Remote Senior Utilization Management Specialist
Agence PROvidence
Providence California Regional Services is seeking a Senior Utilization Management Assistant for a REMOTE, per diem role with 8-hour variable shifts. Reporting to the Regional Director of Care Management, you will support the care management team in coordinating patient care and performing complex tasks during assessment and management of patients.
Ideal candidates have extensive hospital or healthcare experience, strong customer service and clerical skills, and knowledge of insurance billing.
#J-18808-Ljbffr- ...Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote Per Diem role. The 8-hour day shifts provide support within the Care Management team to coordinate patient care. You will work under the supervision of the Regional...Remote workSeniorDaily paidDay shift
- ...Providence California Regional Services seeks a Senior Utilization Management Assistant to support the Care Management team. This full-time, remote role follows an 8-hour day shift and reports to the Regional Director of Care Management. In this position you will assist...Remote workSeniorFull timeDay shift
- Trillium Health Resources in North Carolina is seeking a Utilization Management Specialist III - MH/SU to join our team. You will perform comprehensive... ...support providers with guidance and documentation. This remote role offers standard work hours, strong benefits, and the...Remote jobSenior
- Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote, per diem role. You will support the Care Management team in coordinating patient care, performing clerical duties, and contributing to efficient care workflows from...Remote jobSeniorDaily paid
- ...The Senior Industry Specialist, Industrial Innovation & Carbon Management at Great Plains Institute (GPI) will lead policy and regulatory analysis to accelerate decarbonization... ...into actionable guidance for policymakers, utilities, and industry leaders. You will develop...Remote workSenior
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Program Management Specialist, SeniorThe Opportunity: As a program management... ...critical prototyping initiatives. Senior Department of Defense... ...Experience managing programs utilizing rapid fielding or rapid prototyping... ...cameras on during meetings.Remote: If this position is listed...Remote workSeniorFull timeContract workPart timeWork at officeLocal area- ...growing nonprofit home infusion provider serving Maine, New Hampshire, and Massachusetts. We are seeking a Remote Clinical Review Specialist to conduct utilization management reviews and provide clinical information to confirm coverage for patients. This remote role requires...Remote jobSeniorMonday to Friday
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...good. Your impact As a Senior OT Cybersecurity Specialist with a strong focus on NERC... ...categorization, security management controls, personnel and training... ...assets, plant networks, remote access, vendor connections... ...control systems, electric utility cybersecurity, regulatory...Remote workSeniorFull timeContract workApprenticeshipWork at office- ...Corporation is seeking a Senior Dissemination Specialist (Team Lead) to support INSCOM... ...between security domains.Manages the sending and posting of... ...security incidents and utilizes and maintains site SOPs IAW... ...contracts. Where allowed, remote work must be coordinated with...Remote workSeniorContract work
- ...Integrated Management Strategies, LLC is seeking an experienced Sr Review Coordinator for our healthcare consulting practice. This fully remote role within the United States focuses on utilization review of plans of service for home and community-based programs, supporting...Remote workSeniorWork from home
$100k - $140k
...Job Description Job Description Senior T&D Asset Management Specialist Location: Fort Collins, CO preferred | Remote considered for the right candidate Salary: $... ...Full-Time | Exempt Industry: Electric Utilities | Transmission & Distribution | Engineering...Remote workSeniorFull timeTemporary workWork at office$18.65 - $19.9 per hour
...technology-enabled revenue cycle management solutions for health... ...Responsibilities The Senior Patient Access Specialist is responsible for performing... ...physician orders, and utilizing a overlay tool while providing... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workSeniorWork at officeLocal area- ...Acquisition Support and Financial Management Services to Government and... .... Job Title Staffing Specialist, Senior (QC) Location US (Primary) Job... ...support our Human Resources Remote Operations Center (HRROC™),... ...Operating Procedures (SOP). Utilize multiple automated staffing...Remote workSeniorOngoing contractFull timeTemporary workFor contractorsFor subcontractorHome officeFlexible hours
- ...successful applicant, the hiring manager may elect to fill this... ....Position SummaryThis Senior Sourcing Specialist position is the third level... ...professional services supporting utilities, energy, infrastructure,... ...will be performed from both remote and onsite locations after...Remote workSeniorFull timeContract workWork experience placementWork at officeVisa sponsorshipRelocation package
$25 - $27 per hour
...technology-enabled revenue cycle management solutions for health... ...Opportunity Job title: Senior Patient Access Specialist. This position pays... ...processing physician order while utilizing an overlay tool and... ...Monster Top Workplace for Remote Work 2024 ~ Great Place...Remote workSeniorWork at officeLocal area- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician to join the remote Utilization Management team. You will review preauthorization requests, document decisions, and coordinate with providers to ensure timely, appropriate behavioral health services...Remote work
- ...Cambia Health Solutions is seeking an UM IP Clinical Specialist to support inpatient utilization management. You will receive, research, and act on documentation and requests from diverse sources, collaborating with licensed clinicians to guide appropriate actions and...Remote work
- ...Cambia Health Solutions seeks a UM IP Clinical Specialist to support inpatient utilization management by researching requests, coordinating with licensed clinicians, and ensuring accurate case documentation and timely actions.The role emphasizes collaboration with clinical...Remote work
- ...Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced operational support for the UR team. You will manage an assigned portfolio of cases, assemble and review documentation, and coordinate payer submissions to ensure timely and compliant authorizations...Remote work
- ...CVS Health in Springfield, IL is seeking a Senior Utilization Management Care Coordinator to support complex UM workflows, mentor peers, and drive process improvements in a fast-paced health plan environment. You will collaborate with providers and health plans, manage...Senior
- ...Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced operational support for UR Nurses, ensuring timely, accurate, and compliant utilization reviews. The role handles authorization workflows from submission to final determination and collaborates...Remote work
- ...Elevance Health is seeking an Utilization Management Representative I to coordinate precertification and prior authorization reviews. The role is remote with occasional in-person training sessions and flexible scheduling to support work-life balance. You will manage...Remote workFlexible hours
- ...Overview Join the Covered California team as a Senior Utilization & Cost Insights Specialist (Research Data Specialist II) in the Plan Management Division. You will independently lead statewide healthcare utilization and cost research that informs the annual benefit design...SeniorWork at office
$62k - $95k
OverviewThis is a remote role that may only be hired in Illinois.This position is responsible... ...key stakeholders, vendors, and project managers to coordinate scheduling. Serves as a... ...processing, archiving, and status. Utilizes key reporting and tracking standards to...Remote jobSeniorFor contractors- ...Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced support for the utilization review process. You will manage an assigned portfolio, assemble documentation for payer submissions, and ensure timely determinations while maintaining compliance...Remote work
- ...Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced operational support for UR Nurses and ensure timely, compliant authorization workflows. You will manage case portfolios, coordinate documentation, and interact with payers to prevent denials...Remote work
- ...Providing advanced operational support, the remote California Utilization Management Specialist will manage authorization workflows, ensure compliance with regulatory standards, and facilitate communication with payers while collaborating with UR Nurses and other departments...Remote work
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