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$61.36 - $90.18 per hour
...Analyzes pharmacy claims to identify areas of utilization aberrations and opportunities for cost-... ...pharmaceutical care of patients. Coordinates the development and implementation of... ...jobs for you. While HiredScore assists in reviewing applications, all final decisions are...SuggestedHourly payMonday to FridayFlexible hoursShift workWeekend workAfternoon shiftIntermountain Health
Springfield, IL4 days ago- ...Mechanical VDC/BIM Coordinator - Remote Option Position Overview Top ENR Mechanical contractor... ...of HVAC and piping systems, utilizing Revit and other BIM tools to ensure seamless... ...BIM software and tools. Prepare and review documentation related to mechanical systems...SuggestedOngoing contractFor contractorsLocal areaRemote workRelocation package
CyberCoders
Springfield, IL1 day ago - ...Houston Methodist, the Pre-Transplant Coordinator position a registered nurse, responsible... ..., psychosocial, and financial data for review by transplant team in the patient selection... ...Process, Risk/benefits, including utilization of expanded donors, high-risk donors, if...SuggestedPermanent employmentWork experience placement
Houston Methodist Hospital
Springfield, IL2 days ago - 2212, UTIL MGMT REVIEW NURSE - ADMIN RN Memorial Health Shift: 12pm - 12am Overview Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third‑party payors to support the medical necessity of the hospital admission...SuggestedFull timeShift work
$51.46k - $82.33k
...professional fulfillment by aligning your career with your values. Utilization Management Specialists are responsible for: Obtaining... ...of clinical services from insurance and government payors Reviewing clinical records and determining the appropriateness of...SuggestedFull timeTemporary workMonday to FridayFlexible hours$50k
Client Coordinator - Full Time Join to apply for the Client Coordinator role at Hope Location... ...Day Services Program (CDS). Maintains, reviews, and evaluates pertinent program data... ...that make sense. Ability to navigate and utilize various software systems such as Microsoft...SuggestedFull timeWork at office$14.95 - $24.26 per hour
...Branch Coordinator At Owens & Minor, we are a critical part of the healthcare process.... ...creating, and working with new orders, reviewing multiple systems simultaneously to assist... ...setting or call center Experience utilizing multi-line phone-system. Physical Demands...SuggestedHourly payWork experience placementWork at officeLocal areaImmediate start$18.5 - $42.35 per hour
...contain multiple issues and may require coordination of responses from multiple business... ...of a benefit/administrative denial. Can review a clinical determination and understand... ...Experience in research and analysis of utilization management systems. Fluent in Spanish,...SuggestedHourly payFull timeLocal areaFlexible hoursWeekend work$5,928 per month
...this position will serve as the Licensing Coordinator of licensing programs which include... .... Provides support and analysis in the reviews of final applications for licensure. Attends... ...a minimum of one (1) year of experience utilizing a licensing or regulatory software...SuggestedPermanent employmentFull timeContract workPart timeFor contractorsApprenticeshipH1bWork at officeImmediate startMonday to FridayFlexible hoursNight shiftWeekend workAfternoon shift$21.1 - $44.99 per hour
...Position Summary This Case Management Coordinator position is with Aetna's Long-Term Services... ...management tools and information/data review, conducts comprehensive evaluation of referred... ...issues through established channels. Utilizes negotiation skills to secure appropriate...SuggestedHourly payFull timeTemporary workWork at officeLocal areaFlexible hours$5,928 - $8,493 per month
...hire a dynamic, organized, detail-oriented coordinator to perform professional work in... ...Coordinator for the Bureau of Collections. Reviews and responds to cases referred by caseworkers... ...(2) years of professional experience utilizing software applications such as Microsoft...SuggestedFull timeContract workTemporary workPart timeApprenticeshipWork at officeMonday to FridayFlexible hours- ...UM Administration Coordinator 2 Become a part of our caring community and help us put health... ...2 contributes to administration of utilization management. The UM Administration Coordinator... ...Experience with Utilization Review and/or Prior Authorization, preferably...SuggestedBi-weekly payWork at officeRemote workWork from homeHome officeShift workWeekend work
$90.61k
...position in our established and growing business with electric utility clients across the United States. This Project Manager will bring... ...a team of multi-discipline engineers. Performing guidance and review at the project level while assuring discipline and quality...SuggestedFull timeH1b$19.01 per hour
...delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's... ...addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. ESSENTIAL...SuggestedFor contractorsLocal areaHighmark Health
Springfield, IL4 days ago$29.44 - $45.64 per hour
...projects concurrently. Responsibilities Coordinates the detailed investigation of workers’ compensation... ...carrier, actuarial audits, legal reviews and individual departments. Embodies the... ...referral process when indicated. Utilizes effective communication to interact with...SuggestedTemporary work$17 - $31.3 per hour
