Rapid Response RN - Acute Care Services Administration - Less than PT - Night Stormont-Vail HealthCare IncRapid Response RN - Acute Care Services Administration - Less than PT - NightTopeka, KSThe Rapid Response Nurse is a resource who exercises independent nursing judgment in managing the care of patients with complex health problems, as well as staff nurses throughout the organization in managing urgent and emergent situations. The Rapid Response Nurse is a highly-skilled licensed practitioner trained to respond and support bedside nurses and practitioners when urgent and emergent situations arise.
NewCSL Plasma Healthcare Hiring Event CSL PlasmaCSL Plasma Healthcare Hiring EventLawrence, KansasBy celebrating our differences and creating a culture of curiosity and empathy, we are able to better understand and connect with our patients and donors, foster strong relationships with our stakeholders, and sustain a diverse workforce that will move our company and industry into the future. Learn more about CSL, CSL Behring, CSL Seqirus and CSL Vifor here at https://www.csl.com/ and CSL Plasma at https://www.cslplasma.com/ .
Solutions Program Manager TriWest Healthcare AllianceSolutions Program ManagerTopeka, KSRemoteFull timeThe Solutions Program Manager is responsible for ensuring that our strategic, enterprise wide programs are well defined, planned, tracked and communicated in a consistent manner, responsible for building partnering relationships with C-Suite executives and other stakeholders; responsible for on time, within budget and quality implementation of enterprise wide programs; responsible for executing project management best practices. • As part of the Program Manager's Team, develop effective collaborative relationships with TriWest's C-Suite executive and other leaders in Operations, Health Care Services, Provider Network and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives.
Manager, Clinical Quality TriWest Healthcare AllianceManager, Clinical QualityTopeka, KSRemoteFull timeTechnical Skills: Proficient with the Microsoft Office suite of applications; thorough knowledge of TRICARE policies and procedures; comprehensive knowledge of research methodology that supports evaluation of potential quality issues and/or serious reportable events; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria. Responsible for leading and directing a team of clinical and non-clinical staff that provide Clinical Quality Review services and interventions for beneficiaries and providers under the direction of the Director of Clinical Quality Management (CQM).
NewPharmacy Operations Manager Walgreen CoPharmacy Operations ManagerTopeka, KS$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)Lawrence, KS$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)Lawrence, KS$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Senior Consultant Workforce Development and Optimization - Workforce Optimization - FT - Day Stormont-Vail HealthCare IncSenior Consultant Workforce Development and Optimization - Workforce Optimization - FT - DayTopeka, KSThe Senior Consultant is differentiated from the non-senior role as follows: • Supports a more complex client group that requires heightened levels of support • May primarily support executive level clients vs director level • Operates in a more highly independent manner with minimal guidance from leadership • Is more capable of managing projects independently as well as collaboratively • More proactively identifies client needs and develops recommended solutions • Demonstrates and applies unique skills and brings unique experiences to the role. 5 years Human Resource experience (Manager, Specialist, Generalist, etc.) focused on organizational design, employee relations, compensation, benefits, change management, talent management and/or recruitment/retention activities.
Manager, Data Engineering (Master Data Management) MDM TriWest Healthcare AllianceManager, Data Engineering (Master Data Management) MDMTopeka, KSRemoteFull timeTechnical Skills: In-depth knowledge of all application functionality, security, development, and system administration; knowledge of relevant technology, tools and middleware; proficient change agent; knowledge of the agile methodology and software maintenance and support. • Develops and maintains ongoing relationships with hardware, software, consultant, and employee resource vendors to insure that TriWest systems are adequately supported and external opportunities are understood and considered in the planning process.
Psychologist Reviewer - Kansas - part time Elevance Health IncPsychologist Reviewer - Kansas - part timeTopeka, KSMay be called upon to review other outpatient levels of care including: Individual Therapy, Group Therapy, Family Therapy, Marriage/Couples Therapy, Psychological Testing, Neuropsychological Testing, Psychosocial Rehabilitation, Intensive Outpatient Treatment, Day Treatment, and Mental Health Support Services. Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing.
Executive Recruiter TriWest Healthcare AllianceExecutive RecruiterTopeka, KSFull timeServing as a trusted advisor to executive hiring leadership, the Executive Recruiter develops and executes proactive, research-driven search strategies to identify, attract, and secure top-tier leadership talent. The Executive Recruiter leads full lifecycle recruitment for executive level Director, Vice President, Chief-level, and other highly specialized leadership roles across TriWest Healthcare Alliance.
NewPsychologist Reviewer - Kansas - Part Time Elevance HealthPsychologist Reviewer - Kansas - Part TimeTopeka, KSMay be called upon to review other outpatient levels of care including: Individual Therapy, Group Therapy, Family Therapy, Marriage/Couples Therapy, Psychological Testing, Neuropsychological Testing, Psychosocial Rehabilitation, Intensive Outpatient Treatment, Day Treatment, and Mental Health Support Services. Mentors Behavioral Health Care Management staff by assisting in training, attending utilization management rounds, and serving on interdepartmental initiatives; assists in developing a program around psychological and neuropsychological testing.
Risk Data Analyst - Risk Management - FT - Day Stormont-Vail HealthCare IncRisk Data Analyst - Risk Management - FT - DayTopeka, KSThis position supports the collection, validation, analysis, and visualization of safety-related data-including incident reports, serious safety events, near misses, and regulatory metrics. The analyst transforms complex data into actionable insights that help leaders reduce harm, strengthen safety culture, and meet accreditation requirements.