Average salary: $76,493 /yearly
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...Utilization Management Nurse
Why Choose Jefferson Health Plans?
We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children's Health Insurance Program (CHIP) plans that include special benefits to improve the...
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Flexible hours
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...Department: Utilization Review
Work Hours: Primarily Monday through Friday, extended hours as needed to support organizational operations... ...and leading the Heritage Valley Health System's Utilization Management, Case Management and Clinical Documentation programs in...
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Monday to Friday
...individuals requiring specialized co-occurring psychiatric and chemical dependency treatment. We are currently seeking a Utilization Management (UM) Coordinator to join our team.
Utilization Management (UM) Coordinator Position
Fairmount Behavioral Health System...
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Relief
Local area
...we've just started. So join us on this mission!
Job Description
A bit about this role:
This position interacts with utilization management, clinical management, pharmacy, network management, data analytics, legal, finance as well as other health plan departments...
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Hourly pay
Full time
Contract work
Internship
...Regular
Exemption Status:
Yes
Job Summary:
Establishes and leads execution of a strategic plan for the provision of Utilization Management services across the organization, fostering a spirit of innovation in care delivery, maximizing the use of technology where...
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Full time
Part time
Shift work
...inclusive workplace, and we are looking for talented individuals to join our team.
Job Description Summary
The Utilities & Facilities/GMP Maintenance Manager is responsible for the corrective and preventative maintenance program at the Horsham facilities including:...
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For contractors
$60k - $80k
...Job Title: RN - Utilization Case Manager Registered Nurse - Geisinger Health Plan
Location: Danville, Pennsylvania
Job Category: RN - Registered Nurse, Nursing and Nursing Support, Geisinger Health Plan
Schedule: Days
Work Type: Full time
Department...
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...Job Description
Job Description Contract to Hire position!
Job Category Insurance Professional & Clinical
Job Title Utilization Management RN
Job Description
The candidate MUST have Managed Care, audit and oversight experience on utilization management,...
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Contract work
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate... ...required by the payer. Work with physician advisor to better manage denials and downgrades.
CONNECTING TO MISSION: All individuals...
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$80k - $85k
...Imagine360 is currently seeking a Utilization Management, RN to join our team ! The RN Utilization Management Nurse is responsible for providing utilization review/notifications and education for individuals under the group health plans administered by imagine360 by utilizing...
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Full time
Remote job
...I. Job Purpose and Core Tasks
The Customer Success Utilization Manager plays a critical role in managing overall success, effectiveness, and adoption of the technologies installed (hardware and software of Operation Room/Video installation projects) within their respective...
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Part time
Work experience placement
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...America (VNA) offers a full spectrum of water, waste and energy management services, including water, and wastewater treatment,... ...Operations personnel, managing and coordinating program activities utilizing a cross functional team approach.
The candidate works to ensure...
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Long distance
$5,000 SIGN ON BONUS
Utilization management (UM ) isthe evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions ofthe applicable health benefits plan.
Prior authorization...
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Relocation bonus
...personal, convenient and affordable.
Position Summary
* Utilizes clinical experience and skills in a collaborative process to assess... ...coordination and administration of the utilization/benefit management function.
* Typical office working environment with...
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Hourly pay
Holiday work
Full time
Temporary work
Monday to Friday
...regardless of a patient's ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating medical... ...Utilize established processes with the Physician Advisors to manage second level and peer to peer reviews.
Ensure patient status...
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...regardless of a patient's ability to pay for health care.
The Utilization Review Assistant is responsible for taking the data provided... ...Nurses to ensure understanding of all individual patient cases.
Manages telephones, emails, faxes and handles inquiries appropriately....
...regardless of a patient's ability to pay for health care.
The Utility Worker will wash all pots, pans, and utensils; assist in the... ...line , coffee and soup station
All other duties assigned by manager
PHYSICAL AND SENSORY REQUIREMENTS:
Walking for up to 4-7...
Part time
Shift work
**Utility Worker**
**Job Reference Number:** 18752
**Employment Type:** Part-Time **,** Onsite
**Segment:** Education
**Brand:... ...with our corporate office or one of our brand segments.
**Disclaimer:** This job description can be revised by management as needed....
Holiday work
Part time
Utility Foresters needed! Take ownership of your future. Grow your career in a dynamic industry! Our client has a unique culture that... ...do:
Successfully contribute to all aspects of vegetation management planning and analysis.
Utilize innovative technology and practices...
Holiday work
Local area
Outdoor
...Job Description
Job Description Role & Responsibilities
As the Utilities and Energy Management Analyst your responsibilities will include:
Analyze utilities reimbursements, expenses, and consumption to identify trends and areas of improvement.
Review and investigate...
Holiday work
Full time
Temporary work
Flexible hours