- Highmark Health (Pittsburgh, PA)
- …with operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits ... Description :** Date Posted: 20250509 Location: Allegheny General Hospital Department: Case Management , Inpatient Status: Full Time Shift: 80 hours every two weeks… more
- HCA Healthcare (Brentwood, TN)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... assessments as directed + Manages multiple engagements concurrently, including: management of division laboratory activities, on site interviews, current state… more
- Carnegie Mellon University (Pittsburgh, PA)
- …Provide analytical support and financial insight for audits, facilities projects, space utilization , grants management , and special projects. + Coordinate with ... spirit, and collaboration From creative writing to statistics and data science, behavioral economics to social and political history, Dietrich College is home to… more
- Insight Global (Washington, DC)
- …departmental performance, identifying areas for improvement in patient throughput, resource utilization , and cost management . * Lead high-impact projects, such ... strong background in healthcare administration, operations, program development, and project management . Candidates with a proven record of driving strategic results… more
- HCA Healthcare (Kingwood, TX)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to… more
- Prime Healthcare (Gadsden, AL)
- …to manage care transitions. RN Case Managers also conduct discharge planning, utilization review , and helping patients navigate insurance and healthcare systems. ... to rehab, home health, or long-term care facilities + Utilization Review : m onitor the use of...and knowledge in basic to intermediate computer skills + Behavioral Violence Prevention Training within 3 months of hire… more
- HCA Healthcare (San Antonio, TX)
- …experience, preferably experienced in Oncology + Prefer at least one year experience in utilization review , resource management , discharge planning or case ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (San Antonio, TX)
- …Preferred: Bachelor of Science in Nursing + At least one year experience in utilization review , resource management , discharge planning or case management ... no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.… more
- HCA Healthcare (Austin, TX)
- …interdepartmental service coordination. + Actively participates in the Performance Improvement and Utilization Review programs. + Assumes a role in the ... no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.… more
- The Cigna Group (Bloomfield, CT)
- …**Area of Operation - Colorado, Utah, Pacific Northwest** As part of Cigna Pharmacy Management , the Pharmacy Sales Advisor is a licensed clinician who serves as the ... of an integrated benefit, which typically includes Medical, Pharmacy, and Behavioral . This includes service support, reporting, pricing, and/or other performance… more
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