- Elara Caring (Topeka, KS)
- …+ Assists staff in maintaining current and accurate medical records and utilization review . + Assists clinical supervisor with non-clinical phone ... at no cost + Opportunities for advancement + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer match + Paid time… more
- Cardinal Health (Indianapolis, IN)
- …offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off plan + Health savings account ... of budget objectives through effective financial management and optimal utilization of resources. + Acts as liaison to ensure...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Amcor (Henderson, NV)
- …for warranted violations of plant rules. 11. Work with Human Resources to review unique situations and termination paperwork prior to discussing or issuing paperwork ... discharge or retention. 13. Direct work assignments and ensure efficient labor utilization . 14. Drive improvements in production efficiency and MEEF. 15. Responsible… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to apply! Job Description: Summary: This position supports the workflow of the Medical Services division. Depending on the specific tasks assigned, the Medical ... provides administrative support for any of the programs of Utilization Management, Behavioral Health, Quality Management, or Member Care...to the Health Plan Essential Accountabilities: Level I + Review / prep clinical case for clinical staff. +… more
- Bassett Healthcare (Cobleskill, NY)
- …accredited by The Joint Commission. CRH provides inpatient care for general medical conditions, an inpatient short-term rehabilitation unit, and more than 20 ... region What you'll do The Registered Professional Nurse (RN), Acute Care in the Medical Inpatient Unit is accountable for the delivery of safe patient care utilizing… more
- Bassett Healthcare (Delhi, NY)
- …no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data ... no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. + Identifies expected outcomes individualized to… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Reviews providers' requests for services and coordinates utilization management review . + Reviews precertification requests for medical necessity for all ... The Utilization Management Specialist I will perform utilization management functions to include medical necessity...audiences as necessary. + Completes daily work lists for utilization review meeting the time frames set… more
- Bassett Healthcare (Cooperstown, NY)
- …no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data ... no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation. + Identifies expected outcomes individualized to… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for Pharmacy Clinical Review Specialist I positions in the Pharmacy Services department. This is a full time position working Monday ... through Friday 11:30am to 8:00pm and weekend rotations. The Clinical Review Specialist will oversee administrative and system processes that relate to pharmacy prior… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …care team, or other specialty care. Coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization ... Summary Business Office program area. The Advanced Medical Support Assistant (AMSA) provides specialized and expert...and updates health insurance information, promote Veteran registration and utilization of My Healthy Vet (MHV). Train other MSAs… more