- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Utilization Management Representative (UMR) provides office support for all units within the Utilization Management and/or ... include direct communication with KSC Clinic Representatives as needed. The Utilization Management Representative is responsible for clerical… 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
- 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
- Elevance Health (Miami, FL)
- …of Florida. + Requires minimum of 5 years acute care clinical experience, utilization management or managed care experience; or any combination of education ... Senior RN Utilization Review/ Management (Acute InPatient) JR116937 **Location:**...to other areas of the business unit or as representative on enterprise initiatives. + Assigns and audits daily… 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
- Elevance Health (Columbus, OH)
- **Network Management Representative ** **Location** : This is a **remote** position. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint ... and insightful analytics to improve the delivery of care. The **Network Management Representative ** provides comprehensive services to the provider community… more
- Access Dubuque (Dubuque, IA)
- Technical Support Representative **Managed Solutions Group** 1 Positions ID: 47085 Posted On 05/06/2024 **Job Overview** The Technical Support Representative ... and other members of the team assisting with the delivery and management of technology-based services and solutions for new and existing customers. **ESSENTIAL… 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
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …and takes necessary actions to resolve issues. Contributing to the effective utilization of resources, budgetary allocation, and fiscal management . Managing, ... United States. Responsibilities The incumbent will serve as a Prosthetic Representative (Assistant Chief) completing a variety of supervisory and non-supervisory… more
- Holcim US (Eagan, MN)
- Construction Materials Sales Representative Requisition ID: 5788 Location: Eagan, MN, US, 55121 Pay Type: Salary **ARE YOU READY TO BUILD PROGRESS WITH US?** Driven ... Solutions & Products. Description: **ABOUT THE ROLE** The Construction Materials Sales Representative is responsible for contractor supply sales & marketing with an… more
- Ryder System (Garner, NC)
- …dynamic team, equipped to succeed and empowered to develop your sales, management , operations, or customer service career. **Rental Location -** **Garner NC 27529** ... 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