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Added 1 min ago
Project Cost Tracker
Everus
Haskell, TX
Responsible for on-site project cost control activities, including budget setup and maintenance, commitment and change management support, cost forecasting, progress measurement…
Added 1 min ago
Construction Assistant Project Manager
Everus
Haskell, TX
Generally, works under the direction of a Project Manager.
Added 1 min ago
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Sr Project Manager
Exelon
OAKBROOK TERRACE, IL
- $100,800 USD / year
The Project Manager is an individual contributor accountable for project budgets, team performance and developing strategic plans to implement projects for various organizations.…
Added 1 min ago
Project Manager
Patten CAT
Addison, IL
The primary function of the Project Manager is to coordinate all associated personnel, tasks and materials to ensure the successful delivery and start-up of an associated engine sale.…
Added 1 min ago
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Mobile App Developer Intern
Walgreens
Deerfield, IL
- $15 to $33.65 USD / hour
May deliver a project aligning to strategic priorities and present to manager/leadership upon completion.
Added 2 mins ago
A
EDiscovery Data Analyst
Actalent
North Chicago, IL
- $30 to $33 USD / hour
The Data Analyst I position supports the eDiscovery function within Corporate Legal Operations, reporting to the Manager of eDiscovery Operations. This role is responsible for managing the…
Added 2 mins ago
BF
Specialist III-IC Quality Assurance
BMO Financial Group
Naperville, IL
- $115,768.98 to $151,800 USD / year
…teams to align testing efforts with development objectives. Design, develop, and maintain comprehensive test plans across multiple environments, document outcomes, identify defects, and…
Added 2 mins ago
Digital Platform Manager
Apex Systems
Naperville, IL
Added 2 mins ago
Project Specialist
Parexel
Springfield, IL
We are seeking a Project Specialist II to join our team in a remote capacity based on the East Coast. As a Project Specialist II, you will develop and maintain project plans, provide…
Added 2 mins ago
Sr Contract Manager - OPS
Lumen
Springfield, IL
A senior contract manager is responsible for acquiring and managing right of way agreements for various projects to support the company’s fiber optic network across North America. A senior…
Added 2 mins ago
Procure to Pay Functional Lead - Sr. Manager
Accenture
Chicago, IL
…origination through shaping, oral presentations, workshops, co-design, and project execution for global enterprise…
Added 2 mins ago
Sr. Development Project Engineer (Data Center Construction)
Quality Technology Services, LLC
New Albany, OH
The Senior Development Project Engineer is primarily responsible for assisting with the design, preconstruction and construction activities on a given project(s). The Senior Development…
Added 2 mins ago
Sponsorship Program Manager, AWS Global Brand Partnerships
Amazon
Chicago, IL
As a Sponsorship Program Manager you will own the operational excellence and delivery of our Global Sponsorship Program with a focus on our Summit, Field, and Industry event programs. You…
Added 2 mins ago
Principal Project Manager, Design Manager (Airport Lounge)
Capital One
Chicago, IL
Principal Project Manager- Design Manager (Airport Lounge) is part of the Airport Design & Construction Team, primarily responsible for the design, documentation, and implementation of new…
Added 2 mins ago
Airport Lounge Design Manager
Capital One
Chicago, IL
The Airport Lounge Design Manager is part of the Airport Design & Construction Team, primarily responsible for the design, documentation, and implementation of new and renovated airport…
Added 2 mins ago
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Technology Strategy Manager, Life Sciences Industry
Accenture
Chicago, IL
- $87,400 to $253,000 USD / year
We are Technology Strategy and Transformation, and we design and execute industry-relevant reinventions that allow organizations to realize exceptional business value from technology. Our…
Added 2 mins ago
FC
Senior Proposal Coordinator
Flatiron Construction Corp
San Diego, CA
- $80,000 USD / year
…Company-approved software and shared network drives. Updates project sheets and master data databases as assigned by the…
Added 2 mins ago
IT Project Manager IV - TLM
Apex Systems
CHICAGO, IL
Added 2 mins ago
Associate Food Scientist
Conagra Brands
Chicago, IL
Reporting to the Research and Development Manager, you will support innovation and margin expansion across our premium meat snacks portfolio, including Slim Jim. You will bring a strong…
Added 3 mins ago
HOSPITALITY SERVICES MANAGER - ORD
Compass Group, North America
Chicago, IL
At Flik Hospitality Group, we don't just serve guests, we create exceptional experiences. As the Hospitality Experience Manager supporting United Airlines' premium lounges at Chicago O'Hare…
Added 3 mins ago
VP, Finance & Business Management - Global Corporate Banking Onboarding
JPMorgan Chase
Chicago, IL
Lead workforce planning activities including organizational design, hiring governance, capacity management, vacancy tracking, and attrition analysis
Added 3 mins ago
Senior Client Engagement Manager (Post-Pay)
Lyric
Springfield, IL
The Senior Client Engagement Manager (Post-Pay) is the primary client-facing lead responsible for translating payer needs into clear, complete, and implementable requirements across the…
Added 4 mins ago
Senior Principal Engineer – Instrument & Controls
T.EN
Houston, TX
…and leads instrumentation and control systems engineering and design deliverables for complex EPC projects in LNG, energy transition, carbon capture, refining, and petrochemical facilities.…
Added 4 mins ago
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Account Manager - Milwaukee
Winter Services Inc
Milwaukee, WI
- $65,000 to $75,000 USD / year
We are seeking an experienced and highly motivated Account Manager to join our dynamic team. The ideal candidate will have a strong background in snow removal, landscaping services, project…
Added 5 mins ago
Senior Project Manager - Construction
Turner & Townsend
Detroit, MI
Turner & Townsend are seeking an experienced Senior Project Manager to join our team. The ideal individual will have prior experience supporting large-scale construction projects.

