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Utilization Mgmt. Coordinator
Humana Insurance Company
Experience with Utilization Review and Prior Authorization within a managed care organization
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Virtual Utilization Review Supervisor
Ensemble
The Virtual Utilization Review Supervisor is a key contributor to the overall financial, quality, and clinical performance of the organization. The VUR Supervisor supports an…
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Clinical Quality Specialist
Compassus
Completes utilization review activities including visit utilization, LUPA risk, recertification appropriateness and hospitalization risk, and documents recommendations for agency action.
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MRS Provider Support Line Manager (Remote NC)
Vaya Health
LOCATION: Remote – this is a home based, virtual position. The person in this position must reside in North Carolina or within 40 miles of the NC border.
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IOC Manager
Arizona Department of Administration
Structure and operation of the behavioral healthcare system, Behavioral Health Services, case management protocols, utilization review protocols as related to assigned populations (e.g.…
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Case Manager, Registered Nurse (Oncology experience required)
Aetna Resources, LLC
This is a remote work from home role anywhere in the US with virtual training.
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Utilization Review RN - Denials
Ensemble
We are seeking Virtual Utilization Review Specialist with at least 1 year Denials Management experience to join our team.
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Outsourced Accounting & Advisory Services Manager
GRF CPAs & Advisors
…CPAS & Advisors, a Bethesda, MD CPA Firm is in search of a Supervisor/Controller join our Outsourced Accounting and Advisory Services team. This position is fully remote although persons…
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Director, Provider Network
InnovAge
Build and develop strong face to face and virtual relationships within the provider community to ensure that effective partnerships are in place to meet the needs of the organization and…
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Merchandiser
Central Network Retail Group (CNRG)
● Utilization of scanning equipment to price, count or locate merchandise
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LCSW Clinical Supervisor - Remote
Athena
Engage in the Utilization Review process for assigned cases every month
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VP of Clinical Services and Executive Medical Director
Solace
- Serve as the direct supervisor to a growing team of medical directors and associate medical directors
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Supervisor, Training and Development
Navitus Health Solutions, LLC
Lumicera Health Services is seeking a Supervisor, Training and Development to join our team!
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