• Utilization Management

    Elevance Health (Tampa, FL)
    ** Utilization Management Representative II** **Location:** Must live within 50 miles of the Miami or Tampa Florida PulsePoint. The ** Utilization ... benefits and/or eligibility information. + May act as liaison between Medical Management and internal departments. Responds to telephone and written inquiries from… more
    Elevance Health (01/04/25)
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  • Clerk - Utilization Management

    Elevance Health (NY)
    **Clerk - Utilization Management Representative I** **Location:** Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint ... per week at our Staten Island location. The **Clerk - Utilization Management Representative ** is responsible for coordinating cases for precertification… more
    Elevance Health (01/13/25)
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  • Utilization Management

    Elevance Health (Roanoke, VA)
    **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). 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… more
    Elevance Health (01/09/25)
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  • Registered Nurse (RN) - Utilization

    Matrix Providers (Aurora, CO)
    Registered Nurse (RN) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... Matrix Providers is hiring a Registered Nurse (RN) - Utilization Management to join our team of...standards. We support our employees with an accessible dedicated representative to assist you throughout the duration of your… more
    Matrix Providers (11/26/24)
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  • Program Manager - Utilization

    Independent Health (Buffalo, NY)
    …perks, benefits and commitment to diversity and inclusion. **Overview** The Program Manager- Utilization Management (UM) will be accountable for the management ... recommendations for improvements to maintain an effective and efficient utilization management process, as well as manage...team and others as designated as the HCS department representative . _Immigration or work visa sponsorship will not be… more
    Independent Health (12/14/24)
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  • Utilization Manager (RN)

    UNC Health Care (Hendersonville, NC)
    management referrals. Initiates appropriate social work referrals. * Performs utilization management assessments and interventions, using collaboration with ... health and well-being of the unique communities we serve. Summary: The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases… more
    UNC Health Care (11/20/24)
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  • Case Management Representative

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Management Representative position is responsible for providing clerical assistance and data management support to the case ... management and social work department to facilitate efficient utilization of resources and discharge planning including referrals management , communication… more
    Houston Methodist (12/16/24)
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  • Behavioral Health Program Coordinator-1

    Point32Health (MA)
    …as a key member of the Program Coordinator Team and the BH Utilization Management department and is a representative of Point32 Health values to both the ... of the Supervisor - Behavioral Health is responsible for the daily management of non-clinical reviews supporting the clinical, business and program related work… more
    Point32Health (01/03/25)
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  • Patient Access Insurance Verification…

    R1 RCM (Birmingham, AL)
    …and explain coverage details to case managers and will work closely with utilization management and insurance companies. Success in this role is measured ... team-oriented, and comfortable making outbound calls to insurance carriers. The representative will need outstanding time management skills and the… more
    R1 RCM (12/22/24)
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  • Rental Sales Representative

    Ryder System (Dracut, MA)
    …Pay- **$20.00-$21.00 per hour depending on experience.** **Summary** The Rental Sales Representative is responsible for acting as the front line sales agent for ... rental customers and consumer household needs. This requires the Rental Representative to work cross functionally across Sales, Marketing, Operations and Asset… more
    Ryder System (01/08/25)
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  • Customer Service Representative

    Sea Mar Community Health Centers (Tacoma, WA)
    …is a mandatory COVID-19 and flu vaccine organization Customer Service Representative - Posting #26889 Position Summary: Full-Time Customer Service Representative ... for our Managed Care Department in Tacoma, WA. The Customer Service Representative is responsible for screening all non-insured patients and ensuring that customers… more
    Sea Mar Community Health Centers (12/18/24)
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  • Rental Sales Representative

    Ryder System (Atlanta, GA)
    …of a dynamic team, equipped to succeed and empowered to develop your sales, management , operations, or customer service career. You thought that was it? Take a look ... your interest if you like what you read _** **Job Summary** The Rental Sales Representative is responsible for acting as the front-line sales agent for the rental of… more
    Ryder System (01/14/25)
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  • Provider Service Representative

    CDPHP (Albany, NY)
    …practitioners, facilities, adjunct/ancillary and all other providers regarding the proper utilization of the Plan. In addition, the representative will ... invites you to be a part of that experience. The Provider Services Representative shall assume full responsibility and ownership for all aspects regarding education… more
    CDPHP (12/30/24)
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  • Patient Service Representative (Pain…

    Beth Israel Lahey Health (Brookline, MA)
    …making a difference in people's lives.** This position works in the Pain Management Center within the department of Anesthesia. The role entails answers, screens and ... position is a part of the William Arnold - Carol A. Warfield, MD Pain Management Center at One Brookline Place, conveniently located next to the Brookline Village T… more
    Beth Israel Lahey Health (12/10/24)
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  • Deployable TARP Representative

    Leidos (San Diego, CA)
    …The National Security Sector has an opening for a Deployable TARP Representative for Edinburgh, Australia. The selected applicant with start at Naval Air ... Australia 45 to 60 days after hire date. The Deployable TARP Representative will support the Technical Assistance for Repairables Processing (TARP) Program sponsored… more
    Leidos (12/19/24)
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  • Customer Care Representative - Regional…

    MSC Industrial Supply Co. (Harrisburg, PA)
    …conversion, upselling & productivity measurements. * Conducts extensive follow-up through the utilization of a ticket management system to ensure accuracy and ... :Customer Care Work Location :Harrisburg, PA BRIEF POSITION SUMMARY: The Representative , Customer Care - Regional Omnichannel is responsible for handling customer… more
    MSC Industrial Supply Co. (01/14/25)
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  • Supervisory Apprenticeship and Training…

    Employment and Training Administration (Dallas, TX)
    …with competitive status. Responsibilities As a Supervisory Apprenticeship and Training Representative , your duties include, but are not limited to, the following: ... Represent ETA at State and district conventions, meetings and councils of various management and labor groups having an interest in apprenticeship and other related… more
    Employment and Training Administration (01/05/25)
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  • Member Service Representative - Full & Part…

    CDS Life Transitions (Webster, NY)
    …welcome calls to new members and document the contacts + Assist the Utilization Management Team by placing outbound calls for Service Approval notification ... benefits, please apply to find out more! Summary: A Member Services Representative is responsible for providing iCircle members with exceptional customer service. A… more
    CDS Life Transitions (11/16/24)
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  • Account Representative II, Employee…

    HUB International (San Diego, CA)
    …Service professionals provide critical support to our customers through account management , claims management , day-to-day client oversight, and underwriting ... needs and provide them with innovative solutions. The Employee Benefits Account Representative II works collaboratively with the Producer and Account Team managing a… more
    HUB International (12/27/24)
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  • Sales Representative II, Pain Interventions

    Medtronic (Greenville, SC)
    …product and therapy technical support and service, + including consultation at strategic management and analysis of sales trends, + utilization of appropriate ... more connected, compassionate world. **A Day in the Life** At Medtronic, the Sales Representative II, Pain Interventions is a Senior level role that is considered a… more
    Medtronic (01/14/25)
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