago

    Only for registered members Topeka Full time $73,920 - $92,400 (USD)

    This position is responsible for reviewing and processing predeterminations claims appeals and other inquiries utilizing independent decision making in accordance with medical policy standards of medical practice within contractual benefits. · The Nurse Consultant will serve as a ...

  • Nurse Consultant

    4 weeks ago

    Only for registered members Topeka, KS

    This position is responsible for the day-to-day operations of reviewing and processing predeterminations, claims, appeals and other inquiries using independent decision making in accordance with medical policy standards of medical practice and within contractual benefits. · The N ...

  • Only for registered members Topeka $26.01 - $56.14 (USD)

    As a Utilization Management Nurse Consultant at CVS Health, you will assess plan implement coordinate monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. · ...

  • Only for registered members Topeka $26.01 - $56.14 (USD)

    We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · At CVS Health, you'll be surrounded by passionate colleagues who care deeply, · innovate with purpose, · hold ourselves accountable · and priorit ...

  • Only for registered members Topeka, KS Remote job

    Job summary · Simplifying health care one person, one family and one community at a time. · QualificationsMust have active, current, and unrestricted compact RN licensure in state of residence · 3+ years of clinical experience required · ...

  • Only for registered members Topeka $73,920 - $92,400 (USD)

    This job was posted by BCBSKS. The Nurse Consultant serves as a clinical liaison between BCBSKS, providers and members to enhance care coordination and quality outcomes. · Collaborate and coordinate Clinical Quality Improvement activities between internal departments, providers a ...

  • Only for registered members Topeka, KS

    This job was posted by BCBSKS to enhance care coordination and quality outcomes. · ...

  • Only for registered members Topeka

    The facility is a 58-bed hospital focused on patient-centered care. · We are seeking a 2nd Shift Clinical Coordinator to provide nursing leadership and management coverage during nights, · weekends and holidays to ensure facility standards are maintained. · Bachelor's degree in n ...

  • Only for registered members Topeka

    We are seeking a Clinical Coordinator to provide nursing leadership and management coverage during nights, weekends and holidays. · Patient care oversight · Serving as a resource and consultant for nursing staff on clinical and operational issues · Assisting with and responding ...

  • Only for registered members Topeka

    Meets and greets all new residents and families to facility. · Resolves customer requests, questions and complaints; provides information to improve customer service. · Serves as liaison between residents and other departments. · ...

  • Resource Nurse

    1 month ago

    Only for registered members Topeka

    We are looking for a Resource Nurse to cover our Assisted Living communities. This person will work with Executive Directors and RCCs to assist with task completion. · Quarterly pharmacy reviews · Risk Watch · Admissions/re-admissions · ...

  • Weatherby Healthcare Topeka

    +Job summary · Enjoy the locum tenens lifestyle knowing Weatherby is here to support you every step of the way. Call and speak to one of our consultants today for available dates and details. · Monday to Friday 8 am - 5 pm with weekday and weekend call · Biopsies, needle procedur ...

  • Weatherby Healthcare Topeka

    ++Get in touch with a Weatherby consultant today to learn more about this and other opportunities available now. · ...

  • Weatherby Healthcare Topeka

    Kansas Facility Is Seeking a Locum Tenens Cardiologist. Get in touch with a Weatherby consultant today to learn more about this and other opportunities available now. · ...

  • Only for registered members Topeka

    We are proud to Offer Competitive Salaries Comprehensive Healthcare Benefits 401(k) Retirement Plan Paid Time Off Mileage Reimbursement Opportunities to advance and grow your career And More If working with people who are dedicated compassionate and concerned about their patients ...

  • Weatherby Healthcare Topeka

    A locum tenens cardiologist is sought for an inpatient hospital setting. The ideal candidate should have experience with echo stress testing EKG nuclear procedures TEE coverage needs paid malpractice insurance pre-paid travel housing expenses competitive compensation. · ...

  • Source Medical, LLC. Topeka

    A Psychiatry opening in KansasTopeka, KSFull Time. The position offers flexible scheduling and customizable practice settings based on candidate preference. · ...

  • Only for registered members Topeka

    We are seeking a weekend Hospice LPN or RN to join our team. Our patients are facing end-of-life healthcare needs. · ...

  • Only for registered members Topeka

    The BCCP Support role is an administrative position focused on supporting facilities and the Department in accurately identifying and monitoring residents who may qualify for the Behaviorally Complex Care Program (BCCP) behavioral add-on. · This role works closely with facility s ...

  • Concentric Healthcare Staffing Topeka Freelance

    + Nuclear Medicine Technologist travel job in Topeka Kansas. · + Nuc Med Tech · ...