Katmai

Referral Clerk

Fort Carson, CO, United States

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Job details

Posting language: English
Posted: Nov 10, 2026

Original job description

SUMMARY Provide consultation and administrative support for TRICARE beneficiaries. Ensure patient flow is optimized by assisting patients (CMHS Referral Management Team including the Central Referral Center- CRC and MTF Referral Management Centers) in processing referrals to specialty care.

ESSENTIAL DUTIES & RESPONSIBILITIES

· Review collected data to identify areas requiring intensive management. Analyze data collected and prepare reports describing resource utilization patterns. Disseminate information to government members of collaborative teams and multidisciplinary hospital committees. · Coordinate specialty care referrals. Review specialty care referrals for appropriateness, completeness and route the referral to the appropriate place of care. · Serve as a functional expert in the area of health benefits and provide health benefits advice to patients. · Maintain and track referral records. · Participate with referral centers in providing, assessing, and improving a wide variety of customer service and relations. · Assist in the management of all forms of communication between beneficiaries, referral centers, internal staff and providers, network/outside providers and ancillary healthcare workers. · Apply principles of utilization review (UR) and utilization management (UM) in processing specialty referrals. · Plan and perform specialty referral reviews IAW established guidelines to provide quality cost-effective care. · Conduct first level reviews for all referrals to specialty care. · Act as a facilitator of professional and patient care activities. · Interface with the Managed Care Support Contractor (MCSC) and multidisciplinary personnel as needed to ensure appropriateness of referrals. · Identify cases that may benefit from alternative levels of care and involve the case manager as needed to provide direction in care management. · Plan and prioritize UR activities to ensure identified patient needs are addressed promptly. · Effectively utilize information systems to develop, design, analyze, update and record data. · Facilitate the development and integration of UM review policies and procedures into operations. · Perform Right of First Refusal (ROFR) coordination of specialty care referrals. · Maintain regular and punctual attendance. · Perform other duties as assigned.

SUPERVISORY RESPONSIBILITIES

None.

Requirements

MINIMUM QUALIFICATIONS

· High School Diploma or GED equivalency. · Basic Life support certification (BLS) course completed by the American Heart Association or American Red Cross. · Must have a minimum of three (3) years of clinical experience. · Must have working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft Access, Microsoft Excel and Windows. · Proficient in the current versions of office automation software relevant to the role. · Knowledge of Professional Nursing Procedures. · Working knowledge of EHR Genesis and MCSC databases. · Must be able to read, understand, speak, and write English well enough to communicate effectively. · Must obtain and maintain any necessary security access and/or background checks.

DESIRED QUALIFICATIONS & SKILLS

· Knowledge of medical terminology. · ROFR knowledge in the area of health benefits. · Knowledgeable in general medical ethics and health records administration. · Excellent communication and customer service skills.

WORK SCHEDULE

Full-time. May be required to work additional hours as needed to complete assignment or project.

TRAVEL None.

DRIVING REQUIREMENTS

None.

WORK ENVIRONMENT

Work is performed primarily in a professional office setting using standard office equipment such as computers, printers, and telecommunication devices. Employee will interact regularly with patients, healthcare providers, referral center staff, and multidisciplinary teams, requiring adaptability to a wide variety of personalities and functions.

PHYSICAL DEMANDS

Position involves sitting for extended periods, frequent use of hands and fingers for keyboard and mouse manipulation, occasional bending or stooping, and lifting up to 10 pounds. The role may require prolonged periods of phone or video communication. It is Katmai’s business philosophy and practice to provide reasonable accommodations, according to applicable state and federal laws, to all qualified individuals with physical or mental disabilities.

Benefits

Benefits:

Eligible Benefits: Medical, Dental, Vision, Life & AD&D Insurance, Long-Term & Short-Term Disability Insurance, 401(k) Savings Plan, Employee Assistance Program (EAP), Vacation & Paid Personal Time, 11 Paid Federal Holidays, and Leave of Absence.

Compliance:

To be considered for this position, all applicants must apply on the company website, https://apply.workable.com/katmai/

We are a VEVRAA Federal Contractor.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity or national origin, disability status, protected veteran status, marital status, familial status or any other characteristic protected by law. Preference will be given to Ouzinkie Shareholders, Descendants of Shareholders and Spouses of Shareholders in accordance with Title 43 U.S. Code 1626(g) and Title 42 U.S. Code 2000e - 2(i).

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