Virtual Utilization Management Rep II
Elevance Health
Elevance Health is seeking a Utilization Management Rep II/Clinical Liaison to support care coordination and prior authorizations. The role involves handling calls, validating benefits, and coordinating with nursing reviewers to expedite patient care. The position offers virtual work with required in-person training sessions, and occasional office visits may be required depending on location. The candidate should have healthcare customer service experience and strong communication skills. #J-18808-Ljbffr Elevance Health
- Elevance Health is seeking an Utilization Management Rep II/Clinical Liaison to support virtual work arrangements with occasional in-person training. The role involves handling calls, verifying eligibility, and facilitating prior authorizations and care referrals. It requires...VirtualRemote job
- ...Utilization Management Representative II/ Clinical Liaison Location : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports...VirtualFull timeContract workTemporary workWork at officeLocal area1 day per week
- ...Nurse Case Manager IILocation: This role requires associates to be... ...engagement with the autonomy of virtual work, promoting a dynamic and... ...law.The Nurse Case Manager II is responsible for... ....Assists with development of utilization/care management policies and...VirtualWork at office2 days per week1 day per week
- Elevance Health is seeking a Nurse Case Manager II to collaborate with healthcare providers to drive personalized health management for... ...members with complex needs. The role emphasizes in-office and virtual work, with hybrid scheduling and multi-state licensure as needed...VirtualWork at office
- A health services provider is seeking a Behavioral Health Case Manager II to work virtually in Connecticut. The candidate must have an MA/MS in social work counseling or a related field, alongside a current active unrestricted professional license. Responsibilities include...Virtual
$70k - $130k
...the client's preference on in person or virtual interaction to increase revenue and market... ...new clients and new referral sources utilizing the telephone, direct mail, seminars, current... ...marketing programs directed by Sales management. Analyzing the customer needs and...VirtualBase plus commissionFull timeContract workPart timeInternshipLocal area- Virtual Virtual: This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions... ...: Connecticut Position Details: The Behavioral Health Case Manager II will work with our behavioral health members diagnosed with mental...VirtualFull timeLocal area
$69k
...work hours and clear paths for advancement into leadership and management. You will work remotely, serving clients by providing guidance... ...with promotion from within Supportive and collaborative virtual team environment Qualities We Value Willingness to...VirtualRemote workWork from homeFlexible hours$53.8k - $80.7k
...including dental, vision, disability, absence management, life, supplemental health, medical stop... ...collaboration with the flexibility of virtual work. Our team members and leaders are... ...other specialized benefit programs. Utilize advanced Excel and data management skills...VirtualWork at officeLocal areaFlexible hours2 days per week- ...conversion, enrollment growth, and efficient business operations. Manage accounts receivable and payable, generate monthly P&L reports,... .... Engage prospective families through both in-person and virtual center tours, effectively showcasing the benefits of our program...VirtualLocal area
$35 - $50 per hour
...Hygienist – Join Us for a Special Assignment! Affinity Dental Management, a renowned dentist-driven dental organization, is passionate... ...care – 1-year dental experience preferred Interview Process: 1 virtual + in-person interview – we value your time and make it smooth!...VirtualTemporary workImmediate startFlexible hours- Behavioral Health Case Mgr II - Connecticut Candidates Must Reside in the state of Connecticut... ...office engagement with the autonomy of virtual work, promoting a dynamic and adaptable... ...II is responsible for performing case management telephonically within the scope of...VirtualTemporary workWork at officeLocal areaMonday to FridayShift work2 days per week1 day per week
- ...Mgmt Consultant Job Description: Network Management Consultant (Behavioral Health) -... ...office engagement with the autonomy of virtual work, promoting a dynamic and adaptable... ...experience in provider network management, utilization management or other health care field;...VirtualTemporary workWork at officeLocal areaMonday to FridayShift workDay shift2 days per week1 day per week
$20 - $30 per hour
...Vehicle Operations Job Profile Fleet Client Services Specialist II Management Level Individual Contributor Flexible Work Option Can work... ...-duty trucks and trailers. Cox Fleet also services customers utilizing its 20+ nationwide service centers; each offering select services...Hourly payLive inCurrently hiringRemote workVisa sponsorshipFlexible hoursShift work$87k - $105k
...to provide education, intervention, and management of social issues impacting our community... ...designed to be fully remote, allowing you to utilize telehealth technologies to connect with... ...with all necessary tools to facilitate virtual counseling sessions smoothly. Key...VirtualRemote workRelocation packageFlexible hours$89.82k - $121.6k
