• Utilization Management Rep

    Elevance Health (Richmond, VA)
    **Title: Utilization Management Representative I** **Location:** This position will work a remote model. Ideal candidates will live within 50 miles of one of ... our PulsePoint locations. The ** Utilization Management Representative I** will be responsible for coordinating cases for precertification and prior… more
    Elevance Health (03/06/25)
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  • Utilization Review Nurse (RN)

    Matrix Providers (Aurora, CO)
    Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse (RN) Utilization Management : Degree/Education: Bachelor-s degree in nursing. Certifications:… more
    Matrix Providers (01/29/25)
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  • Director - Utilization Review - South…

    Ochsner Health (New Orleans, LA)
    …upholding the strategic vision, direction and overall accountability for the Utilization Management Department. Develops, implements and monitors strategies for ... cost reduction and utilization management . Implements and leads all regulations...and Environmental Demands** The physical demands described here are representative of those that must be met by an… more
    Ochsner Health (01/29/25)
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  • RN Utilization Manager

    Ochsner Health (Quitman, MS)
    …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...to all users. If you would like to contact us regarding the accessibility of our website, or if… more
    Ochsner Health (03/15/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Strong, AR)
    …can thrive. **Job Location (Full Address):** 601 Elmwood Ave, Rochester, New York, United States of America, 14642 **Opening:** Worker Subtype: Regular Time ... 500183 Financial Counseling&Outpt Reg 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
    University of Rochester (03/05/25)
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  • Sales Rep /SR Sales Representative

    Boehringer Ingelheim (Denver, CO)
    …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
    Boehringer Ingelheim (01/28/25)
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  • Senior Patient Service Rep - Nephrology

    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 (02/01/25)
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  • Nurse Case Manager - Full Time, DAYS

    Albany Medical Center (Albany, NY)
    Department/Unit: Care Management /Social Work Work Shift: Day ( United States of America) Salary Range: $71,612.39 - $110,999.20 The Case Manager is ... Quality Improvement Teams, patient care standards, Social Work, and utilization management to coordinate the appropriate use...colleagues. Physical Demands The physical demands described here are representative of those that must be met by an… more
    Albany Medical Center (03/08/25)
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  • Clinical Supply Chain Materials Management

    Ochsner Health (Jefferson, LA)
    …Develops, implements, and monitors strategies for supply cost reduction and utilization management . Develops, implements and manages the Lawson inventory ... plans, organizes, manages and controls activities related to operating room inventory management . Manages the tracking of inventory under the OR service unit… more
    Ochsner Health (03/07/25)
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  • Case Manager RN

    CVS Health (Union, NJ)
    …to our members. Health service strategies, policies, and programs are comprised of utilization management , quality management , network management , ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose:...Health service strategies, policies, and programs are comprised of utilization management , quality management , network… more
    CVS Health (03/04/25)
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