-
Southern Company Columbus, United StatesJob Description · Engineer I, II, III, Senior Eng,ineer OR Engineering Representative / Associate - Manchester, GA · Georgia Power, a subsidiary of Southern Company, is currently seeking an Engineer I, II, III, Senior Eng,ineer OR Engineering Representative / Associate for the ...
-
Southern Company Columbus, United StatesThis position will be required to handle all of the day-to-day engineering work activities in an assigned area. Responsibilities include service design, estimating, and coordinating construction for multiple overhead and underground residential, new Engineer, Technical Engineer, ...
-
Project Manager
3 weeks ago
SIRIS LLC Columbus, United StatesPROJECT MANAGER - RESIDENTIAL - PRIVATE MIXED-USE DEVELOPMENT PROGRAMS · Seeking motivated Project Managers to join our team on a complex high-rise development project in downtown Columbus, Ohio. Candidates will report to a Sr. Project Manager and will need to be experienced in s ...
-
Telecom Installation Technician I
1 week ago
TrueNet Columbus, United StatesJoin the TrueNet family as an Installation Technician I, in the state of Ohio. As a TrueNet team member you will receive competitive benefits and excellent pay. TrueNet is a leading company in the Telecom Industry and always looking for the perfect addition. · The Installation Te ...
-
VetJobs Columbus, United StatesJob Description · ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spou ...
-
Telecom Installation Technician III
1 week ago
TrueNet Columbus, United StatesJoin the TrueNet family as an Installation Technician III in the Columbus, OH area. As a TrueNet team member you will receive competitive benefits, excellent pay, and flexible work schedules. TrueNet is a leading company in the Telecom Industry and always looking for the perfect ...
-
Resident Automation Technician III
1 week ago
TGW Systems Inc Columbus, United StatesJob DetailsJob LocationLB - Columbus, OHPosition TypeFull TimeDescriptionPrincipal DutyThe ResidentAutomation Technician III supports the customer on all automation-related topics. This position requires a broad-based electrical and mechanical skillset along with a proactive appr ...
-
Project Engineer
11 hours ago
Siris Columbus, United StatesCONSTRUCTION PROJECT ENGINEER - CONTRACT ADMINISTRATION · Seeking a Construction Project Engineer to join our team on a high-rise mixed-use development in Columbus Ohio. The Project Engineer will report to a Senior Project Manager as well as collaborate and assist client staff ...
-
Fleet Maintenance Manager Trainee
1 week ago
Waste Management Columbus, United States Full timeAs an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. · What is the value of a WM job? · T ...
-
Floating Guest Services Rep. FT Weekly Pay
3 weeks ago
InTown Suites Columbus, United States*This position REQUIRES traveling between two Intown Suites Locations and you MUST have a valid driver's license* · Make a note of the home email address and the password that you use to complete your employment application. Should we contact you for this position, you must be a ...
-
Resident Automation Technician III
1 week ago
TGW Systems Inc Columbus, United StatesJob Details · Job Location · LB - Columbus, OH · Position Type · Full Time · Description · Principal Duty · The ResidentAutomation Technician III supports the customer on all automation-related topics. This position requires a broad-based electrical and mechanical skillset a ...
-
IT Systems Engineer
3 weeks ago
Virtual Columbus, United StatesIT System Engineer · As an IT System Engineer, you will play a vital role in the design, implementation, and maintenance of IT Systems. The right candidate for this role will have 3-5 years of experience in IT systems engineering and network administration, strong attention to ...
-
CDL Truck Driver- Residential
1 week ago
WM Columbus, OH, United StatesAs an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. · What is the value of a WM job? · The ...
-
Telecom Installation Technician IV
1 week ago
TrueNet Columbus, United StatesJoin the TrueNet family as an Installation Technician IV in the Columbus, OH area. As a TrueNet team member you will receive competitive benefits, excellent pay, and flexible work schedules. TrueNet is a leading company in the Telecom Industry and always looking for the perfect a ...
-
Guest Services Representative- Weekly Pay- zno
3 weeks ago
InTown Suites Columbus, United States** Guest Services Representative- Weekly Pay- zno** · **Job Category****:** Guest Services **Requisition Number****:** GUEST005425 Showing 1 location **Job Details** · **Description** · **Position Summary:** · The Guest Services Representative will assist the guests efficient ...
-
Customer Service Representative
1 week ago
Mr. Electric of Columbus, GA Columbus, United StatesEstablished in 1994, Mr. Electric is a global franchise organization providing electrical installation and repair services. Recognized by Entrepreneur magazine among its "Franchise 500," Mr. Electric franchisees provide these services to both residential and commercial customers. ...
-
Engineer III
2 days ago
City of Columbus Columbus, United StatesEngineer III (Vacancy) · Print ) · Apply · ? · Engineer III (Vacancy) · Salary · $ $67.60 Hourly · Location · Varies by position · Job Type · Full-time · Job Number · V2 · Department · 59 Department of Public Service · Division · Division of Design and Constructio ...
-
Engineer III
1 week ago
City of Columbus Columbus, United StatesEngineer III (Vacancy) · Print ) · Apply · ? · Engineer III (Vacancy) · Salary · $ $67.60 Hourly · Location · Varies by position · Job Type · Full-time · Job Number · V2 · Department · 59 Department of Public Service · Division · Division of Design and Constructio ...
-
Communications and Marketing Associate
2 weeks ago
Diocese of Columbus Columbus, United StatesJob Title: · Marketing & Communications Associate · Written/Revised: · 05/01/2024 · Location: · Resurrection Cemetery · FLSA Code: · Non-Exempt (Hourly) · Responsible to: · Director · JOB SUMMARY · Under the supervision of the Communications and Marketing Coordinator and i ...
-
Project Supervisor
3 weeks ago
Patterson Pope Columbus, United StatesJob Description · The Project Supervisor is responsible for the management, coordination and execution of all projects sold by Patterson Pope for mobile shelving, stationary shelving, modular millwork, and other storage systems. The Project Supervisor will work the projects as w ...
Utilization Management Representative III - Columbus, United States - Elevance Health
Description
Title:
Utilization Management Representative III
Location:
This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
The Utilization Management Representative III will be responsible for coordinating cases for precertification and prior authorization review.
How you will make an impact:
Responsible for providing technical guidance to UM Reps who handle correspondence and assist callers with issues concerning contract and benefit eligibility for requested continuing pre-certification and prior authorization of inpatient and outpatient services outside of initial authorized set.
Handling escalated and unresolved calls from less experienced team members.
Ensuring UM Reps are directed to the appropriate resources to resolve issues. Ability to understand and explain specific workflow, processes, departmental priorities and guidelines.
May assist in new hire training to act as eventual proxy for Ops Expert.
Exemplifies behaviors embodied in the 5 Core Values.
Minimum Requirements
HS diploma or GED
Minimum of 3 years of experience in customer service experience in healthcare related setting; or any combination of education and experience which would provide an equivalent background.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $21.57/hr.
Locations:
California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.
The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.
This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicablepolicies and plans.
The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.