- Elevance Health (Mason, 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
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...problems that include but are not limited to pre-certifications, Utilization Management , Medicaid Pending, third party payer… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third… more
- Luke Staffing (GU)
- …of clinical nursing experience is required. One year of previous experience in Utilization Management is required. Full time employment in a nursing field ... of this position, it must be directly related to referral/ utilization management . + **Licensure:** Current, full, active,...OR Registered Nurse in any one of the 50 States , the District of Columbia, the Commonwealth of Puerto… more
- Boehringer Ingelheim (Chicago, IL)
- …rental vehicle Eligibility Requirements: + Must be legally authorized to work in the United States without restriction. + Must be willing to take a drug ... along with further development of technical product knowledge is imperative. Effective utilization and management of internal and external resources is expected.… more
- Cedars-Sinai (Beverly Hills, CA)
- …+ Acts as liaison coordinating administrative support activities including facilities management , patient billing, utilization management , quality ... **Job Description** The Senior Patient Service Representative - PACT (Float Pool) at Cedars-Sinai Medical...out-of-pocket expenses. A solid understanding of all Health Information Management (HIM) related activities is integral to the role.… more
- Cedars-Sinai (CA)
- …workflows. + As liaison coordinates administrative support activities including facilities management , patient billing, utilization management , quality ... **Job Description** The Senior Patient Service Rep is responsible for positive patient relations, accurate...plans and other departments. + Actively participate in lean management processes by detailing, monitoring and updating department specific… more
- Cedars-Sinai (Santa Monica, CA)
- …support activities to address physician and staff concerns such as facilities management , patient billing, utilization management , quality management ... **Job Description** The Lead Patient Service Representative functions as an administrative team lead for...experience in an outpatient medical office setting required. **About Us ** Cedars-Sinai is a leader in providing high-quality healthcare… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experiences * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... of Minnesota Position Title: RN Specialist Complex Care Case Management Location: Remote Career Area: Health Services About Blue...If you are ready to make a difference, join us . The Impact You Will Have Blue Cross and… more
- University of Rochester (Rochester, NY)
- …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Health Insurance Counseling Work Shift: UR - Day ( United States of America) Range: UR URC...payer regulations for the coordination of benefits. + Notifies Utilization Management of clinical requests by third… more