- University of Utah Health (Salt Lake City, UT)
- …authorization/notification trail. + Drives critical dependent workflows such as for case managers/ utilization review to ensure length of stay authorization is ... secured. + Ability to work on other tasks while on long hold times with payer for authorization for another patient. **Knowledge / Skills / Abilities** + Demonstrated ability to provide clear and professional written/verbal communication skills. + Ability to… more
- GCG (Salt Lake City, UT)
- …adoption + Drive change management and user training to ensure effective system utilization across the organization + Monitor system performance and user feedback to ... management process (1+ years) + Experience leading and facilitating 9-box talent review and succession planning (1+ years) + Hands-on experience implementing or… more
- CVS Health (Sacramento, CA)
- …consistent responses to members and providers. Leads all aspects of utilization review /quality assurance, directing case management Provides clinical expertise ... effective use of health care resources. **This is a remote based (work at home) based anywhere in the...opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine)… more
- Ochsner Health (Slidell, LA)
- …- 3 years of hospital-based experience. **Preferred** - Experience in utilization review . **Certifications** **Required** - Current licensed practical nurse ... the job description to determine whether the position you are interested in is remote or on-site._** _Individuals who reside in and will work from the following… more
- Battelle Memorial Institute (Columbus, OH)
- …within our Health Research and Analytics Business Line. The position location can be remote with preference for Crystal City, VA or Columbus, OH on a hybrid ... capture processes to win new business including: the gate review process; developing a capture strategy; planning capture milestones,...model allows you to work 60% in-office and 40% remote , with Monday and Tuesday as common in-office days,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Shield of Minnesota Position Title: RN Case Manager - Commercial TOC Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of Minnesota ... years of managed care experience; eg case management/health coach, utilization management and/or auditing experience. * Outstanding telephonic skills. Compensation… more
- University of Oregon (Eugene, OR)
- …Department: Prevention Science Institute Rank: Research Assistant Annual Basis: 12 Month Review of Applications Begins January 15, 2026; position open until filled ... to promote research that reduces health disparities in service utilization . Position Summary The Lab Manager (LM) will be...proposals, amendments, and annual reviews submitted to UO's Internal Review Board (IRB) for Human Subjects Review ;… more
- ThermoFisher Scientific (Middleton, WI)
- …compliance and decrease risks. Ensures data accuracy through SDR, SDV and CRF review as applicable through on-site and remote monitoring activities. Assess ... investigational product through physical inventory and records review . Documents observations in reports and letters in a...personnel + Ability to maintain customer focus through the utilization of good listening skills, attention to detail and… more
- Humana (Miramar, FL)
- …in the Health Plan contractual agreements. The Pre-Service Coordinator will review inbound referrals and correspondence for processing, fulfilment or resolution ... of benefits coverage and eligibility for services per Health Plan contract. Review referral data matching it against specified medical terms and diagnoses or… more
- Norstella (Des Moines, IA)
- Client Success Renewals Specialist Company: MMIT Location: Remote , United States Date Posted: Dec 22, 2025 Employment Type: Full Time Job ID: R-978 **Description** ... a yearly or multi year basis * Responsible to contract terms review /changes, documentation in Salesforce, partnering with client team, and client communication… more