- Nevada System of Higher Education (Las Vegas, NV)
- …visit our website at www.nevada.edu. The Nevada System of Higher Education hires only United States citizens and non-citizens lawfully authorized to work in the ... Student Affairs (ASA) department. The individual serves as a confidential representative and liaison with senior management , faculty, system-wide administration… more
- Elevance Health (Mason, OH)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...problems that include but are not limited to pre-certifications, Utilization Management , Medicaid Pending, third party payer… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third… more
- Boehringer Ingelheim (Chicago, IL)
- …rental vehicle Eligibility Requirements: + Must be legally authorized to work in the United States without restriction. + Must be willing to take a drug ... along with further development of technical product knowledge is imperative. Effective utilization and management of internal and external resources is expected.… more
- Luke Staffing (GU)
- …of clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field ... of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active,...OR Registered Nurse in any one of the 50 States , the District of Columbia, the Commonwealth of Puerto… more
- Cedars-Sinai (Beverly Hills, CA)
- …+ Acts as liaison coordinating administrative support activities including facilities management , patient billing, utilization management , quality ... **Job Description** The Senior Patient Service Representative - PACT (Float Pool) at Cedars-Sinai Medical...out-of-pocket expenses. A solid understanding of all Health Information Management (HIM) related activities is integral to the role.… more
- Cedars-Sinai (CA)
- …workflows. + As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... **Job Description** The Senior Patient Service Rep is responsible for positive patient relations, accurate...plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific… more
- Cedars-Sinai (Santa Monica, CA)
- …support activities to address physician and staff concerns such as facilities management , patient billing, utilization management , quality management ... **Job Description** The Lead Patient Service Representative functions as an administrative team lead for...experience in an outpatient medical office setting required. **About Us ** Cedars-Sinai is a leader in providing high-quality healthcare… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...payer regulations for the coordination of benefits. + Notifies Utilization Management of clinical requests by third… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experiences * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... of Minnesota Position Title: RN Specialist Complex Care Case Management Location: Remote Career Area: Health Services About Blue...If you are ready to make a difference, join us . The Impact You Will Have Blue Cross and… more
- CareFirst (Baltimore, MD)
- …role will focus specifically on optimizing end-to-end business processes within Utilization Management . **ESSENTIAL FUNCTIONS:** + Provide deep subject matter ... expertise in all areas of Utilization Management (UM), including pre-service, concurrent review,...of initiatives. Serve as the subject matter expert and representative for the clinical products team across corporate initiatives… more
- MAPFRE Insurance (Webster, MA)
- Auto Damage Insurance Claim Rep (Hybrid or Remote) Date: Oct 6, 2025 Location: Webster MA or Work from Home, MA, US Company: MAPFRE **Job Summary:** **Position ... Damage Department. In this role as Auto Damage Claim Rep , you will be responsible for adjusting 1st party...with contribution to the Departmental tNPS score + Telephone Management - Effectively manage ACD telephone system/features by complying… more
- Medtronic (Orlando, FL)
- … (excl. PR) locations (USD):80000 The base salary range is applicable across the United States , excluding Puerto Rico and specific locations in California. The ... guidance you need to own your future success. Join us for a career in sales that changes lives....benefits information pertains solely to candidates hired within the United States (local market compensation and benefits… more
- United Rentals (Charlotte, NC)
- …mark with the world's largest equipment rental provider, **come build your future with United Rentals!** As an Outbound Sales Rep , you'll be instrumental in ... and communication skills This position is deemed Safety Sensitive for purposes of United Rentals' policies and procedures. **_Why join us ?_** We don't just… more
- Dignity Health (Chandler, AZ)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... problem-solving skills. + Collaborate effectively with multiple stakeholders + Understand how utilization management and case management programs integrate.… more
- Ochsner Health (Lafayette, LA)
- …(CCM), Certified Professional Utilization Review (CPUR), Certified Professional in Utilization Management (CPUM) or Certified Professional in Healthcare ... in the delivery of patient care. Preferred - Experience in case management or utilization review. **Certifications** Required - Current Registered Nurse… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... Ambassador and Guest Services Work Shift: UR - Day ( United States of America) Range: UR URCB...**Responsibilities:** GENERAL PURPOSE: With general direction of the Ambassador Management Team and with latitude for independent initiative and… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... Outpatient ACG & CC Work Shift: UR - Day ( United States of America) Range: UR URCD...including but not limited to, providers' time and calendar management while optimizing provider patient schedule, coordination of patient… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... Scheduled Weekly Hours: 40 Department: 500016 Admissions Center-SMH Work Shift: UR - Rotating ( United States of America) Range: UR URC 205 H Compensation Range:… more
