- Health Care Service Corporation (Albuquerque, NM)
- …Job Qualifications:** + Registered Nurse (RN), Licensed Practical Nurse (LPN), OR Behavioral Health Professional with unrestricted license to practice ... + Working knowledge of the Medical Management Program and UM /CM policies and practices + Analytical skills + Verbal... administration or in the healthcare field + Certified Professional Health Care Quality (CPHQ Certification) +… more
- Elevance Health (Houston, TX)
- …be assigned a shift between 7:00 AM and 5:00 PM Pacific. The ** Behavioral Health (BH) Utilization Management Representative I** responsible for coordinating ... identification and data entry of referral requests into the UM system in accordance with the plan certificate. +...field preferred. + For URAC accredited areas, the following professional competencies apply: Associates in this role are expected… more
- Highmark Health (Concord, NH)
- …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
- University of Michigan (Ann Arbor, MI)
- …to applying. + An advanced degree in a health -related areas such as: Health Sciences, Behavioral Sciences, Public Health , Health Care Administration, ... to this position. **Job Summary** The REMEDY team at the University of Michigan ( UM ) manages the vast portfolio of surgical clinical trials for the Department of… more
- Compass Group, North America (Gwynn Oak, MD)
- …NUTRITION MANAGER in Gwynn Oak, MD!** **Location** : Morrison Healthcare at UM Rehabilitation and Orthopaedic **Setting** : Rehab **Schedule** : Full time, Monday ... Dietitians with benefits designed to support education, career growth, and professional success! Special perks include:** * **Education Reimbursement -** Financial… more
- Compass Group, North America (Gwynn Oak, MD)
- …as a DIETITIAN in Gwynn Oak, MD!** **Location** : Morrison Healthcare at UM Rehabilitation and Orthopaedic **Setting** : Rehab **Schedule** : Full time, Monday - ... Dietitians with benefits designed to support education, career growth, and professional success! Special perks include:** * **Education Reimbursement -** Financial… more
- University of Michigan (Ann Arbor, MI)
- …to this position. **Job Summary** The REMEDY team at the University of Michigan ( UM ) manages the vast portfolio of surgical clinical trials for the Department of ... patients. Our collaborators include investigators from other departments within UM , industries, and Universities. We specialize in multi-center, including… more
- Excellus BlueCross BlueShield (Rochester, NY)
- … health care services. Examples may include: Utilization Management, Quality, Behavioral Health , Pharmacy, Registered Dietitian and Respiratory Therapist + ... Managers, especially those with varied clinical expertise (ex. Social Work, Behavioral Health , Respiratory Therapy, Registered Dietitian, Registered Nurse,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and member satisfaction. Required Skills and Experience * Registered nurse or licensed behavioral health clinician (ie LICSW, LPCC, LMFT, LP, LADC, LBA) with ... Case Manager PreService & Retrospective - RetroClaims - Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of Minnesota At Blue Cross… more
- The Cigna Group (Bloomfield, CT)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... to excellence as we deliver innovative, cost-effective programs designed to improve the health and vitality of our customers. This individual will help us to develop… more