- US Tech Solutions (Canton, MA)
- …all aspects of clinical decision making and support needed to perform utilization management , medical necessity determinations and benefit determinations using ... - 5.15 pm EST) *Please note: This is Fully remote , but Massachusetts RN license required. Job Summary The...through participation in the IMPAC. Proactively identifies trends in Utilization Management applicable to the precertification and… more
- GLOBALHEALTH HOLDINGS LLC (Oklahoma City, OK)
- …required Active multi-state license is preferred Previous experience in managed care/ utilization management preferred KNOWLEDGE, SKILLS AND ABILITIES: Knowledge ... Details Job Location GlobalHealth OKC - Oklahoma City, OK Remote Type Fully Remote Position Type Full...This position, under the direction of the Supervisor, Care Management , performs and manages all aspects of care … more
- Veterans Health Administration (Augusta, ME)
- …include, but are not limited to: Supports clinics regarding clinic profile management . Collects and updates insurance information from Veterans, family members and ... the data into VISTA if applicable. Promotes Veterans registration for and utilization of MyHealthyVet (MHV) and kiosks usage. Follows procedures regarding Community… more
- myPlace Health (Los Angeles, CA)
- …needs, in collaboration with participants, families, and the myPlace interdisciplinary team. Utilization and Care Management : Work closely with the Medical ... proactively intervene to prevent complications or readmissions. Complex Case Management : Identify high-risk cases, anticipate potential challenges, and implement… more
- Chugachmiut (Seward, NE)
- …and maintained certification *Active Alaska license in good standing as a Nurse Practitioner or Physician's Assistant with remote site access collaborative ... achievement of quality care, patient satisfaction, positive outcomes, appropriate utilization of resources and cost-effective services. Major Responsibilities: *Perform… more
- Bluestone Physician Services (Venice, FL)
- …with primary care teams to ensure high quality team-based care Use utilization management tools to facilitate appropriate transitional care management ... position allows for great work-life balance, with approximately 20% remote and 80% of the time allowing you to...Degree in Social Work, Licensed Social Worker or Registered Nurse 3-5 years of experience in case/care management… more
- InGenesis (Columbia, SC)
- Managed Care II / Social Worker Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City : Columbia ... and services required to support members in managing their health. This is a REMOTE opportunity for candidates living in SC. Apply today and we'll reach out to… more
- Johnson and Johnson (Philadelphia, PA)
- …TA and/or Immunology. Must be familiar with Microsoft Word, Excel, PowerPoint, and utilization of computers and remote technologies. Reside in or near ... their skills in agility, applying the competencies of Change Management , Time Management and Innovation. The Sr....PharmD, PhD, MD, or other advanced medical degree NP ( Nurse Practitioner), PA (Physician Assistant), with +3 years relevant… more
- Strive Health (Indianapolis, IN)
- …outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization . Our high-touch care model integrates with local providers and uses ... in healthcare. Join us in making a real difference. Benefits & Perks Hybrid- Remote Flexibility -Work from home while fulfilling in-person needs at the office,… more
- International SOS Government Medical Services (San Diego, CA)
- Company Description International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and ... and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range… more
