- Evolent (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 a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Sunrun (Providence, RI)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… 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
- Merck (Providence, RI)
- …expense reports, time‐off requests and provide proper oversight of CTC's productivity/ utilization . + Provide input for capacity planning, including reporting of ... issues to CRM and CRD/TA-Head. + People and Resource Management : - Manages CTC - career development, performance reviews,...the line manager. + Ability to proactively develop risk management and mitigation plans in the country and resolve… more
- Veterans Affairs, Veterans Health Administration (Providence, RI)
- …not limited to: Receives and manages a community specialty care assignment. Provides utilization management and utilization review services. Provides care ... Preferred Experience: Outpatient care management /clinical care coordination Utilization review Utilization management Grade Determinations:… more
- Hartford HealthCare (Plainfield, CT)
- …our communities. _Job Summary_ Under the direction of the clinical director, clinical coordinator , or the Registered Nurse (RN performs a variety of duties for each ... patientΓCOs age specific needs via the utilization of care based on paramedic scope of practice...90 days of hire. Ability to obtain adn maintain Management of Aggressive Behavior (MOAB) within 90 days of… more