- 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 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN...Acts as a department resource for medical service requests / referral management and processes. Receives incoming calls… more
- FLACRA (Clifton Springs, NY)
- UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Addiction Counseling and Referral Agency Inc Clifton Springs, NY (Onsite) Full-Time $16.00 - $17.30/Hour ... accordance with the organization's mission, vision and values, the Utilization Management Specialist is responsible...Manage the workflow with minimum interruptions. + Provides crisis management and referral services. + Other duties… more
- Spectrum Billing Solutions (Skokie, IL)
- …cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR Specialist ... and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for treatment… more
- Hawaii Pacific Health (Honolulu, HI)
- …additional services in collaboration with the managed care services department including referral management , patient steerage, and claims auditing. As the ... Services, which provides Hawai'i Pacific Health and its affiliates essential population utilization and financial management support, analyses and modeling. The… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as an Assessment Referral Specialist you want with your current employer? We have an ... committed, caring group of colleagues. Do you want to work as an Assessment Referral Specialist where your passion for creating positive patient interactions are… more
- Elevance Health (Richmond, VA)
- ** Referral Specialist I** **Location: Onsite** in Richmond, VA **Hours:** 8 am - 5 pm EST The ** Referral Specialist I** is responsible for providing ... preferred. + Prior experience in making referrals or authorizations is preferred. + Utilization Management experience is preferred. + Comfortable working as a… 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 ... Utilization Review Consultant will report directly to the IHSC Regional Utilization Manager with the Utilization Management Program Administrator. This… more
- HCA Healthcare (San Antonio, TX)
- …for establishing relationships with case managers, physicians, payors, and other referral sources. The Clinical Rehabilitation Specialist will ensure appropriate ... Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works closely with hospital case management to ensure a responsive… more
- National Park Service (Washington, DC)
- …in the Maintenance Division. Responsibilities The major duties of the Facility Management Systems Specialist position include, but are not limited to, ... hours requirement as the service dates will be reflected. To qualify for the Facility Management Systems Specialist position at the GS-9 grade, you must meet the… more
- United States Army Futures Command (Redstone Arsenal, AL)
- …supporting SF-50 reflects this remark. Responsibilities Serve as lead logistics management specialist . Property management / accountability oversight, Command ... Standard Operations Procedures; Policies, Handbooks or Procedures specific to logistics/property management ; utilization of Army enterprise support systems for… more
- Alameda Health System (San Leandro, CA)
- SLH Care Management Specialist + San Leandro, CA + San...years in a health care field or one year in Utilization Management at a Medical Group or Health ... new product and services; maintains current database of existing and potential referral sources. 8. Communicates status with Care Management staff and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal ... designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, formulary… more
- Office of the Chief of Staff of the Army (Fort Belvoir, VA)
- …Division (HRMSD), Chief Information Office, HQDA CIO/G-6, Fort Belvoir, VA. Workforce Management Specialist supporting the Department of the Army (DA)Civilians, ... two Headquarters Department of the Army (HQDA) principal agencies, to include management support services. Plan and carry out projects and studies to identify… more
- Office of the Chief of Staff of the Army (Fort Belvoir, VA)
- …Division (HRMSD), Chief Information Office, HQDA CIO/G-6, Fort Belvoir, VA. Workforce Management Specialist supporting the Department of the Army (DA)Civilians, ... two Headquarters Department of the Army (HQDA) principal agencies, to include management support services. Plan and carry out projects and studies to identify… more
- Highland General Hospital (San Leandro, CA)
- …Required Experience: Three years in a health care field or one year in Utilization Management at a Medical Group or Health plan experience; electronic Health ... new product and services; maintains current database of existing and potential referral sources. 8. Communicates status with Care Management staff and… more
- Medtronic (Knoxville, TN)
- …we can transform the future of patient care. The Procedure Development Specialist /Senior Procedure Development Specialist is responsible for program development ... growth of consumables, growth of procedures targeted accounts, and driving overall utilization of the Medtronic Lung Health portfolio. **This role may be leveled… more
- Department of Energy (IN)
- …or temporary with a full-time or part-time work schedule. As a Administrative and Management Specialist you may: Provide strategic advice to the Program Director ... series covers positions managing, supervising, leading, and/or performing administrative and management work. Vacancies filled under this public notice may have… more
- US Secret Service (Laurel, MD)
- …to carry out its mission. Responsibilities The selectee will serve as a Property Management Specialist in the James J. Rowley Training Center. Typical work ... and evaluating systems for property identification and classification, inventory, utilization , and disposal. Identifying system deficiencies and providing recommendations… more
- TEKsystems (Dallas, TX)
- …authorization requests are addressed properly and in the contractual timeline. Aids utilization management team to document authorization requests and obtain ... performance expectations/metrics for this individual and their team: * Referral Specialist are required to enter five...data entry to maintain and update authorization requests into utilization management system Assists utilization … more
- US Army Reserve Command (Birmingham, AL)
- …the Army Reserve, visit http://www.goarmy.com/reserve/jobs.html Responsibilities Serve as a Logistics Management Specialist in an Army Reserve Battalion or ... Executive Order (EO) 12721 Interagency Career Transition Assistance Plan Land Management Workforce Flexibility Act Military Spouses, under Executive Order (EO) 13473… more