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...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...
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...Utilization Management RN
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Description
Location: UCHealth UCHlth 2450 Peoria Admin Services, US:CO:Aurora
Department: UCHlth Patient Line Referrals
FTE: Full Time, 0.8, 64.00 hours per pay period (2 weeks)
Shift: Days
Pay: $38.91 - $60.31...
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Full time
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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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...Responsibilities
The Utilization Management Representative (UMR) provides office support for all units within the Utilization Management and/or Population Health Department. (Utilization Review, Concurrent Review, Population Health and Case Management.) The UMR position...
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...Utilization Management Representative I at Elevance Health in MERIDIAN, Idaho, United States Job Description WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance...
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...Anticipated End Date:
2024-06-05
Position Title:
Utilization Management Representative II
Job Description:
Utilization Management Representative II
Location: Colorado Springs, CO
The Utilization Management Representative II is responsible for managing...
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...Job Description
We Are:
Our Utility Industry, Transmission & Distribution Practice is powering the progress to a safe, connected... ...to design and implement the next generation of work and asset management solutions: your bread and butter are the utility processes...
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Local area
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...Job Title: Utilization Management Reviewer/UKHC
Requisition Number: RE45564
Working Title: Utilization Management Reviewer - H4027: REV Cycle MGT-PFE
Department Name: H4027: REV Cycle MGT-PFE
Work Location: Lexington, KY
Grade Level: 11
Salary Range...
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Full time
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Monday to Friday
...moving forward.
Job Overview
Under the direction of the Director, Medical Management this position is responsible for overseeing and managing the day-to-day operations of the Utilization Management Department, health plan delegated activities, and medical...
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Flexible hours
...may include benefit verification, authorization creation and management, claims inquiries and case documentation.
35% Reviews... ...satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable...
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...financial & referral goals, properly managing staffing efficiencies throughout the team... ...of individual Customer Service Representatives (CSR) and Quality Assurance (QA) Specialists... ...a Clinical setting is preferred.
Utilization Review experience is required.
JOB...
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...communication, core business focus, risk management, and striving for outcomes. This goal... ...:
Under the direction of the Utilization Management Team Lead, the Utilization... ...from providers, members, and members' representatives.
Main Accountabilities:
* Performs...
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...Utility Billing Manager
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Class Title
Utility Billing Manager
Class Code
5218
Salary
$97,552.00 - $124,48... ...with Disabilities Act, may include any of the following representative duties, knowledge, and skills. This is not a comprehensive...
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...Our Utilization Management Rep will coordinate and manage incoming and outgoing correspondence to include referrals, prior authorizations,... ...essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required....
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...and update (if necessary) the information in your candidate profile as it will transfer to your application.
Job Title:Utilization Case Manager-RNDepartment:University Hospital | Social Work and Case Management AdministrationJob DescriptionScope of Position / Position...
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...Job Description:
Job Title:
Utilization Coordinator
Department:
Utilization Management
Reports To:
Director, Utilization Management... ...satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability
required...
Shift work
Monday to Friday
...engineers, scientists, consultants, program and construction managers leading the change toward a more sustainable and equitable future... ...Job Description**
**AECOM** is seeking a **Project Manager - Utilities** to be based in **Sacramento, California.**
**JOB SUMMARY:**...
For contractors
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...Job Description
We are:
Accenture Strategy & Consulting, Utility Industry, Retail Energy and Customer Service Practice helps... ...business case, deliver agile projects, develop new operating model, manage talent and change, co-create intellectual property
Our...
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...Role: Utilization Management Nurse
Location: Remote/ Work from Home
Term: Contract
Ideal candidates will have a few years of Major payor experience, experience working with a 3rd party vendor, Telecommuter experience, closed office with no distractions, technical...
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Local area
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Overview:
The Manager of Utilization Management (UM) will provide leadership and clinical oversight for
operational aspects of UM, including... ...ability to build effective
working relationships and to represent the department effectively in
order to accomplish goals....
Night shift
