- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- …initiatives; + Prepares and/or reviews reports, medical records and correspondence; + Performs utilization review and management functions; + Attends court ... mission is to promote the overall health and wellness of persons with behavioral health needs through an integrated network of holistic, comprehensive, effective and… more
- Highmark Health (Columbus, OH)
- …and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or ... both internally developed and vendor-sourced criteria. This includes proactive monitoring, review , and timely updates in response to new evidence, regulatory… more
- Atlantic Health System (Summit, NJ)
- …assessment, including SDOH and multidisciplinary collaboration. 2. Ensures daily chart review , utilization reviews, coordination of discharge planning activities ... selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to… 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 ... patient flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + Have strategic and tactical… more
- Washington Metropolitan Area Transit Authority (VA)
- …that enhance how our region moves from next-generation fare collection and asset management to enterprise video and access control systems. As WMATA?s go-to expert ... professional communications engineering and analysis experience, particularly in the utilization of a wide range of communications and telecommunications systems.… more
- Elevance Health (FL)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... Qualifications:** + Internal Medicine, or Family Medicine specialties preferred. + Utilization Management or Appeals experience preferred. For candidates working… more
- HCA Healthcare (Overland Park, KS)
- …while promoting quality outcomes through the continuum of care. Reviews and performs utilization review functions on each assigned patient per hospital policy ... 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 (Nashville, 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 ... The Sr. Analyst supports sourcing projects by coordinating the analytics team's review of multiple agreements within a category to establish financial and… more
- HCA Healthcare (Live Oak, TX)
- …and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...rational drug therapy and make improvements identified by drug utilization evaluations. + You will provide accurate and timely… more
- State of Indiana (Indianapolis, IN)
- …has exciting and challenging opportunities for you. Role Overview: INDOT's Traffic Management Division plans, builds, operates and maintains a network of more than ... aid in maintaining, upgrading and repairing critical infrastructure for the Traffic Management section of INDOT. You will be directly responsible for the design,… more