- Healthfirst (NY)
- …service authorizations. Negotiates rates with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network ... management services for assigned member caseloads which includes: + Pre -certification performing risk-identification, preadmission, concurrent, and retrospective reviews to… more
- Elevance Health (Mason, OH)
- **LOCATION** **: This is a remote position, but you must reside within 50 miles/1 hour commute of an eligible Elevance Health PulsePoint location.** **HOURS** **: ... Monday through Friday, 10:30 - 7:00 Eastern time** The **Licensed Utilization Review II** responsible for working primarily with healthcare providers to help ensure… more
- Centene Corporation (Raleigh, NC)
- …person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. ... **Position location:** This position will allow for remote work flexibility, but selected candidate must have the ability to travel to either the Charlotte, NC or… more
- Organon & Co. (Plymouth Meeting, PA)
- …be for you join our team to understand how Organon is driving appropriate utilization of medicine at the nation's largest and most innovative health networks! The ... Associate Director Market Access Contracting, Payer Segment, will report to the Executive...as a result of an agency referral where no pre -existing agreement is in place. Where agency agreements are… more
- St. Luke's University Health Network (Allentown, PA)
- …needed + Is a resource to the Coding department, SLPG practices, providers, Pre -Encounter Center, Utilization Review Department and Billing department + Assists ... and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability… more
- Teleflex (Morrisville, NC)
- Clinical Affairs Manager Coronary ( Remote ) **Date:** Sep 16, 2024 **Location:** Morrisville, NC, US **Company:** Teleflex **Expected Travel** : Up to 50% ... with solutions in the fields of vascular and interventional access , interventional cardiology, surgical, anesthesia, cardiac care, interventional urology, urology,… more
- Ryder System (Columbus, OH)
- …Maps & Kaizen Events through all stages (A3 charter ideation / creation, pre -work identification and completion, delivery of results in Kaizen week, regular follow ... beginning to sustained results + Microsoft Office Suite skills with emphasis on Access , Excel and PowerPoint & Visio expert required + Data visualization (PowerBI,… more
- Ryder System (Frankfort, KY)
- …Maps & Kaizen Events through all stages (A3 charter ideation / creation, pre -work identification and completion, delivery of results in Kaizen week, regular follow ... **Skills and Abilities** + Microsoft Office Suite skills with emphasis on Access , Excel and PowerPoint & Visio expert required + Data visualization (PowerBI,… more
- AdventHealth (Orlando, FL)
- …registered for all service lines. Performs eligibility verification, obtains pre -cert and/or authorizations, makes financial arrangements, requests and receives ... for services, performs cashiering functions, clears registration errors and edits pre -bill, and other duties as required. Maintains a close working relationship… more
- Cordis (Miami Lakes, FL)
- …health care professionals. + Provide approved information to customers to ensure access to current medical and scientific information as necessary. + Upon request, ... and services. + Supports advisory events to ensure accuracy of and clinician access to up-to-date scientific and clinical data. **2- Responsible for effective Podium… more
- Flowserve Corporation (Columbus, OH)
- …(PD), Technology Development. + Services activities provided will consist of; utilization of FLS diagnostics capability in trouble shooting, analysis, inspection, ... illustrating. + Augmenting sales and application engineering efforts by providing pre -sales digital control application assistance and problem solving with regards… more
- Siemens (Arlington, VA)
- …order to meet legal and mandated requirements, build talent pool, provide access to career development, prepare individuals for promotion and build required ... and integration of resources into multiple projects in order to maintain optimal utilization of resources. * Work with People & Organization on planning and… more
- CommonSpirit Health Mountain Region (Keystone, CO)
- …status (PRN ineligible). More details available upon offer.**_** **This is not a remote position** As "the champion of first impressions" our valued Patient ... Access professionals are key contributors to the overall patient...member, visitor or staff while performing the tasks of pre -admitting, admitting and/or registering, routing or escorting patients, family… more
- Spokane County (Spokane, WA)
- …- $93,848.66 Annually Location WA 99205, WA Job Type Regular Remote Employment Flexible/Hybrid Job Number 24-00211 Department Community Services (formerly CSHCD) ... providing behavioral healthcare services, healthcare coordination or authorization and utilization reviews of behavioral health services for eligible individuals.… more
- Dignity Health (Bakersfield, CA)
- …is responsible for the day-to-day operations of the UM nursing teams including pre service utilization review, concurrent inpatient review and retro claim ... networks excel in value-based care. Local markets will increasingly be able to access high quality standardized tools and fill any capability gaps they may currently… more
- Integra Partners (Troy, MI)
- …in a training environment. + Knowledge and practical experience with Utilization Management within the healthcare industry, including pre -authorization and ... & Development team as an Operations UM Training Specialist, specializing in Utilization Management (UM) processes. The ideal candidate will have a strong nursing… more
- Veterans Affairs, Veterans Health Administration (Youngstown, OH)
- …appointments Coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization Statistical Summary), ... ensure compliance or corrective actions and the appropriate level of access ; Maintains effective and efficient communication with the patient, interdisciplinary… more
- Medical Mutual of Ohio (OH)
- …residents preferred._** **Responsibilities** + Provides clinical expertise to the utilization review process and determinations. + Provides pre -determination ... including a laptop, monitors, keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to on-site fitness centers… more
- EAB (Washington, DC)
- …that are active partners of Seramount's products, with the goal of driving utilization and impact, and securing the renewal and upsell of Seramount's Events, ... product team to strengthen and direct partner relationships, promote partner utilization , impact and engagement, influence product and service strategy, and impact… more
- Sandia National Laboratories (Livermore, CA)
- …Personal Identity Verification (UPIV) process. Access includes physical and/or cyber (logical) access , as well as remote access to any NNSA information ... testing of diverse natural and synthetic tRNAs for controlling codon utilization . Applications include improving the productivity, safety, and biosecurity of… more