- Elevance Health (San Antonio, TX)
- ** Utilization Management Representative III** **Location:** This role requires associates to be in-office 5 days per week, at our San Antonio, TX location. ... The ** Utilization Management Representative III** is responsible for coordinating cases for precertification and prior authorization review. **How you will… more
- Elevance Health (Latham, NY)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative I** will be responsible… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I ... comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working… 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
- Ochsner Health (Jefferson, LA)
- …This job manages expense management , vendor relationships, contract management , standardization and consolidation processes and utilization analysis. ... supply utilization improvements. + Good judgment, organizational and time management skills. + Consulting and group presentation skills. + Ability to travel… more
- Phoenix House (Wainscott, NY)
- ** Utilization Review Manager** **Job Details** **Job Location** East Hampton Residential - Wainscott, NY **Position Type** Full Time **Education Level** Graduate ... **Job Category** Nonprofit - Social Services **Description** **SUMMARY** The Utilization Review (UR) Manager coordinates commercial, and Medicaid Managed Care… more
- Ochsner Health (Lafayette, LA)
- …job manages the daily operations of all assigned divisions within the case management department in collaboration with the case management and social services ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Healthcare providers, subscribers, claims, appeals, legal, networking, case management , customer service, and compliance. **QUALIFICATIONS** **Education** + ... managed care experience or three years BCBSLA + Care Management experience with progressive levels of responsibility and expertise...and Essential Functions** _The Physical Demands described here are representative of those that must be met by an… more
- Saratoga Hospital (Saratoga Springs, NY)
- Care Management Representative Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Per Diem Shift/Schedule: Day Shift ... Groups under the guidance of the Director of Care Management . The Care Management Representative ...severity of illness & intensity of service for appropriate utilization management and 1st level criteria reviews.… more
- Houston Methodist (Houston, 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
- Grifols Shared Services North America, Inc (Seattle, WA)
- …110 countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...protocol changes within their related area of practice. + Utilization of corporate resources including the Key Account Manager,… more
- Saratoga Hospital (Saratoga Springs, NY)
- …and strategic plans for specific Collaborative Practice Groups. The Care Management Representative participates in a collaborative process which assesses, ... coordination, comprehensive discharge planning, daily rounding with interdisciplinary teams, utilization review/ management , readmission avoidance action plan strategies,… more
- Northrop Grumman (Huntsville, AL)
- …history. Northrop Grumman Defense Systems is seeking a **Space Planner/ Office Planning Representative ** to be located in **Huntsville, AL a** nd support the SDS ... Division. **What You'll Get to Do:** Plans utilization of office space with requirements of organizational efficiency, and available facilities and funds. Plans,… more
- Ryder System (Portland, OR)
- …as part of your daily routine is crucial. In addition, **YOU** are the management and professional representative of the Ryder organization. If your work ... Maintenance and Supply Chain Services in the World! **Summary** The **Rental Sales Representative ** is responsible for acting as the front line sales agent for the… more
- ATS Automation (Rolling Meadows, IL)
- …Rolling Meadows, IL, US, 60008-3833 Date: Jun 19, 2025 Inside Technical Representative The Inside Technical Representative is responsible for the day-to-day ... product could add value and via remote support. The Inside Technical Representative will help ensure we drive value-added service solutions throughout the life… more
- Ryder System (Racine, WI)
- …of a dynamic team, equipped to succeed and empowered to develop your sales, management , operations, or customer service career. You thought that was it? Take a look ... your interest if you like what you read _** **Job Summary** The Rental Sales Representative is responsible for acting as the front-line sales agent for the rental of… more
- Ryder System (Harrisonburg, VA)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Rental Sales Representative is responsible for acting as the front line ... rental customers and consumer household needs. This requires the Rental Representative to work cross functionally across Sales, Marketing, Operations and Asset… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …is a mandatory COVID-19 and flu vaccine organization Customer Service Representative - Posting #27077 Position Summary: Full-Time Customer Service Representative ... for our Managed Care department in Vancouver, WA. The Customer Service Representative is responsible for screening all non-insured patients and ensuring that… more
- Peckham, Inc. (Battle Creek, MI)
- …with and without disabilities. English and Spanish Speaking Contact Center Research Representative - Peckham, Inc. Sign-On Bonus! + Receive $300 after training! + ... become available (training on 1st shift) SUMMARY The Contact Center Research Representative ( CCRR ) position involves providing customer service and research… more
- CVS Health (Tallahassee, FL)
- …Aetna, CVS Health is looking for top field sales talent! The Field Sales Representative is directly responsible for managing sales growth by building a book of ... portfolio of Medicare products. Upon acquisition the Field Sales Representative will own the member relationship throughout the year...well as resolving any issues with respect to the utilization of the product. The position will be a… more