- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleWood Utilization and Marketing Program Specialist Position LocationFort Collins, CO Work LocationPosition is fully remote ... the benefit of present and future generations". The Wood Utilization and Marketing Program Specialist is a...and regional committees. This position requires that the Program Specialist is proficient in general program management … more
- AdventHealth (Tampa, FL)
- …Stroke Association as a Primary Stroke Center. **The role you'll contribute:** The Utilization Management (UM) Specialist works under the direction of ... the Utilization Management Manager and supports the Utilization ...requiring assistance in gaining additional or missing information to support authorization. The UM Specialist will be… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- Munson Healthcare (Traverse City, MI)
- …appropriate use of resources. + Assists in developing and revising policies to support utilization management activities, including criteria and guidelines ... payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? +...required; able to adapt to required software programs which support Utilization Management functions. Familiarity… more
- University of Colorado (Aurora, CO)
- …Skills, and Abilities:** + Well-developed knowledge and skills in areas of utilization management , medical necessity, and patient status determination. + Ability ... Clinical Utilization Review Specialist - 32339 University...use disorder and other co-occurring diagnosis. This position will support management in tasks related to gathering… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote...compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +… more
- FLACRA (Clifton Springs, NY)
- PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... one year of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by… more
- Sanford Health (SD)
- …Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to ... utilization and potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for… more
- Amity Foundation (Tucson, AZ)
- …individual is responsible for performing a variety of concurrent and retrospective utilization management -related reviews and functions and for ensuring that ... to teach, learn and join our community as a Utilization Review Specialist at our campus in...you will contribute to the organization by providing vital support to the community by developing and/or maintaining effective… more
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... This is not a virtual position. Position Description/PD#: Acquisition Utilization Specialist /PD99810-S Relocation/Recruitment Incentives: Not Authorized Financial… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- …interdisciplinary approach to support continuity of care. + Provides utilization management , transfer coordination, discharge planning, and issuance of all ... The UR Specialist reviews and monitors patients' utilization ...and quality of care. + Responsible for the proactive management of patients with the objective of improving quality… more
- University of Virginia (Charlottesville, VA)
- …is to manage the completion of formulary activities, support medication utilization projects, and ensure timely policy management within the department of ... As a Medication Utilization , Formulary, and Policy Specialist , you...and maintain reports and dashboards related to drug shortage management , purchasing history, and utilization trends to… more
- Hawaii Pacific Health (Honolulu, HI)
- … Services, which provides Hawai'i Pacific Health and its affiliates essential population utilization and financial management support , analyses and modeling. ... to improve quality and patient safety. The Analytics & Management department forms part of the HealthAdvantage Support...and training, as well as internal peer equity. **Position** Specialist , Managed Care - Utilization Mgmt **Category**… more
- PeopleReady (CA)
- …usage of agency applications such as Microsoft365, Teams, SharePoint, PowerBI, Case Management and Document Management systems. * Deliver trainings around the ... on processes we are missing in conjunction with the Management staff. * Handle special projects as assigned by...Develop metrics to track progress. * Assist with Executive support . * Other duties as required. Compensation This is… more
- Immigration and Customs Enforcement (IN)
- …an industry certification related to billing, coding, and utilization /case management [e.g., MCG Care Guideline Specialist , Certified Professional Medical ... Review Consultant will report directly to the IHSC Regional Utilization Manager with the Utilization Management...15%. Travels TDY as needed to provide clinical care support at IHSC-staffed detention facilities with critical staffing needs.… more
- ManTech (Annapolis Junction, MD)
- …Currently, ManTech is seeking a motivated, career and customer-oriented Midlevel Operations Support Center (OSC) Incident Management Specialist to join ... Springs, CO. It is the responsibility of the Incident Management Specialist to manage the lifecycle of...years of experience in IT Operations or IT Service Management in operations support services in a… more
- Access Dubuque (Dubuque, IA)
- … Utilization /Classification Tech - HIM Rei MercyOne Customer Solutions Specialist Kendall Hunt Publishing Company Management Trainee-All Shifts Foodliner, ... IT-Tech Support Specialist - Evenings **Westmark Enterprises,...test plan as outlined by the development team and management + Maintains open lines of communication; customers must… more
- Moss Adams LLP (San Diego, CA)
- …staff, human resources, and internal accounting to promote people development and maximize utilization . The Resource Management Specialist will work to ... **Resource Management Specialist ** **Description** Moss Adams brings... team to implement our people strategy, monitor staff utilization , coordinate staff schedules, and deploy people. This role… more
- Alameda Health System (San Leandro, CA)
- Care Management Clinical Appeals Specialist + San Leandro, CA + Finance + Patient Financial Svcs - Facil + Full Time - Day + Business Professional & IT + Req ... Resource Management issues, other issues including concerns involving under/over utilization , avoidable days and quality issues. 13. Responsible for all incoming… more