- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …across the continuum of care by leveraging member partnership, pre-service clinical utilization review , case and disease management processes, skill sets and ... Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of… more
- Zelis (NJ)
- …challenges. + Revenue Management : Managing revenue, including budgets, forecasts, and product utilization review for the assigned book of business. + Client ... client management role + Demonstrated success in revenue management and increased utilization within an assigned book of business of enterprise and strategic clients… more
- Zeiders Enterprises, Inc (Woodbridge, VA)
- Description Job Title: Remote Contact Center Supervisor Zeiders is an industry leader in military and family support. Our company's reputation is based on providing ... the call center. This role supervises a geographically dispersed team of Remote Centralized Schedulers, reports directly to the Clinical Operations Manager, and is… more
- AC Disaster Consulting (Tulsa, OK)
- …Part Time: Full Time + Temporary/Seasonal/Regular: Regular + Compensation: $114-156k/annual + Location: Remote with up to 50% travel required. + Travel: Up to 50% ... consultants. Ensure you and others meet or exceed personnel allocation and utilization targets. Provide guidance, feedback, and create opportunities for all levels… more
- Colorado State University (Fort Collins, CO)
- …action teams + Works closely with ANG Plans and Program Branch on the compilation, review , and validation of Space Utilization Report (AF Form 920) and Request ... can thrive, grow, and make a lasting impact. + Review our detailed benefits information here. (https://hr.colostate.edu/wp-content/uploads/sites/25/2021/01/benefits-summary-afap.pdf) + Explore… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review /case management/clinical/or combination; 2 of the 4 ... **Job Description:** + M-F 8:30-5:00 + Training will be approximately _12 weeks ( remote ). + NICE TO HAVE skill sets/qualities: Knowledge of social determinates of… more
- InGenesis (Columbia, SC)
- …In this role, you will provide support and review of medical claims and utilization practices. This is a REMOTE opportunity for a LPN living in the state ... * Review interdepartmental requests and medical information to complete utilization process * Documents process used and decision int he appropriate system… more
- ChenMed (Philadelphia, PA)
- …assess and record patients' progress and adjust and plan accordingly + Understanding utilization review and how to leverage with inpatient staff for possible ... on-site at an assigned hospital daily from 9am-3pm, working remote for the remaining hours. The Acute Care Manager,...required + A minimum of one (1) year of utilization review and/or case management, home health,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of ... and their family to avoid unnecessary hospitalizations and emergency department utilization , optimize site of care whenever possible, and ensure evidence-based… more
- Humana (Honolulu, HI)
- …teams to interpret analytics and generate actionable recommendations and plans for utilization review processes. Ensures that policies and procedures align with ... leadership team meetings and business reviews to ensure effective utilization of time, quality decision making and focus on...**What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company… more
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