- Zenex Partners (Beverly Hills, CA)
- Description Job Opportunity: LVN / LPN - Utilization Review Facility: CSMN - 1101017 Nursing Clinical Support Location: Beverly Hills, CA Employment Type: ... This position will be supervised and receive assignments from a remote RN Mileage reimbursement provided Schedule: Monday-Friday Shift: 0800-1700 Required: *… more
- Kaiser Permanente (Aurora, CO)
- …requests, including discharge planning activities when needed (collective referred to as Utilization Review ) for the Colorado region. Manages utilization ... concurrent requests. Responsible for the planning and decision-making related to utilization review . Develops and implements departmental policies and… more
- Lifelancer (Andover, MA)
- About the job Senior Manager - Study Site Management (US - Remote ) Job Title: Senior Manager - Study Site Management (US - Remote ) Job Location: Andover, MA, USA ... Job Location Type: Remote Job Contract Type: Full-time Job Seniority Level: Mid-Senior...Program via vendor management and oversight of in-direct reports. Review and assess monitoring needs ensuring adequate CRA resource… more
- UPMC Senior Communities (Pittsburgh, PA)
- …Life Changing Medicine happen. Responsibilities: Actively participates in the daily utilization management and quality improvement review processes, including ... The Medical Director, Utilization Management is responsible for assuring physician commitment...health care to UPMC Health Plan members. This fully remote role will be responsible for assuring physician commitment… more
- ThinkBAC Consulting (Boston, MA)
- Job Description Sr. Renewables Asset Management Analyst - Energy Storage Locations: FULLY REMOTE (Anywhere in the USA) This an opportunity to join an industry ... It will also help pioneer the continued build-out and utilization of a proprietary battery storage / energy storage...in cohesion with the Accounting Team to support a review of asset performance analytics Sr. Renewables Asset Management… more
- Vivo HealthStaff (Burbank, CA)
- …Denial Compliance Location: Los Angeles Metropolitan Area Position Type: Hybrid (85% remote , 15% onsite in Burbank, CA) Company: Vivo HealthStaff Overview: Vivo ... regulatory and quality measures, implementing strategies for improvement. 11. Review performance reports, identify deficiencies, and implement corrective action… more
- Molina Healthcare (Long Beach, CA)
- …or Licensed Practical Nurse (LPN) Program Required Experience Minimum two years Utilization Review experience. Knowledge of audit processes and applicable state ... and federal regulations. Required License, Certification, Association Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good standing. Preferred Education Completion of an accredited Registered Nurse (RN) Program or a… more
- UnitedHealth Group (Phoenix, AZ)
- …continental time zones in the US. Primary Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals ... conversations for the clinical case reviews, as needed Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate… more
- Strategic Staffing Solutions (Detroit, MI)
- …which may include acute patient care, discharge planning, case management, and utilization review , etc. Demonstrated clinical knowledge and experience relative ... of our largest clients located in Detroit, MI! Title: RN Review Analyst Location: Detroit, MI (Mostly remote ; may be required to come into office for meetings)… more
- Actalent (New York, NY)
- Clinical Review Pharmacist (100% Remote , Entry-Level) Job Description In this role, you will utilize your clinical skills to conduct utilization management ... contracts evaluated every six months for extension. Responsibilities Conduct utilization management reviews, including prior authorizations, coverage exceptions, and… more
- VA Northeast Ohio Healthcare System (Sandusky, OH)
- …Duties: Schedules patient appointments Coordinates with the patient care team to review the clinic utilization by using various reports; Maintains effective ... - Friday, 8a - 4:30p Telework : Not available Remote : This is not a remote position....delivery model. Coordinates with the patient care team to review clinic appointment availability utilization ) to ensure… more
- Niagara Bottling, LLC (Diamond Bar, CA)
- …Team Members. Sr. Manufacturing Technology Specialist - Warehouse Excellence ( Remote ) The Sr. Manufacturing Technology Specialist (Warehouse Excellence Team) ... materials with the Manufacturing Technology Manager Provides a final technical review of all eLearning courseware Communicate effectively with training stakeholders… more
- National Financial Partners (Tallahassee, FL)
- …ideally working hybrid from our Charlotte, NC office. We will consider a remote option for well-experienced Commercial Lines candidates able to work on an EST ... of insurance, and other related items accurately and on time Monitor and review client satisfaction Electronically document all communication with clients Review … more
- Net Health (Pittsburgh, PA)
- …and maintain relationships with assigned customers, focusing on satisfaction, product utilization , and retention Assist in articulating client ROI and adoption ... all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. more
- Lilt (Indianapolis, IN)
- …in a hybrid capacity. In all other locations, you will start as fully remote and then transition to hybrid once offices are opened in those locations. Starting ... to understand, measure, and consistently deliver high ROI Driving high utilization of the customer's LILT subscription Driving the customer's business transformation… more
- ThinkBAC Consulting (Raleigh, NC)
- Job Description Renewables Asset Manager, Commercial Strategy - Energy Storage Locations: FULLY REMOTE (Anywhere in the USA) This an opportunity to join an industry ... renewable energy portfolio. It will also help pioneer the build-out and utilization of a proprietary battery storage / energy storage management platform for… more
- DaVita, Inc. (Owensboro, KY)
- …assisting them in navigating a challenging healthcare system. Through medical record review and consultation, you will identify the medical, social, emotional, and ... support the Owensboro, KY area. Must live locally. Position Details: Location: Hybrid- Remote . Work from home (telehealth) and travel within an assigned geography for… more
- Midwest Cardiovascular Institute (Elmhurst, IL)
- …device company representatives, and family members to promote and educate on Remote Monitoring. QUALIFICATIONS: Graduate of an accredited school of Nursing. Current ... of various manufactured devices. 2. Possess an extensive understanding of the utilization of each device programmer for the purposes of interrogation or programming… more
- Guardian Alarm Company of Michigan (Southfield, MI)
- …Inventory Accuracy, Productivity, Quality, Upsell Install Revenue, Upsell RMR, and Utilization ). Maintain the appropriate level and quality of all assigned tools. ... assigned from management. Minimize loss of productivity and maximize utilization . Proficiently utilize tools/methods for problem solving (IE, multi-meter,… more
- AC Disaster Consulting (Denver, CO)
- …Time or Part Time: Full Time Temporary/Seasonal/Regular: Regular Compensation: $114-156k/annual Location: Remote with up to 50% travel required. Travel: Up to 50% ... consultants. Ensure you and others meet or exceed personnel allocation and utilization targets. Provide guidance, feedback, and create opportunities for all levels… more
