- Ensemble Health Partners (Lewiston, ME)
- …Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician ... mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being… more
- Elevance Health (Columbus, GA)
- **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... within 50 miles of one of our PulsePoint locations. The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- Universal Health Services (Chicago, IL)
- …continued treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party ... physician reviews with payers as required. Maintains all records/data pertaining to the Utilization Management Program. Actively participates in Utilization … more
- Universal Health Services (Memphis, TN)
- Responsibilities Utilization Management Coordinator Compass Intervention Center is seeking a dynamic and talented Utilization Management Coordinator. Our ... in service delivery. Visit our website at www.compassinterventioncenter.com. The Utilization Management Coordinator will possesses knowledge of psychiatric… more
- Universal Health Services (Chicago, IL)
- …JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External ... to resolve issues related to appeals. Maintains all records/data pertaining to the Utilization Management Program. Actively participates in Utilization … more
- Immigration and Customs Enforcement (IN)
- …and external stakeholders (eg, Customs and Border Patrol, Veterans Affairs) regarding utilization management (UM) processes, trainings, and principles to ensure ... to management , administration, or evaluation of public health programs. Healthcare management or utilization management is preferred. Meet the minimum… more
- Universal Health Services (Chicago, IL)
- …based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department ... and Utilization Management Department. Obtains billing and insurance...each primary duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Education:… more
- Universal Health Services (Auburn Hills, MI)
- Responsibilities Utilization Management - Precertification Specialist HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital sa Joint Commission-accredited and ... information, please visit us at www.havenwyckhospital.com POSITION SUMMARY: The Utilization Management Precertification Specialist has responsibility for… more
- UNC Health Care (Hendersonville, NC)
- …management referrals. Initiates appropriate social work referrals. * Performs utilization management assessments and interventions, using collaboration with ... health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases… more
- State of Indiana (Indianapolis, IN)
- …Nurse (RN) in the State of Indiana. * Two years prior experience with utilization management . * Demonstrated competence in quality assurance and case ... Utilization Review Coordinator Date Posted: May 31, 2024...accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity… more
- Dignity Health (Northridge, CA)
- …400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC) is responsible for assessing ... other relevant health team members, the patient or patient representative and post acute care providers in accordance with...+ Current CA Registered Nurse (RN) license + Prior Utilization Management experience in a clinical or… more
- Catholic Health (Lockport, NY)
- … Review/ Transitions of Care, as an active member of the Care Management and interdisciplinary care team, provides comprehensive Utilization Review and ... barriers for delays of treatment. The RN Care Manager engages the patient/patient representative in developing and implementing a post hospital plan that best meets… 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. The ... services in collaboration with the managed care services department including referral management , patient steerage, and claims auditing. As the Specialist, you will… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case ... management and social work department to facilitate efficient utilization of resources and discharge planning including referrals management , communication… more
- UT Health (Houston, TX)
- Employee Assistance Programs (EAP) Account Representative in Human Resources **Location:** Texas Medical Center-Houston, Texas **Hot** **Category:** Clinical ... Summary:** UTHealth Houston is looking for an Employee Assistance Programs Account Representative with a strong mental health assessment, counseling, and crisis … more
- Sea Mar Community Health Centers (Tacoma, WA)
- …is a mandatory COVID-19 and flu vaccine organization Customer Service Representative - Posting #26541 Position Summary: Full-Time Customer Service Representative ... available at our Tacoma - Cushman Medical Clinic. The Customer Service Representative is responsible for screening all non-insured patients and ensuring that… more
- CDPHP (Albany, NY)
- …practitioners, facilities, adjunct/ancillary and all other providers regarding the proper utilization of the Plan. In addition, the representative will ... invites you to be a part of that experience. The Provider Services Representative shall assume full responsibility and ownership for all aspects regarding education… more
- Ryder System (Kapolei, HI)
- …a dynamic team, equipped to succeed and empowered to develop your sales, management , operations, or customer service career. **Rental Location - Kapolei HI 96707** ... Schedule - Monday through Friday 1st Shift!** **Job Summary** The Rental Sales Representative is responsible for acting as the front-line sales agent for the rental… more
- Medtronic (Detroit, MI)
- …product and therapy technical support and service, + including consultation at strategic management and analysis of sales trends, + utilization of appropriate ... Day in the Life** At Medtronic, the Sales Support Representative , Pain Interventions is an entry level role...and tactical territory events and projects. The Sales Support Representative will work with the clinical and sales partners… more
- Pentax Medical (Washington, DC)
- …and solutions to the global medical community. Position Opening: Customer Experience Representative Why JOIN Us? We are an established medical device leader that ... Paid Time Off and Holiday policy. Want More INFO? The Customer Experience Representative (CXR) will be an integral component of dedicated service for clients and… more
