- Evolent Health (Providence, RI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as a point of ... requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly to the… more
- Sunrun (Providence, RI)
- …commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service ... and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution… more
- Highmark Health (Providence, RI)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review , status… more
- Highmark Health (Providence, RI)
- …**Job Description :** **JOB SUMMARY** This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the ... and then creates the case (data entry) in Highmark's utilization management system for clinical review . Ensures all accurate information is entered at the onset… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …Responsibilities The incumbent serves as a Transportation Assistant - Transportation Coordinator acts as primary contact to Veterans for transportation needs. The ... of support services eg, systems management, operations, workload forecasting, review , and reporting of data/statistical results of program/project studies, vehicle… more
- Brown University (Providence, RI)
- …Center Dispatch meetings as liaison and primary contact. + Coordinates the utilization of various technical databases and software associated with specific federal ... the IMC Dispatch/Records Management System User Committee. + Coordinate the utilization of various technical databases and software associated with specific federal… more
- The Home for Little Wanderers (Walpole, MA)
- …monitor the caseload level and maintain a small caseload. + Maintain the utilization review process. Ensure quality assurance standards are met regarding ... and training to clinical and milieu staff. Collaborate internally with referral review teams to support the screening and interviewing processes at the above… more
- Northeast Family Services (Fall River, MA)
- …with interactions of staff + Participate in development of training plans for data utilization + Acts as project coordinator for all Clinical Quality related ... expert for all EHR related projects. Responsibilities: + Collaborate with QA Manager to review , quality check, and clean data sets + Provide a high level of… more
- The Home for Little Wanderers (Walpole, MA)
- …documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Attend in-service training ... on a large multi-unit campus. Under the direction of the Clinical Coordinator , the Clinician will provide age-appropriate, culturally sensitive therapy. **How You'll… more