...promoting Amgen products as led by the District Manager. Amgen supports and encourages our team... ...professionals to drive appropriate utilization of the products. Perform as a sales... ...sales targets through both in-person and virtual engagement. Develop relationships to service...VirtualFull timeLocal areaRemote workFlexible hours- ...Explain options in a clear, simple, and relatable way -Help clients complete online enrollment forms accurately -Schedule and manage virtual appointments -Use basic computer skills (email, Zoom, online systems) daily -Follow a proven process with training and...VirtualRemote jobFull time
- ...office engagement with the autonomy of virtual work, promoting a dynamic and adaptable... ...Analytics & Innovation is responsible for managing staff who are implementing and executing... ...Performance Targets, interpreting trends, utilizing advanced analytics for specialty...VirtualTemporary workLive inWork at officeLocal areaDay shift2 days per week3 days per week1 day per week
- ...comprehensive nutrition assessments via virtual/telehealth visits Provide Medical Nutrition... ...) Experience with obesity/weight management/chronic conditions and telehealth (preferred... ...developing individualized care plans and utilizing telehealth tools for effective patient...Virtual
- The Supply Chain Manager manages all aspects of direct material supply, including all transactions... ...leverage knowledge and best practices. Utilize lean supply management tools to drive... ...make all sorts of spaces - physical and virtual - safer, more secure, and easier to...VirtualTemporary workWork at office
- ...control and locking as an Associate Product Manager, supporting both software and hardware... ...that help customers specify, install, and utilize our technology.You’ll collaborate across... ...make all sorts of spaces - physical and virtual - safer, more secure, and easier to access...VirtualFull timeWork at officeShift work
- ...registered representative. Spend time with clients on the phone, via virtual visits and in person to ensure client service level needs. Set... ...whenever possible and be proficient with Portfolio Access. Utilize the Annuity Search Tool, RightBridge, DP Maintenance and daily...VirtualWork at office
- ...Job Description:The Regional Operations Manager has overall responsibility for the business... ...to appointment access, appointment utilization, patient satisfaction, and wait time.Works... ...and technological advancements including virtual check-in, self-scheduling, patient...VirtualFull timeTemporary workWork at office
$2,500 per week
...commercial account with at least 250 employees, every two weeks. $2,500 First Week Training Pay for the first five training days. $500 per virtual appointment bonus with food with no bonus limit. Up to $1500 per week for meeting minimum call and one qualified onsite appointment...VirtualCurrently hiringImmediate startDay shift$88k - $160k
...product and patient educationStrategically manage and grow relationships with key accounts... ...to create effective territory plans and utilize promotional budget fundsMaintain a competitive... ...with HCPs in both face-to-face and virtual environments, and be proficient with technologyDemonstrated...VirtualFull timeWork at officeLocal areaWorldwideFlexible hoursNight shift$119k - $140k
Job TitleSenior Category Manager- PDS/ Programs & ProjectsJob Description SummaryThe PDS... ...ManagementManage preferred supplier relationships and utilization strategies to strengthen program... ..., USA; Remote CW Site - USA - DE - Virtual Delaware; Milwaukee, Wisconsin, USA;...VirtualMinimum wageOngoing contractFull timeContract workRemote workFlexible hours- ...Access Mental Health Customer Care Rep III Shift: Monday - Friday 8:30am - 5pm EDT... ...structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable... ...help from co-workers, specialists and managers on non-basic issues. Must pass the...VirtualWork at officeMonday to FridayShift workDay shift2 days per week1 day per week
- ...Access Mental Health Customer Care Rep III Shift: Monday - Friday 8:30am - 5pm EDT... ...structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable... ...help from co-workers, specialists and managers on non-basic issues. Must pass the...VirtualWork at officeMonday to FridayShift workDay shift2 days per week1 day per week
$19 - $23 per hour
...Merchandising in partnership with the Visual Manager. The Visual Lead will work closely with... ...expectations, budgets, timeline Utilizes reporting tools in partnership with management... ...additional benefits such as free virtual access to mental health providers and new...VirtualFull timeWork experience placementShift work$36k - $40k
...conversion, enrollment growth, and efficient business operations. Manage accounts receivable and payable, generate monthly P&L reports,... .... Engage prospective families through both in-person and virtual center tours, effectively showcasing the benefits of our program...VirtualLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Virtual Utilization Management Rep II. Be the first to apply!
- representative Rocky Hill, CT
- quality control representative Rocky Hill, CT
- phone representative Rocky Hill, CT
- cash application representative Rocky Hill, CT
- order management representative Rocky Hill, CT
- safety representative Rocky Hill, CT
- credentialing representative Rocky Hill, CT
- quality assurance representative Rocky Hill, CT
- benefits representative Rocky Hill, CT
- center representative Rocky Hill, CT





