- Evolent Health (Providence, RI)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports… more
- Highmark Health (Providence, RI)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …functional, medication management , and home safety evaluations as part of intake or initial, status change, scheduled (biannual) assessment, or as required; As ... + Assists Home Care Manager/Residential Nurse manager to monitor utilization and processes for stocking Nursing and health aide...of service. + Assumes the role of Home Care Coordinator as assigned by Home Care Director including: Conducts… more