- Elevance Health (Richmond, VA)
- Job Description **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 (Richmond, VA)
- ** Utilization Management Representative II** **Location:** This is a remote position but candidates should live within 50 miles of one of our PulsePoint ... locations. The **Utilizations Management Representative II** is responsible for managing incoming calls, including triage, opening of cases and authorizing… more
- Highmark Health (Richmond, VA)
- …review and make determinations regarding physician reviewer assignments for medical management decisions. Cases requiring physician review are provider and member ... requests, received from Medical Management & Policy (MM&P) and Member Grievance Departments. * Responsible for management of Peer to Peer telephone line. Will… more
- University of Virginia (Charlottesville, VA)
- …closely with multiple departments such as the Bed Center, transportation and Utilization Management . Responsible for reviewing work ques throughout shift to ... audit quality of one's own work to ensure a low denial rate for the Revenue Cycle team. + In addition to the above job responsibilities, other duties may be assigned. Position Compensation Range: $15.68 - $24.30 Hourly **MINIMUM REQUIREMENTS** **Education:**… more
- Truist (Richmond, VA)
- … utilization , maximizing value from supplier agreements. 6. Risk Management : * Identify potential risks associated with supplier relationships and develop ... **Please review the following job description:** The Cost and Supplier Management Senior Consultant is responsible for developing and managing strategic… more
- ASM Global (Richmond, VA)
- …Vice President FLSA STATUS: Salaried Exempt Summary As the world's leading venue management company and producer of live event experiences, ASM Global is the ... preeminent management and content partner with over 350 venues worldwide....promotes the use of the facility to maximize its utilization . + Negotiates lease agreements as determined necessary and… more
- Sunrise Senior Living (Charlottesville, VA)
- …The Director of Nursing Services is responsible for providing leadership and management to the skilled nursing operations. Responsible for planning, organizing and ... position. Clinical Care Delivery Operations + Directs, supervises the management of the team members in the skilled nursing...the highest quality standards for well-being. + Ensures proper utilization of the Resident Care Plan by all team… more
- ChenMed (Richmond, VA)
- …focusing on safety and efficacy, while assisting in the creation and management of the formulary. + Reviews and verifies prescriptions and medication orders ... appropriateness, including safety and efficacy. + Conducts prospective drug utilization reviews, evaluating proper dosage, usage directions, drug interactions,… more
- Fresenius Medical Center (Richmond, VA)
- …acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other FVC administrative and ... questions. + Identifies and communicates patient related issues to facility management , as needed. + Completes documentation of patient information from admission… more
- FranklinCovey (Richmond, VA)
- …base/commission. **Job Summary** We are seeking a dynamic and proactive Technology Success Representative (TSR) to play a pivotal role in ensuring that our 4 ... This role combines customer service, technical support, and account management , ensuring client satisfaction and loyalty. **Essential Job Functions** **Proactive… more
- University of Virginia (Charlottesville, VA)
- …chain, call nurses, surgical team, and patients when appropriate. + Maximizes OR utilization and patient access: + Supports the initiative that patients are operated ... issues/problems by working with the Epic Optime team, provides input to management on potential Epic enhancements and workflow improvements, using LEAN/A3/Be Safe… more
- Truist (Richmond, VA)
- …and procedures + Support of Account Administration policies and procedures + Utilization of Corporate Trust and Escrow Services systems and technology + Primary ... + Responsible for all Corporate Trust and Escrow Services Administration risk management ensuring all objectives with respect to compliance and operational risk are… more