- Evolent (Dover, DE)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Elevance Health (Wilmington, DE)
- **Managed Care Coordinator Clinician Non-RN** **Location:** Within 50 miles of a Pulse Point location **Hours:** Monday - Friday, between the hours of 9 am - 6 pm ... CST. The **Managed Care Coordinator Clinician Non-RN (US)** is responsible for working under the direction/supervision of an RN, with overall responsibility for the… more
- Highmark Health (Dover, DE)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management + Route Cases Based on Established Guidelines + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… more
- Highmark Health (Dover, DE)
- …and third party payers. + Maintains a working knowledge of care management , care coordination changes, utilization review changes, authorization changes, ... coordination of care in accordance with recognized standards of practice for Care Management . The incumbent utilizes expertise in care management to promote a… more
- CVS Health (Dover, DE)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... is 8:30am - 5pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
- CVS Health (Dover, DE)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... is 8:30am-5:00pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more