- HCA Healthcare (Summerville, SC)
- …of experience in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is ... 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)
- …improvement opportunities to enhance the effectiveness and efficiency of the competency management program through the review of evidence for best practices ... 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
- Takeda Pharmaceuticals (Boston, MA)
- …knowledge in collaboration with scientific communication partners. + Provide medical review for global promotional and non-promotional materials as needed. + ... for managing chronic skin conditions. These may include interactive programs, behavioral therapy modules, and educational content. + Support country or regional… more
- Northern Light Health (Blue Hill, ME)
- …+ Collaborates with the interdisciplinary team to maximize patient care. Resource Management + Identifies opportunities to improve utilization of resources. ... based practice. Leadership and Professional Conduct + Utilizes appropriate time management and meets the expectations for punctuality and attendance. + Demonstrates… more
- HCA Healthcare (Savannah, GA)
- …in case management or critical care is preferred. + Certification in case management or utilization review is preferred. + InterQual experience is ... 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 (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 ... implement, and manage the pharmacy clinical programs. This includes formulary management , policy and procedure development and education across the healthcare… more
- The Cigna Group (Bloomfield, CT)
- …reimbursement methodology, case-mix adjustment, and applications for claims payment, providers, and utilization management . + Ability to take a position and make ... improve Cigna's competitive unit cost position. Partners closely with peers and management in Network Development & Competitive Insights, as well as matrix partners… more
- HCA Healthcare (Dublin, GA)
- …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 Consolidated Service Center and the facility. Your functions include inventory management , vendor relationship management , and managing supply expense. You… more
- University of Utah (Salt Lake City, UT)
- …External Posting **Pay Rate Range** $65,000 - $70,000 **Close Date** 11/22/2025 **Priority Review Date (Note - Posting may close at any time)** **Job Summary** ... and collaborate on the development of reports related to service utilization , student satisfaction, and program outcomes. **_High-Level Financial Counseling &… more
- LifePoint Health (Hickory, NC)
- …adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and ... North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and...* Must understand payer issues with regard to patient management and resulting implications of clinical decisions and anticipate… more
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