- Spectrum Billing Solutions (Skokie, IL)
- …mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue ... + Flexible work environment - You can work from home , hybrid or fully in office. + Competitive Salary... Utilization Review Specialist | ABA Utilization Management Specialist | ABA… more
- FLACRA (Clifton Springs, NY)
- PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... one year of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by… more
- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding and ... of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians....compassionate team. **The Utilization Review Specialist Senior responsibilities include:** +… more
- Sharp HealthCare (San Diego, CA)
- …with patient care team members to help maintain cost effective drug utilization and formulary management .Assists other healthcare team members in keeping ... pharmacy team members, and payers to ensure appropriate reimbursement and drug utilization . This member is expected to work effectively and constructively with all… more
- Commonwealth Care Alliance (Boston, MA)
- …Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... in the area of service decisions and organizational determinations.The Manager, Utilization Management reports to the Director of Clinical Effectiveness.… more
- LifeCenter Northwest (Bellevue, WA)
- … Manager (OUM) is responsible for the strategic direction and daily operational management of the Organ Utilization Coordinator Team (OUCT). This leadership role ... for cost management . + Work in concert with Director, Organ Utilization , OUPM, Surgical Recovery Manager, Surgical Organ Recovery Specialist (s), Organ… more
- Improveit Home Remodeling (Columbus, OH)
- …and play a crucial role in shaping the employee experience at Improveit Home Remodeling. Payroll Specialist Responsibilities: + Responsible for timely, accurate, ... leaders for over 35 years. As the market for home improvement services continues to increase, our Company is...provides training as needed to ensure compliance and full utilization of tools. + Process daily, weekly, monthly, and… more
- Commonwealth of Pennsylvania (PA)
- Drug & Alcohol Case Management Specialist (Local Government) - Beaver County MH/ID Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4677380) ... Apply Drug & Alcohol Case Management Specialist (Local Government) - Beaver County...Telework: You may have the opportunity to work from home (telework) part-time, up to 2 days per week,… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... Enhanced Care Management Clinical Specialist II Job Category:... Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer:… more
- Hackensack Meridian Health (Hackensack, NJ)
- …healthcare and serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance ... A day in the life of an Integrated Case Management Specialist at Hackensack Meridian _Health_ includes:...inclusive of free text fields, to support the case management , utilization review process. + Retrieves information… more
- Integra Partners (Troy, MI)
- …to join our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal ... industry standards, regulatory requirements, and best practices in clinical documentation and utilization management and update training documents as required +… more
- Fairview Health Services (Edina, MN)
- **Overview** M Health Fairview has an immediate opening for a Care Management Specialist at its Edina, MN location. This is a 1.0 FTE (80 hours per two week pay ... by clicking here! (https://www.fairview.org/benefits) **Responsibilities Job Description** The Care Management Specialist is responsible for establishing and… more
- MyFlorida (Fort Myers, FL)
- ENVIRONMENTAL SPECIALIST II - 64006658 1 Date: Sep 27, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 834137 Agency: Department of Health Working Title: ENVIRONMENTAL SPECIALIST II - 64006658 1 Pay Plan: Career Service...the Onsite Sewage Treatment and Disposal Systems program, Mobile Home /RV parks, as well as other environmental programs. The… more
- LA Care Health Plan (Los Angeles, CA)
- …experience in direct patient care, such as ambulatory care, home care, or case management . OR experience in Utilization Review or Care Management will be ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed...a case/care management environment. Preferred: Experience in utilization review, skilled nursing, home health, discharge… more
- HCA Healthcare (San Antonio, TX)
- …Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works closely with hospital case management to ensure a responsive ... may need acute inpatient rehabilitation services prior to returning home . The Clinical Rehabilitation Specialist will review...rehab through their assigned case manager. + Once Case Management has completed the Patient Choice process and the… more
- Hackensack Meridian Health (Neptune, NJ)
- …a **Care Coordination Specialist ** at **Hackensack Meridian** **_Health_** includes: ** Utilization Management ** + Payer communications - responds to requests ... performs selected services and functions related Transitions of Care & Utilization Management , including insurance authorization, payer communications, Appeals… more
- Henry Ford Health System (Troy, MI)
- …the daily operations and compliance program as it relates to the Vendor Management and Transparent Sourcing Policy, with a primary emphasis on vendor compliance, ... and trends; costing factors, historical pricing, volume, spend and utilization ; cost savings; and bids/proposals/quotations. PRINCIPLE DUTIES AND RESPONSIBILITIES: +… more
- Access Dubuque (Dubuque, IA)
- OR Inventory Specialist - Materials Management - FT - Days **MercyOne** 1 Positions ID: TRHEUS00539376MERCYO Posted On 09/26/2024 **Job Overview** **Employment ... as necessary. Evaluate contracts, confirm pricing and work with vendors on supply management , consignment and the introduction of new products. Work as a member of… more
- Billings Clinic (Billings, MT)
- …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Health Information Management (HIM) Specialist HEALTH INFO ... family activities. Amazing outdoor recreation is just minutes from home . Four seasons of sunshine! You can make a...DOE: $17.00 - $21.25 Under general supervision, the HIM Specialist will perform work within one or more of… more
- St. Luke's University Health Network (Lehighton, PA)
- …partners with participants to facilitate their recovery and community integration through utilization of the Specialist 's personal life experience and first-hand ... ability to pay for health care. The Certified Peer Specialist (CPS) has the lived experience of a mental...to model coping techniques and recovery tools needed for self- management of their health condition(s) and pursuit of their… more