- Excellus BlueCross BlueShield (Rochester, NY)
- …encourage you to apply! Job Description: Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and ... outbound calls to customers (members and providers) by delivering excellent customer-centered service providing information regarding services in a call center… more
- Elevance Health (San Antonio, TX)
- …affordability, and personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior ... BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through...support. **Build the Possibilities. Make an extraordinary impact.** The ** Utilization Management Representative II -… more
- Elevance Health (Miami, FL)
- ** Utilization Management Representative II** **Location:** This role enables associates to work virtually full-time in **Florida** , with the exception of ... 6 am - 6 pm EST including weekends. The ** Utilization Management Representative II** is...an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility;… more
- Elevance Health (Latham, NY)
- ** Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative II** is responsible for… more
- Elevance Health (Columbus, GA)
- ** Utilization Management Representative III** **Location:** This role enables associates to work virtually full-time, with the exception of required ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative III** is responsible for… more
- Elevance Health (Louisville, KY)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative I** will be responsible… more
- Elevance Health (Columbus, GA)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... integration, and ensures essential face-to-face onboarding and skill development. The ** Utilization Management Representative I** will be responsible… more
- Sanford Health (Fargo, ND)
- …credit added to wage ** **Department Details** This role will be supporting the Utilization Management team in various administrative tasks. We are seeking a ... to changes. **Job Summary** Two major functions of the Patient Access Representative (PAR) are patient registration and scheduling. Depending on setting, the PAR… more
- UNC Health Care (Hendersonville, NC)
- …management referrals. Initiates appropriate social work referrals. + Performs utilization management assessments and interventions, using collaboration with ... with the Care Manager to manage level of care transitions & appropriate utilization of services . Coordinates with the appropriate staff/payers to assure third… more
- Ochsner Health (New Orleans, LA)
- …as well as efficiently in high pressure situations. Preferred- Experience in Case Management or Utilization Review Business and Financial Knowledge as well as ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
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