- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I ... comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working… more
- Guidehouse (Birmingham, AL)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Patient Account ... Representative (PAR) is expected to perform specific billing processes,...resolution. Ability to find solutions to problems and keeping management informed of patterns regarding payments and or other… more
- Guidehouse (Lewisville, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Patient Account ... Representative (PAR)** is expected to perform specific billing processes,...resolution. Ability to find solutions to problems and keeping management informed of patterns regarding payments and or other… more
- Independent Health (Buffalo, NY)
- …culture that fosters growth, innovation and collaboration. **Overview** The Servicing Representative is a customer service professional who displays confidence, a ... listening towards all Pharmacy Benefit Dimensions (PBD) customers. The Servicing Representative functions as an advocate for all customers and resolves all… more
- Guidehouse (San Antonio, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do:** The **Patient Account ... Representative - Self-Pay - Healthcare** is an extension of...Written Communication Skills + Complete all business-related requests and correspondence from patients. + Complete all assigned projects in… more
- Guidehouse (San Antonio, TX)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Insurance ... Patient Account Representative ** is an extension of a client's business office...& CMS 1500 + Complete all business-related requests and correspondence from patients and insurance companies. + Responsible for… more
- Percepta (Melbourne, FL)
- …of the automotive and mobility customer journey. As a **Customer Service Representative ** working **on-site** in **Melbourne, Florida** , you'll become part of a ... You'll Be Doing** The Customer Relationship Center (CRC) **Customer Service Representative ** is responsible for providing timely and professional customer service in… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE With general direction of the Ambassador Management Team and with latitude for independent initiative and judgment: ... of areas and various other duties as assigned. **ESSENTIAL FUNCTIONS** Problem Solving/ Utilization of Critical thinking skills + Serves as the front line for… more
- University of Rochester (Rochester, NY)
- …preparations for providers, including but not limited to time and calendar management while optimization of provider patient schedule, coordination of patient care ... effort of providers by reviewing reports such as Clinic Utilization , Master Templates and the volume of Referrals. +...protocols in selecting for routine and non-routine letters of correspondence related to appeals on denied claims, billing and… 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 ... requirements of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active, and unrestricted… more
- Army Installation Management Command (Fort Lee, VA)
- Summary This position is located at NAF Financial Management , Fort Lee, VA To better expedite the hiring process, we recommend including full contact information ... and analyses operating programs, ensures policy conformance and resource utilization ; participates in surprise cash count visits and methods/procedures sampling;… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- … referrals from multiple sources including self-referrals, providers, customer service, Utilization Management , and medical case management programs ... preferred for all positions. **POSITION PURPOSE** . The Behavioral Health Case Management Coordinator plays a vital administrative role in supporting the Behavioral… more
- LA Care Health Plan (Los Angeles, CA)
- …Collaborates with internal departments (Member Services, Provider Network Operations, Claims, Utilization Management , Pharmacy, and Quality Management ) to ... and work collaboratively with multiple departments (Claims, Provider Network Operations, Utilization Management , Quality Management , Pharmacy) to… more
- State of Colorado (Limon, CO)
- …right to legally mandated healthcare by ensuring appropriate and cost-effective utilization of medical resources and personnel. + Establishes systems for the ... within the appropriate time-frames; + Develops and/or implements quality management program consistent with department policy guidelines; + This position… more
- State of Connecticut, Department of Administrative Services (Watertown, CT)
- …advise private owners and towns in various technical aspects of forestry and land management ; + May prepare reports, write correspondence , write or assist in ... (35 Hour) (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=3992EE&R1=undefined&R3=undefined) within the Forestry Division's State Lands Management Unit to work in Camp Columbia, Mohawk, Nassahegon,… more
- ASM Global (Shreveport, LA)
- …Director when additional materials are needed. + Composes and types routine correspondence . + Organizes and maintains file system, files correspondence and ... complete, along with insurance ratings. + Makes copies of correspondence or other printed materials. + Coordinates and manages...information in maintained in order to provide the greatest utilization of the facility's meeting and exhibit space. +… more
- State of Colorado (Craig, CO)
- …+ Utilize CARS program to track recalls on vehicles, track annual miles via utilization management , run reports, and track work orders for verification of ... are not limited to): Plant Maintenance (PM), SAP work orders, Equipment Management System (EMS), Geotab Reporting, Small Dollar purchasing (SAP, SRM, ONBASE), SAP… more
- Sysco (College Park, GA)
- …to, strategic overview and implementation of projects, expense and revenue management , compliance with government regulations, management and direction to ... supervisors, routing personnel and other associates. + Ensure that management staff is effectively managing the day to day...as needed. + Oversee the proper selection, purchase, and utilization of company assets in support of the Delivery… more
- Sysco (Fort Worth, TX)
- …warehouse and distribution activities to promote safe, efficient, and optimal utilization of our facilities, equipment, and personnel. Ensures work standards are ... method. Performs effective, timely communications to respective colleagues and management as necessary. Maintain and protect warehouse integrity and security.… more
- State of Colorado (Denver, CO)
- …tactical and strategic procurement plans; and to provide to CDOT management and staff professional procurement expertise, education, counsel and assistance. About ... (DQs). The Purchasing Agent is responsible for providing counsel and advice to management in relation to procurement transactions to assist in the management … more