RN, Care Manager, Utilization Management - Roseville

The Tepa Companies are seeking a Civil/Utilities Manager to be responsible for day-to-day management of civil and utilities work within the Pacific region of Construction Services, · Estimating project financials scheduling client subcontractor coordination quality safety. · Deve ...

The Tepa Companies are seeking a Civil/Utilities Manager to be responsible for day-to-day management of civil and utilities work within the Pacific region of Construction Services. · ...

This Utilization Management Coordinator role involves coordinating authorization processing for outpatient, inpatient, and ambulatory services. Key responsibilities include compiling daily inpatient logs, reviewing utilization management reports, processing referrals, completing ...

As a Utilization Management Coordinator, you will coordinate and support activities related to authorization processing for outpatient, inpatient, and ambulatory services. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

The Tepa Companies are seeking a Civil/Utilities Manager to be responsible for day-to-day management of civil and utilities work within the Pacific region of Construction Services, including estimating, project financials, scheduling, client and subcontractor coordination, qualit ...

You will coordinate and support activities related to authorization processing for outpatient, inpatient, and ambulatory services. · ...

+Benefits:SIMPLEIRA(withmatching) · Dentalinsurance · Healthinsurance · Visioninsurance · ++Kaleidoscopesupplyservicesisanadministrativesupportservicesorganization/supportingatoptiervegetationmanagementcontractorservingtheelectricutilityindustry.+We'rehiringaUtilityVegetationMana ...

This Utilization Management (UM) Nurse Consultant role is fully remote but must reside in PST zone. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – cari ...

The role is pivotal in streamlining the clinical review process by meticulously preparing prior authorization cases. · This individual will uphold a comprehensive understanding of internal policies, procedures, and services, ensuring adherence to organizational standards. Act as ...

The role is pivotal in streamlining the clinical review process by meticulously preparing prior authorization cases. · Provide primary non-clinical program support. · Offer non-clinical support to other programs as needed. · ...

++This role is a Utilization Management (UM) Nurse Consultant that works fully remote but must reside in the PST zone. · +Reviews services to assure medical necessity. · Applies clinical expertise to assure appropriate benefit utilization. · Facilitates safe and efficient dischar ...

The Federal Employee Program team is committed to providing quality healthcare coverage to federal employees, retirees, and their families. · The FEP Utilization Management Nurse will report to the FEP Utilization and Medical Review Manager. · In this role you will be part of a d ...

The Federal Employee Program (FEP) team is committed to providing quality healthcare coverage to federal employees, · retirees and their families. · Prior authorization, concurrent and post service medical reviews. · Ensure members receive services at the right level of care at t ...

The Carrier Energy Account Manager will build and nurture long term relationships with stakeholders and decision makers within their assigned Utility clients to deploy and expand Carrier Energy's integrated HVAC and energy solutions. · Develop and maintain strong relationships wi ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · We partner with DirectEmployers to promote this job for UnitedHealth Group. · ...

Project Director / Engagement Lead for a long term contract in Sacramento with senior-level consulting leadership experience and background in healthcare policy and utilization management. · Oversee healthcare policy, regulatory or utilization management initiatives. · ...

Lensacompany that helps job seekers find great jobs in the US,is looking for an Inpatient Utilization Management Nurse,RN. · ...

We are seeking an experienced Project Director / Engagement Lead to oversee healthcare policy, regulatory, or utilization management initiatives. · Senior-level consulting leadership experience · Background overseeing healthcare policy, regulatory, or utilization management initi ...

Job summary · Inpatient Utilization Management Nurse is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and concurrent review and or prior authorization requests for appropriat ...