• Utilization Management

    Elevance Health (Tallahassee, FL)
    ** Utilization Management Representative II** **Location:** Must live within 50 miles of a Florida PulsePoint. The ** Utilization Management ... 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 (09/17/24)
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  • Utilization Management

    Elevance Health (Columbus, GA)
    **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 (09/17/24)
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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 (08/21/24)
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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 ... **Description** Job Summary The Utilization Manager (UM) assesses new admissions, continued stay and discharge review cases for medical necessity, appropriate class… more
    UNC Health Care (08/01/24)
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  • Acquisition Utilization Specialist

    Veterans Affairs, Veterans Health Administration (Tulsa, OK)
    …and support services required by project managers, program managers, upper management , and stakeholders on all aspects of procurement to include specialized ... VA Healthcare System and supported catchment area. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison and… more
    Veterans Affairs, Veterans Health Administration (08/07/24)
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  • Specialist, Managed Care - Utilization Mgmt

    Hawaii Pacific Health (Honolulu, HI)
    …Services, which provides Hawai'i Pacific Health and its affiliates essential population utilization and financial management support, analyses and modeling. The ... services in collaboration with the managed care services department including referral management , patient steerage, and claims auditing. As the Specialist, you will… more
    Hawaii Pacific Health (09/21/24)
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  • Case Management Representative

    Houston Methodist (Cypress, 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 (08/20/24)
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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 (09/14/24)
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  • Rental Sale Representative

    Ryder System (Portland, ME)
    …rental customers and consumer household needs. This requires the Rental Representative to work cross functionally across Sales, Marketing, Operations and Asset ... Management while utilizing excellent customer communication skills. In this role, you will acquire proven industry knowledge, skills and resources to develop your… more
    Ryder System (09/19/24)
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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 #26890 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 (09/19/24)
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  • Rental Sales Representative

    Ryder System (Hartford, CT)
    …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 (09/27/24)
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  • Sr Principal Office Planning Representative

    Northrop Grumman (Sunnyvale, CA)
    Representative ** located in **Sunnyvale, CA.** **Position Summary:** Plans utilization of office space with requirements of organizational efficiency, and ... occupancy requirements. **Duties & Responsibilities:** + Actively involved in space utilization planning for the site consistent with the requirements of… more
    Northrop Grumman (07/14/24)
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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 (09/24/24)
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  • Sales Support Representative , Pain…

    Medtronic (Chico, CA)
    …product and therapy technical support and service, + including consultation at strategic management and analysis of sales trends, + utilization of appropriate ... connected, compassionate world. **A Day in the Life** At Medtronic, the Sales Support Representative , Pain Interventions is an entry level role that will provide an… more
    Medtronic (09/25/24)
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  • Rental Sales Representative

    Ryder System (Schenectady, NY)
    …" by Newsweek._ **Summary** The Rental Sales Representative is responsible for acting as the front ... rental customers and consumer household needs. This requires the Rental Representative to work cross functionally across Sales, Marketing, Operations and Asset… more
    Ryder System (09/02/24)
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  • Customer Care Representative - Regional…

    MSC Industrial Supply Co. (Southfield, MI)
    …conversion, upselling & productivity measurements. * Conducts extensive follow-up through the utilization of a ticket management system to ensure accuracy and ... Location :United States : Southfield : Michigan BRIEF POSITION SUMMARY: The Representative , Customer Care - Regional Omnichannel is responsible for handling customer… more
    MSC Industrial Supply Co. (09/11/24)
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  • Member Service Representative

    Prime Care Coordination (Webster, NY)
    …welcome calls to new members and document the contacts + Assist the Utilization Management Team by placing outbound calls for Service Approval notification ... Summary: A Member Services Representative is responsible for providing iCircle members with...callers to alternate sources when appropriate (such as care management , enrollment, etc). + Print and mail member documentation… more
    Prime Care Coordination (08/02/24)
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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 (07/13/24)
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  • Prosthetic Representative (Assistant Chief)

    Veterans Affairs, Veterans Health Administration (Orlando, FL)
    …with regulatory and accrediting organizations. They contribute to the effective utilization of resources, budgetary allocation and fiscal management . He/She ... Summary This position serves as the Prosthetic Representative (Assistant Chief); sharing full responsibility with the Chief for supervising all phases of prosthetic… more
    Veterans Affairs, Veterans Health Administration (09/24/24)
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  • Sales Representative InterStim

    Medtronic (Sioux Falls, SD)
    …product and therapy technical support and service + Including consultation of strategic management and analysis of trends + Utilization of appropriate Neuro ... compassionate world. **A Day in the Life** The Medtronic InterStim Sales Representative manages territory base business and growth by initiating, supporting and… more
    Medtronic (09/11/24)
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