- Raytheon (Richardson, TX)
- …Layer 3) in support of the next generation of satellite data management capabilities in an evolving threat landscape. Tasks include implementing switch, firewall, ... configurations, utilizing scripting knowledge and experience with network technologies, services , operations, and associated security practices.The Senior Network Engineer… more
- Raytheon (Richardson, TX)
- …Layer 3) in support of the next generation of satellite data management capabilities in an evolving threat landscape. Tasks include implementing switch, firewall, ... configurations, utilizing scripting knowledge and experience with network technologies, services , operations, and associated security practices. The Senior Network… more
- 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 (Columbus, GA)
- **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...an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility;… more
- Elevance Health (TX)
- …and personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative Lead **Location:** Onsite ... Elevance Health location. **Build the Possibilities. Make an extraordinary impact.** The Utilization Management Representative Lead is responsible for… more
- Elevance Health (Indianapolis, IN)
- Job Description ** Utilization Management Representative I** The ** Utilization Management Representative I** is responsible for coordinating cases ... you will make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for… more
- Matrix Providers (Aurora, CO)
- …in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse (RN) Utilization Management : Degree/Education: Bachelor-s degree in nursing. Certifications: ... our team of talented professionals who provide health care services to our Military Service Members and...Management through the American Nurses Credentialing Center + Utilization Management Accreditation through National Committee for… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …preferred Experience: Greater than 3 years clinical nursing experience required. Utilization management experience preferred. Must be self-directed and possess ... clinical expertise with knowledge of medical appropriateness criteria, and applies principles of utilization and quality management , and the management of… more
- Brockton Hospital (Brockton, MA)
- …Develops, implements and evaluates the strategic plan for the organization-wide Case Management system and process for all services across Signature Healthcare. ... the discharge plan; ensures efficient and effective delivery of patient care services through the appropriate utilization of healthcare resources. Participates… more
- University of Rochester (Strong, AR)
- …of Medicare and other payer regulations for the coordination of benefits. + Notify Utilization Management of clinical requests by third party payers. + Maintain ... Counseling, Medicaid Enrollment & Outreach, Financial Assistance, Registration and Insurance Management , Utilization Management , Social Work, Patient… more
