Remote Utilization Management Associate I
Elevance Health
- Remote job
A health services company is looking for a Utilization Management Representative I to coordinate precertification and prior authorization cases. The role is primarily virtual, requiring customer service experience and strong communication skills. Candidates must be located within reasonable commuting distance to Miami or Tampa, FL. The position offers a Monday-Friday schedule with potential overtime and insight into healthcare service. Join us in making healthcare simpler and better for our communities. #J-18808-Ljbffr Elevance Health
- A leading health company is seeking a Utilization Management Representative I located near Miami or Tampa, Florida. This hybrid role includes managing calls, determining eligibility, and ensuring positive customer relations while coordinating precertification and prior...Remote job
- The Elevance Health Companies, Inc. is looking for a Utilization Management Representative I based in Atlanta, Georgia. This position involves outreach to members, connecting them with nursing services, and ensuring timely documentation. Candidates must have a High School...Remote jobFull time
- ...Part-Time | Remote (U.S. Based) Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions for more than Physician Advisor (Utilization Review) Part-Time...Remote workPart timeWork at officeWork from home10 hours per weekFlexible hoursShift workWeekend work
- ...Job Description Job Description Utilization Management Associate - Managed Care / Appeals (Remote - Tri-State Area) We are seeking a detail-oriented and customer-focused Utilization Management CMA to support authorization processing, member/provider communication...Remote jobLocal areaMonday to Friday
$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...physician orders, and utilizing an overlay tool while providing... ...Financial Management Association (HFMA) MAP Awards for High Performance... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workPart timeWork at officeLocal areaWeekend work$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...physician orders, and utilizing an overlay tool while providing... ...Financial Management Association (HFMA) MAP Awards for High Performance... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workFull timeWork at officeLocal areaShift work$65k
...Associate Program Specialist – Load Management Location: Columbia, MD or Reston, VA (Hybrid – Home Office with Office... ...provide program support for our utility program team in Maryland. Working... ...improvements. This position is highly remote, but in-person office days and...Remote workFull timeFor subcontractorWork at officeLocal areaHome officeFlexible hours- ...an entirely new industry develops. As a remote co-located team, we're inspired by our... ...channels, and in-person events Relationship management Partner with top sellers and strategic... ...and enhance process efficiency Utilize key data points to assess category growth...Remote workLocal areaWork from homeHome officeFlexible hours
$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...physician orders, and utilizing an overlay tool while providing... ...Financial Management Association (HFMA) MAP Awards for High Performance... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workReliefWork at officeLocal areaFlexible hours- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
$18.5 - $38.82 per hour
...community at a time. Aetna’s Medicaid Care Management Engagement Outreach Hub is a new... ...productivity efforts whereby the Care Management Associates interact and engage telephonically with... ...of care plans to promote effective utilization of healthcare services, promoting and...Remote workHourly payFull timeTemporary workWork at officeLocal areaImmediate startWork from homeNight shift- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
- ...Dane Street, LLC is seeking a remote Physician Reviewer for full-time work from home. The role requires an MD or DO, board-certified in Internal or Family Medicine, to perform utilization reviews, including preauthorization and appeals. Ideal candidates will have prior...Remote workFull timeWork from home
$86.78k - $108.48k
...ll Do As the Screening and TM Associate, you will help build upon the... ...communication to senior management regarding potentially suspicious... ...four weeks per year of fully remote work! Responsibilities Conduct... ...with interpreting and utilizing data analytics tools (SQL, Looker...Remote workWork at officeWork from homeFlexible hours- Atwell, LLC is seeking an Associate Project Manager for a major energy utility client. In this remote role, you’ll work closely with a Project Manager, developing your project management skills across land and right of way (ROW) projects. The ideal candidate has 4 years...Remote job
- ...California Edison (SCE) is hiring a Design/Drafting, Associate Specialist to create CAD-based designs for utility distribution. This role directly impacts reliable... .... This hybrid position involves both on-site and remote work as needed. Join SCE and make a difference in...Remote work
- ...A healthcare company is seeking a Utilization Management Registered Nurse to utilize nursing skills for coordinating medical services. Responsibilities... ...determining service eligibility and facilitating care. This remote role requires an RN license and clinical experience....Remote workWork from home
$85k - $120k
...seeking a highly analytical and driven Asset Management Associate to join its investment platform. As an... ...needs, and capital calls. o Utilize industry-specific tools such as Yardi... ...of benefits to employees, including a remote work policy, health insurance coverage,...Remote workWork at officeFlexible hours- ...WA is looking for a UM IP Clinical Specialist to support the Clinical Services team. In this role, you will research and manage inpatient utilization management cases, collaborating with clinical professionals. Candidates must possess clinical experience and strong...Remote jobWork from homeFlexible hours
- ...Department to assist with the management of the Legal Department... ...necessary to ensure the processes associated with regulatory functions; namely... ...Important Financial Market Utility (SIFMU), OCC operates under... ...environment, up to 2 days per week of remote work Tuition Reimbursement...Remote workContract workWork at officeShift work2 days per week
- Cambia Health Solutions is seeking a UM IP Clinical Specialist to support Inpatient Utilization Management cases. In this role, you will work from home and leverage your clinical knowledge to manage requests and collaborate with healthcare professionals. The ideal candidate...Remote jobWork at officeWork from home
- Oscar Health is seeking an Associate for Total Quality Management to join their team in Fort Worth, Texas. The... ...operational processes, and utilizing data for informed decision-making.... ...analysis tools like Excel and SQL. This remote position offers comprehensive benefits...Remote job
$86.78k - $108.48k
# Screening and TM Associate#### New York, New York, United StatesScreening... ...communication to senior management regarding potentially... ...four weeks per year of fully remote work!**Responsibilities*** Conducts... ...with interpreting and utilizing data analytics tools (SQL, Looker...Remote workWork at officeWork from homeFlexible hours- Stefanini, Inc is seeking an Associate Project Manager for critical utility infrastructure projects. The role involves executing projects across NJ, DE, PA... ...environments and a Bachelor's degree. This position offers remote work with regional travel, excellent career growth...Remote jobFlexible hours
- ...Litigation Execution Manage all phases of litigation, including discovery, hearings, trials... ...and effective communication. Technology Utilization Utilize e-discovery and case-management... ...Demonstrate effective coordination with remote team members and proficiency in remote...Remote work
- ...Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote workWork from homeFlexible hours
- ...onboarding, maintenance and management of credit relationships with... ...provide ad hoc reporting on utilization, fund performance, Due Diligence... ...of credit risks associated with institutional clients including... ...is 4 days in office, 1 day remote. Standard office environment...Remote workWork at officeFlexible hours
- ...for an experienced Shipping Associate who is forklift licensed .... ...solid organization and time management skills Being attentive to every... ...and optimizing space utilization. Providing assembly lines with... ...perform essential functions at remote locations or receive...Remote workFlexible hoursNight shift
$78k - $90k
...specializing in providing turnaround management, performance improvement, and... ...Team The Behavior Portfolio Associate is responsible for creating... ...learning experiences, utilizing multimedia resources where appropriate... ...Support: Provide on‑site or remote support during course...Remote workPart timeFlexible hoursShift work- ...Associate Care Navigator The Associate Care Navigator will conduct case management on behalf of the client and Southern Scripts ensuring specialty... ..., but not be limited to: Utilizes resources to assist members... ...overnight travel from remote location. What We Have to...Remote workHourly payFull timeWork at officeLocal areaImmediate startNight shiftWeekend work
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