protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services... leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free...
-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional...) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability...
counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources... in charge when the manager and director are unavailable. Job Responsibilities: Provides case management services...
counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources... management or utilization review is preferred InterQual experience is preferred For more than 100 years, Wesley Healthcare...
utilization review and how to leverage with inpatient staff for possible reduction of medical cost on long length of stay patients... required A minimum of one (1) year of utilization review and/or case management, home health, hospital discharge planning experience...
and Supports (LTSS) Review Utilization Management program and staff under the supervision of the Director, LTSS Clinical Services... more about us at www.amerihealthcaritas.com. This position manages all elements of the Community Health Choices Long Term Services...
: Utilization Management services supporting medical necessity and denial prevention Coordinating with payors to authorize... and critical illness insurance, long term care, elder & childcare, auto & home insurance. Note: Eligibility for benefits may...
. Promotes integration of services for members including behavioral health care and long term services and supports/home... Heart Association BLS Minimum of 2 years of nursing experience MUST HAVE UTILIZATION REVIEW EXPERIENCE Preferred Bachelor...
. Promotes integration of services for members including behavioral health care and long term services and supports/home... Heart Association BLS Minimum of 2 years of nursing experience MUST HAVE UTILIZATION REVIEW EXPERIENCE Preferred Bachelor...
. Promotes integration of services for members including behavioral health care and long term services and supports/home... Heart Association BLS Minimum of 2 years of nursing experience MUST HAVE UTILIZATION REVIEW EXPERIENCE Preferred Bachelor...
-by-case basis. This position integrates national standards for case management scope of services including: Utilization... experience a plus. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Interaction...
-by-case basis. This position integrates national standards for case management scope of services including: Utilization... experience a plus. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals. Interaction...
from acute, long-term, or residential care to community-based services, ensuring holistic support for physical and behavioral... and applying nursing knowledge to support utilization review and care decisions. Utilization Management: Proficient in InterQual...
for all patients. Role Description Utilization Review Specialist (URS) reports to the Utilization Review Manager and serves as the...Company: Skyway Behavioral Health Title: Utilization Review Specialist (URS) FLSA Status: Exempt Location: Remote...
Behavioral Health Utilization Manager for Inpatient and 24-Hour Diversionary Services is responsible for overseeing the... appropriate and effective utilization of mental health and substance use disorder services across inpatient and residential care...
Overview: The Long-Term Care (LTC) Sales Account Manager is responsible for establishing access and demand... pharmaceutical industry, product launch strategies, and long-term care market and practices including pharmaceutical product review...
Overview: The Long-Term Care (LTC) Sales Account Manager is responsible for establishing access and demand... pharmaceutical industry, product launch strategies, and long-term care market and practices including pharmaceutical product review...
Anticipated End Date: 2026-01-24 Position Title: Utilization Management Representative II... Job Description: Utilization Management Representative II A proud member of the Elevance Health family of companies, Carelon Behavioral Health...
, Patient Review & Intake Services or Manager, Utilization Management to: Manage team responsible for completing utilization... Utilization Management Nurses and associated programs and processes, as directed by the Senior Manager, Patient Review and Intake...
Anticipated End Date: 2026-01-20 Position Title: Utilization Management Representative... I Job Description: Utilization Management Representative I Location: This role enables associates to work virtually full-time, with the exception...