- Molina Healthcare (Orem, UT)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At ... For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is...who must hold a compact license. This is a Remote position, home office with internet connectivity of high… more
- Centene Corporation (Baton Rouge, LA)
- …years of managed care, hospital or medical group; focusing on quality improvement, utilization management , case management , or clinical operations. Project ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- GE Vernova (Schenectady, NY)
- …and resource availability. * Partner with Operations, Scheduling, and Project Management teams to optimize transportation sequencing and minimize downtime. * ... permitting, and transport readiness for all moves. * Vendor & Partner Management * Lead commercial and performance relationships with logistics suppliers, crane… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At least 2 years in ... daily. This position will mentor, coach, and may provide feedback to management on performance of staff. Ensure team effectiveness and project completion. Duties… more
- HCA Healthcare (Dallas, TX)
- …clinical screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works ... closely with hospital case management to ensure a responsive and smooth flowing referral...commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Assists in developing the annual… more
- GE Vernova (MT)
- …scenarios to evaluate alternatives and optimize delivery timelines and resource utilization . + Identify schedule risks and opportunities, driving mitigation and ... projects. + Background in cost control and earned value management (EVMS). + Experience in the hydropower industry. +...a drug screen (as applicable). **Relocation Assistance Provided:** No \#LI- Remote - This is a remote position… more
- Alight (TX)
- …by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation. With a comprehensive total rewards package, continuing ... (coaching, information, emotional support, web navigation) + Working closely with the nurse team and/or other teams to determine best method to satisfy participants… more
- ZOLL Medical Corporation (Phoenix, AZ)
- …Specialist (CSS) is responsible for developing and maintaining account relationships and management of those relationships in relation to Itamar Medical products and ... customers, and where possible, identifying and expanding opportunities to increase utilization and revenue.Essential Functions + Work in collaboration with your… more
- Adecco US, Inc. (Minneapolis, MN)
- …. Experience applying benefits and criteria to clinical reviews . Utilization Management , pre-authorization, concurrent review, or appeals experience **Why ... Adecco Healthcare & Life Sciences is hiring remote RN Appeals Reviewers! This role is ...Holiday pay upon meeting eligibility criteria. **IMPORTANT:** This **Registered Nurse ** role is being recruited for by Adecco's Healthcare… more
- Teleflex (Buffalo, NY)
- …from our world-class brands including: + LMA (TM) and Rusch (TM) airway management devices designed to help reduce the risk of airway-related complications. + Arrow ... pain management products designed to improve patients' post-operative pain experience. Join a dynamic, growing team that offers healthcare providers advanced medical… more