- Elevance Health (San Antonio, TX)
- ** Utilization Management Representative III** **Location:** This role requires associates to be in-office 5 days per week, at our San Antonio, TX location. ... The ** Utilization Management Representative III** is responsible for coordinating cases for precertification and prior authorization review. **How you will… more
- Elevance Health (Cincinnati, OH)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases… more
- Monroe Plan for Medical Care (Rochester, NY)
- Utilization Management Intake Representative II Summary Title: Utilization Management Intake Representative II ID:UM 42 (ROC) Location:Rochester, ... We are currently looking for an experienced and qualified, Intake Representative for our Utilization Management team. We offer competitive pay, flexible… more
- Commonwealth Care Alliance (Boston, MA)
- …procedures, and facilities under the provisions of CCA's benefits plan. The Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical ... service authorization review for medical necessity and decision-making. The Utilization Management Reviewer has a key role...Physical Requirements: * The physical demands described here are representative of those that must be met by an… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I ... comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're working… more
- Ochsner Health (Jefferson, LA)
- …job negotiates contracts, maintains high contract compliance, and manages supply utilization for their book of business. Drives cost redirection initiatives ... product change, and serves as an internal advocate of product standardization/ utilization initiatives. Assists with coordinating new product introduction and overall… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case ... management and social work department to facilitate efficient utilization of resources and discharge planning including referrals management , communication… more
- Grifols Shared Services North America, Inc (Minneapolis, MN)
- …110 countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...protocol changes within their related area of practice. + Utilization of corporate resources including the Key Account Manager,… more
- Grifols Shared Services North America, Inc (Dallas, TX)
- …110 countries and regions. **Overview:** The primary responsibility of the Bleeding Management Hospital Specialty Sales Representative (HSSR) is to represent key ... products within the Bleeding Management product portfolio with a primary responsibility for the...protocol changes within their related area of practice. + Utilization of corporate resources including Key Account Manager, Managed… more
- Access Dubuque (Dubuque, IA)
- Technical Support Representative **Managed Solutions Group** 1 Positions ID: 74614 Posted On 07/17/2025 **Job Overview** The Technical Support Representative ... and other members of the team assisting with the delivery and management of technology-based services and solutions for new and existing customers. **ESSENTIAL… more
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