- Commonwealth Care Alliance (Boston, MA)
- … Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will be responsible for providing leadership and ... growing membership. The incumbent will have significant experience with utilization review , ideally experience with public programming,...Serve as the lead for CCA's Utilization Review functions working closely with other medical … more
- Actalent (Orlando, FL)
- …to validate the necessity and setting of care. Essential Skills + Proficiency in utilization management and utilization review + Experience with Interqual ... review the type of care being delivered, evaluate medical necessity, and contribute to discharge planning following established...program terms. If eligible, the benefits available for this temporary role may include the following: * Medical… more
- Actalent (Olympia, WA)
- …in case management and care coordination. + Experience with EPIC software. + Utilization review and appeals handling capabilities. + Discharge planning and ... program terms. If eligible, the benefits available for this temporary role may include the following: * Medical... temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Prime Healthcare (Inglewood, CA)
- …to case managers, social workers and case management coordinators/discharge planners, utilization review coordinators and utilization technicians. ... Overview AtCentinela Hospital Medical Center, our dedicated team of professionals are...Clinical Coordinators. This leader will oversee all facets of utilization management, discharge planning, and care coordination to ensure… more
- Actalent (Redlands, CA)
- …with internal staff to ensure seamless care coordination. Essential Skills + Utilization review and management experience. + Familiarity with Medicare, ... Job Title: Remote LVN Case Manager - Utilization Management Job Description Join our dynamic ...program terms. If eligible, the benefits available for this temporary role may include the following: * Medical… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …care experience required. + Experience - At least 3 years of experience in Utilization Review or Care Management is required or previous appeal experience. + ... + Educates all members of the patient care team, Medical Directors and Utilization Management leadership regarding...have a valid, active unencumbered Registered Nurse license or temporary permit approved by the Georgia Licensing Board. +… more
- Veterans Affairs, Veterans Health Administration (Dublin, GA)
- …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... Summary The Advanced Medical Support Assistant (MSA) serves at the Dublin...Announcement" for eligible applicants to be considered for these TEMPORARY POSTIONS NOT TO EXCEED 2 YEARS. The first… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... Case Manager - Temporary **Position Summary** At Stony Brook Medicine, a...cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to… more
- The County of Los Angeles (Los Angeles, CA)
- ELECTION ASSISTANT III, NC ( TEMPORARY ) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1352861) Apply ELECTION ASSISTANT III, NC ( TEMPORARY ... ) Salary $38.38 Hourly Location Los Angeles County, CA Job Type Temporary Job Number E9315C Department REGISTRAR-RECORDER/COUNTY CLERK Opening Date 12/07/2023 +… more
- Unilever (San Francisco, CA)
- THE ROLE: SENIOR SUPPLY PLANNING ASSOCIATE The Temporary Senior Supply Planning Associate plays a crucial role in OLLY's Supply Chain by interpreting demand signals ... delivery of products. + Lead regular meetings with factories and co-packers to review production plans, capacities, and constraints. + Work with factory partners to… more
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