- Select Medical (Madison, IN)
- …times. + Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster ... and Behavior Intervention Plans directed by a Board Certified Behavior Analyst (BCBA)/Case Manager . All therapists are supervised by the BCBA/Case Manager on a… more
- CareFirst (Baltimore, MD)
- …accreditation standards and federal/state regulations and general principles relating to utilization review . + Computer skills, including Microsoft Office ... & Qualifications** **PURPOSE** : Supervise the daily operations of the utilization management (UM) department functions to ensure appropriate coordination of health… more
- Saint Francis Health System (Tulsa, OK)
- …participates in the Patient Care Committee for patient care reviews, and in Utilization Review Staff Committee, providing data and contributing to improvement of ... administrative and clinical support to the hospital and treatment team throughout the review of patients, their placement in various levels of care and their receipt… more
- UNC Health Care (Goldsboro, NC)
- …authorizations. 6. Escalate matters/scheduled accounts that require attention to Pre-Arrival Team Lead/ Manager . 7. Notify Utilization Review & Case ... Management regarding any admissions that need Clinical Review . 8. Review /Sign/Commit to the Patient Access Work Standards approved by Human Resources 9. … more
- Elevance Health (Indianapolis, IN)
- **Title: Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... employment, unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- Elevance Health (Latham, NY)
- ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for managing incoming calls, including… more
- Elevance Health (Costa Mesa, CA)
- ** Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Utilization Management Representative I** is responsible for coordinating cases for precertification… more
- South Middlesex Opportunity Council (Framingham, MA)
- …individuals, children and families. This position will coordinate billing and monitor utilization review for the Clinic and Residential Recovery Programs. ... and in a timely fashion, for the RRS and outpatient clinic programs. + Review denials and partially paid claims and resolve discrepancies. + Assist in resolving… more
- Elevance Health (West Des Moines, IA)
- ** Utilization Management Representative II** **Location:** The selected candidate for this position must reside in Iowa. **_Virtual:_** This role enables associates ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative II** is responsible for managing incoming calls, including… more
- Elevance Health (Columbus, GA)
- ** Utilization Management Representative III** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative III** is responsible for coordinating cases for precertification… more
Recent Jobs
-
Senior Project Manager - Environmental
- Langan Engineering, Environmental, Surveying and Landscape Architecture, DPC (Indianapolis, IN)