- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...problems that include but are not limited to pre-certifications, Utilization Management , Medicaid Pending, third party payer… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third… more
- Boehringer Ingelheim (Santa Cruz, CA)
- …rental vehicle Eligibility Requirements: + Must be legally authorized to work in the United States without restriction. + Must be willing to take a drug ... along with further development of technical product knowledge is imperative. Effective utilization and management of internal and external resources is expected.… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Partum, NICU experience * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... Shield of Minnesota Position Title: RN Specialist Complex Case Management - Maternity Location: Remote Career Area: Health Services...If you are ready to make a difference, join us . The Impact You Will Have This role will… more
- Cedars-Sinai (Los Angeles, CA)
- …+ Acts as liaison coordinating administrative support activities including facilities management , patient billing, utilization management , quality ... **Job Description** The Senior Patient Service Representative - PACT (Float Pool) at Cedars-Sinai Medical...out-of-pocket expenses. A solid understanding of all Health Information Management (HIM) related activities is integral to the role.… more
- Cedars-Sinai (Beverly Hills, CA)
- …workflows. + As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... **Job Description** The Senior Patient Service Rep is responsible for positive patient relations, accurate...plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific… more
- Cedars-Sinai (Santa Monica, CA)
- …support activities to address physician and staff concerns such as facilities management , patient billing, utilization management , quality management ... **Job Description** The Lead Patient Service Representative /Lead Call Center Scheduler functions as an administrative team lead for the office. This position… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...payer regulations for the coordination of benefits. + Notifies Utilization Management of clinical requests by third… more
- Magellan Health Services (Boise, ID)
- …appropriate for complex case management and timely completion of all utilization management activities. Involvement in the development of case management ... plans. + Develops and implements a Utilization Management program and action plan, which includes strategies that...of Surgery (MBBS) international degree with successful completion of United States based internship and residency (and… more
- CareFirst (Baltimore, MD)
- …role will focus specifically on optimizing end-to-end business processes within Utilization Management . **ESSENTIAL FUNCTIONS:** + Provide deep subject matter ... expertise in all areas of Utilization Management (UM), including pre-service, concurrent review,...of initiatives. Serve as the subject matter expert and representative for the clinical products team across corporate initiatives… more
- MAPFRE Insurance (Webster, MA)
- Auto Damage Insurance Claim Rep (Hybrid or Remote) Date: Nov 13, 2025 Location: Webster MA or Work from Home, MA, US Company: MAPFRE **Job Summary:** **Position ... Damage Department. In this role as Auto Damage Claim Rep , you will be responsible for adjusting 1st party...with contribution to the Departmental tNPS score + Telephone Management - Effectively manage ACD telephone system/features by complying… more
- United Rentals (Charlotte, NC)
- …mark with the world's largest equipment rental provider, **come build your future with United Rentals!** As an Outbound Sales Rep , you'll be instrumental in ... and communication skills This position is deemed Safety Sensitive for purposes of United Rentals' policies and procedures. **_Why join us ?_** We don't just… more
- Dignity Health (Gilbert, AZ)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... problem-solving skills + Collaborate effectively with multiple stakeholders + Understand how utilization management and case management programs integrate +… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... Ambassador and Guest Services Work Shift: UR - Day ( United States of America) Range: UR URCA...**Responsibilities:** GENERAL PURPOSE With general direction of the Ambassador Management Team and with latitude for independent initiative and… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... & EP & Holding Work Shift: UR - Day ( United States of America) Range: UR URC...including but not limited to, providers' time and calendar management while optimizing provider patient schedule, coordination of patient… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... Scheduled Weekly Hours: 40 Department: 500016 Admissions Center-SMH Work Shift: UR - Rotating ( United States of America) Range: UR URC 205 H Compensation Range:… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... Department: 500016 Admissions Center-SMH Work Shift: UR - Rotating ( United States of America) Range: UR URC...+ Marks patients for merge and notifies Health Information Management . + Exercising tact, initiative and independent judgment based… more
- University of Rochester (Albany, NY)
- …**Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** Worker Subtype: Regular Time Type: ... Weekly Hours: 40 Department: 910399 Registration & Insurance Mgmt Work Shift: UR - Day ( United States of America) Range: UR URC 205 H Compensation Range: $19.62… more
- UnityPoint Health (Ankeny, IA)
- …ability around complex claims processing workflows and regulations that requires utilization of data coming from multiple resources. To evaluate billing and ... the ways people are unique and embrace what brings us together. And, we believe equipping you with support...to third party payers + Provide timely feedback to management of identified claims issues, repetitive errors, and payer… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …bilingual Spanish speaker * 1+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience. * ... If you are ready to make a difference, join us . The Impact You Will Have This position exists...continuum of care by leveraging member partnership, pre-service clinical utilization review, case and disease management processes,… more
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