• Utilization Review Nurse Supervisor I

    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
    The County of Los Angeles (08/18/25)
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  • Third Party Patient Account Representative

    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 (09/13/25)
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  • Patient Account Representative - Physician…

    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
    Guidehouse (08/09/25)
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  • Servicing Representative

    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
    Independent Health (08/26/25)
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  • Patient Account Representative - Self-Pay…

    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 (09/20/25)
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  • Patient Account Representative - Medicare,…

    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
    Guidehouse (09/18/25)
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  • Customer Service Representative

    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
    Percepta (08/19/25)
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  • Guest Services Representative

    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 (09/06/25)
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  • Physician Support Representative III

    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
    University of Rochester (08/07/25)
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  • Licensed Practical/Vocational Nurse - Referral…

    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
    Luke Staffing (08/07/25)
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  • Financial Management Technician NF-03

    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
    Army Installation Management Command (09/10/25)
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  • Behavioral Health Case Management

    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
    Blue Cross and Blue Shield of Louisiana (09/19/25)
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  • Manager, Customer Solution Center Appeals…

    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
    LA Care Health Plan (07/08/25)
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  • CDOC (Health Professional VI) - Health Service…

    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 Colorado (09/17/25)
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  • Environmental Protection Forester 1 (35 Hour)

    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
    State of Connecticut, Department of Administrative Services (09/18/25)
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  • Sales Coordinator

    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
    ASM Global (07/01/25)
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  • Department Lead

    Access Dubuque (Dubuque, IA)
    …Consultant Kendall Hunt Publishing Company Senior Instructional Designer, Science McGraw Hill Utilization Management Nurse Medical Associates Name Your Dream Job ... that meets or exceeds the Theisen's Brand requirements + Help management implement business strategies to increase sales and carryout department directives… more
    Access Dubuque (09/17/25)
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  • Data Technician III - Part-Time

    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
    State of Colorado (09/16/25)
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  • Transportation Director

    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 (09/20/25)
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  • Warehouse Supervisor (2nd Shift) - Sygma -US

    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
    Sysco (09/18/25)
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