Utilization Management

The UM Clinical Support Specialist plays a vital role in assisting the Director and Supervisor of UM by collecting, analyzing, and reporting data. This role involves maintaining data logs related to utilization and productivity, developing and monitoring various reports, and providing support to the clinical team by handling inbound and outbound calls that...

Posting Date 08/15/24 Application Deadline 08/22/24 Pay Range $26.00 - $41.00 hourly Salary offers are based on the candidate's equivalent experience and internal equity with other employees within the same job classification. This position is eligible for overtime compensation for all hours worked over 40 in the designated workweek. Job Type ...

Job DescriptionJob DescriptionWho We Are Founded in 1986, Thomas Cuisine is an award-winning, privately held contract food service company. We advocate the healing power of whole foods and believe in preparing scratch-made cuisine fresh each day. Every Thomas Cuisine team member is an ambassador, carrying out our mission, reflecting our values, and building...

Position Overview:Under the supervision of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise evaluation of initial medical necessity assessments throughout the preauthorization and retrospective review processes.Work Environment:This position is remote; however, due to...

Position Overview:Under the guidance of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise management of initial medical necessity evaluations throughout the preauthorization and retrospective review processes.Work Environment:This position is primarily remote; however,...

Position Overview:Under the supervision of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise management of initial medical necessity evaluations throughout the preauthorization and retrospective review processes.Work Environment:This position is remote; however, due to...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver...

About CVS HealthAt CVS Health, we are dedicated to a singular mission: to enhance every moment of your health journey. Our commitment is to provide human-centric healthcare solutions in a rapidly evolving landscape. We believe that the manner in which we deliver our services is as crucial as the services themselves. Our Heart At Work Behaviors embody this...

About the RoleBanner Health is seeking a highly skilled Behavioral Health Utilization Manager to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the highest quality care.Key ResponsibilitiesManage Utilization Reviews: Conduct thorough reviews of patient cases to determine medical...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

About CVS HealthAt CVS Health, we are united by a common mission: to bring compassion to every aspect of health care. Our commitment is to provide personalized, accessible, and affordable health solutions in a rapidly evolving landscape.Position OverviewThis role as a Utilization Management Nurse Consultant is entirely remote, allowing flexibility for...

About CVS HealthAt CVS Health, we are united by a common mission: to enhance the health and well-being of our communities. Our commitment to providing compassionate, personalized care is at the core of everything we do.Position OverviewThe role of the Utilization Management Nurse Consultant is a fully remote position, allowing candidates to work from any...

Job DescriptionJob DescriptionSalary: $140K-$160K annually DOEB&F Contracting is Arizona's leader in the installation, construction, repair, and rehabilitation of underground utilities. Our team has successfully managed and completed thousands of utility projects earning us the reputation as one of Arizona's most reliable, trusted, and premier...

Job DescriptionJob DescriptionSalary: $140K-$160K annually DOEB&F Contracting is Arizona's leader in the installation, construction, repair, and rehabilitation of underground utilities. Our team has successfully managed and completed thousands of utility projects earning us the reputation as one of Arizona's most reliable, trusted, and premier...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered. As a...

Job OverviewAre you a passionate individual looking to serve those who have served our nation? Join a dynamic team at TriWest Healthcare Alliance dedicated to connecting America's heroes to quality health care services. Since 1996, TriWest has been on a mission to ensure our nation's veterans and their families receive the care they deserve.Job Summary...

About the RoleThe Virtual Employee is seeking a highly motivated and detail-oriented Utility Associate to join our team. As a Utility Associate, you will be responsible for maintaining the cleanliness and organization of our facilities, ensuring a safe and healthy environment for our employees and customers.Key ResponsibilitiesCleaning and Sanitation: Clean...

Job DescriptionJob DescriptionHave you ever wanted a career that's fulfilling and rewarding? Have you ever worked in a place that prides itself in taking care of their employees? What about an organization that leads the way in the fight to end homelessness? If this sounds like a place for you check out what UMOM has to offer!Benefits Package includes:...

Position Overview Are you ready to take on a challenging role in utility project management? As a Utility Project Manager, you will be responsible for overseeing complex utility coordination, design, and relocation projects. This position demands a high level of accountability for budget management related to utility design and relocation within...