...each and every day. Company: Oak Street Health Title: Care Coordinator, Utilization Management Location: Remote / Treehouse Role Description... ...Management Team. This role interacts with UM physician reviewers, external payer partners, and vendors, reporting to and working...Hourly payFull timeWork at officeLocal areaRemote workFlexible hours- ...Mechanical VDC/BIM Coordinator - Remote Option Position Overview We are seeking a skilled Mechanical VDC/BIM Coordinator to join... ...and Construction (VDC) processes, focusing on HVAC systems, and utilizing BIM methodologies to enhance project efficiency and effectiveness...Ongoing contractLocal areaRemote work
CyberCoders
Springfield, IL1 day ago $15 - $16.18 per hour
...Development programs for advancement and career growth Please review the job profile below and apply today! This position will be... ...and maintain displays according to merchandising standards. Utilize technology to complete activities and tasks. This position...Weekly paySeasonal workMeijer
Springfield, IL4 days ago£24.57k per year
...Relationships: Internal Health Professionals Senior Site Coordinator Service Delivery Manager Qualifications & Experience •... ...and the local resourcing team. Where reasonable, Maximus will review and consider adjustments for those applicants who express a...Permanent employmentFixed term contractWork at officeLocal areaWork from home$47.19k - $54.2k
Donor Relations Coordinator Join to apply for the Donor Relations Coordinator role at The Greater Springfield Chamber of Commerce. Job... ...or before March 2, 2025, to be considered during the initial review window. In-person interviews for this position are anticipated...Full timePart timeWork experience placementSummer workWork at officeRemote workMonday to Friday$21 - $26.1 per hour
...Collections Coordinator The Accounts Receivable Collections team is responsible for the collection of outstanding accounts receivable... ...increase cash flow for the organization. Responsibilities: Review aging reports and work insurance accounts to ensure timely...Hourly payTemporary workWork experience placementWork at officeLocal areaImmediate startRemote workFlexible hours- Life Insurance Case Coordinator (MN Office or remote) Location Hybrid work in Springfield, IL : Who We Are This position will support... ...entered in our internal systems go through a complete quality review before being sent to carriers. Case Coordinators are also responsible...Hourly payFull timeWork at officeRemote workFlexible hours
- ...fulfillment by aligning your career with your values. Alumni Coordinators are responsible for: The Alumni Coordinator leads alumni... ...and 12-step groups. Distributes and encourages +Google review directions and alumni referral cards. Provides content for Facebook...Temporary workWork at officeLocal areaFlexible hours
- ...developing and maintaining external partnerships with contract coordinators at affiliated institutions. Responsible for the database... ...appropriate SOM or HC personnel for action. Assist in the development, review, and final signatory process for revenue generating contracts...Contract workFor contractorsWork experience placementWork at officeLocal areaMonday to Friday
$17 - $31.3 per hour
...Guarantee team to help ensure client commitments are met by making MAC adjustments as appropriate. The MAC team is also responsible for reviewing and responding to all pharmacy MAC appeals and working with the Legal team to respond to any MAC related complaints from state...Hourly payFull timeTemporary workLocal areaFlexible hours$20 per hour
Join to apply for the Restaurant Catering Coordinator role at Potbelly Sandwich Works 2 weeks ago Be among the first 25 applicants Join... ...complete and catering checklist/order verification forms are utilized Collaborates with GM to discuss daily, weekly, monthly sales goals...Hourly payFull timePart timeSeasonal workLocal area- ...using the on-line Audit Inventory Management System (AIMS). Review all instructions and forms required to complete assignments prior... ...not all-inclusive. Other Responsibilities: Ability to utilize smartphone to update AIMS and complete assignments. Follow all...Part timeCasual work
Knipper HEALTH
Springfield, IL3 days ago $15.5 - $19 per hour
...GUN COUNTER COORDINATOR Reports to: Store Manager, Assistant Manager, or Supervisor on duty. Classification: Non-Exempt / Hourly, Full-Time JOB SUMMARY To provide the best customer service and maximize sales through efficient execution of Company &...Hourly payFull timeTemporary workLocal areaWeekend workAfternoon shiftFarm & Home Supply
Springfield, IL2 days ago$39k - $49.4k
...days a week from Friday-Monday working 10 hour shifts from 8am-7pm ET.** + **Available to work 2 holidays a year.** As an **Intake Coordinator** , you will: + Receive/respond to incoming calls from referral sources or potential patients, exchange information to identify...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeFlexible hoursShift workCenterWell
Springfield, IL3 days ago$16.5 - $17.65 per hour
...insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as... ...forms, and all forms implemented for future services. Reviews eligibility responses in insurance verification system and appropriately...ReliefWork at officeLocal areaRemote workEnsemble Health Partners
Springfield, IL1 day ago
