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Humana
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Richmond, Virginia
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communication of medical services and/or benefit administration determinations. The Utilization Management Nurse ... the appropriate courses of action.
The Utilization Management Registered Nurse 2 uses clinical
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Humana
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Richmond, Virginia
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communication of medical services and/or benefit administration determinations. The Utilization Management Nurse ... the appropriate courses of action.
The Utilization Management Nurse 2 uses clinical knowledge
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Wheeling Hospital, Inc
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Wheeling, West Virginia
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experience in a healthcare setting with responsibilities reflecting direct management of patient care ... ) years of clinical experience in a healthcare setting with responsibilities reflecting direct management
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Humana
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Charleston, West Virginia
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Experience with Pharmacy Benefit Manager, Pharmacy, or Healthcare data, in particular drug utilization ... company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for
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Humana
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Richmond, Virginia
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**
Experience with Pharmacy Benefit Manager, Pharmacy, or Healthcare data, in particular drug utilization ... company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for
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ChenMed
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Richmond, Virginia
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services/case management functions into the patient care, discharge and home planning processes with other ... resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
Promotes
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ChenMed
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Colonial Heights, Virginia
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services/case management functions into the patient care, discharge and home planning processes with other ... resource utilization, discharge planning and psychosocial aspects of healthcare delivery.
Promotes
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Elevance Health
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Charlottesville, Virginia
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intellectual/developmental disabilities is a huge plus.
Home health experience, utilization management and ... management within the scope of licensure for members with complex and chronic care needs by assessing
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Humana
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Richmond, Virginia
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medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
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Humana
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Charleston, West Virginia
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medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
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Elevance Health
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Harrisonburg, Virginia
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intellectual/developmental disabilities is a huge plus.
Home health experience, utilization management and ... management within the scope of licensure for members with complex and chronic care needs by assessing
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Elevance Health
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Staunton, Virginia
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intellectual/developmental disabilities is a huge plus.
Home health experience, utilization management and ... management within the scope of licensure for members with complex and chronic care needs by assessing
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Elevance Health
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Waynesboro, Virginia
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intellectual/developmental disabilities is a huge plus.
Home health experience, utilization management and ... management within the scope of licensure for members with complex and chronic care needs by assessing
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CVS Health
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Charleston, West Virginia
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implementation of Wellness Plans to promote effective utilization of healthcare services. This position promotes/supports quality effectiveness of healthcare services. Schedule is Monday – Friday, 8am-5pm, standard
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GE Healthcare
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Remote, Virginia
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clinical asset management to improve equipment availability for patient care. Based on changing work ... equipment tracking.
· Works with all Medical Technology Advanced Services program areas (asset
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Humana
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Charleston, West Virginia
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communication of medical services and/or benefit administration determinations. The Utilization Management Nurse ... !** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent
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Highmark Health
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Richmond, Virginia
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captures all inbound phone inquires for utilization management review from providers and pharmacies. The ... Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc
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Highmark Health
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Charleston, West Virginia
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captures all inbound phone inquires for utilization management review from providers and pharmacies. The ... Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc
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Elevance Health
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Lexington, Virginia
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intellectual/developmental disabilities is a huge plus.
Home health experience, utilization management and ... management within the scope of licensure for members with complex and chronic care needs by assessing
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Banner Health
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Virginia, Virginia
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Services is a recognized leader in healthcare and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and services
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Humana
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Richmond, Virginia
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, other healthcare providers, clinical group practice management.
Utilization management experience ... medical interpretation and determinations whether services provided by other healthcare professionals are
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HCA Healthcare
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Richmond, Virginia
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provider of healthcare services, HCA Healthcare.
Benefits
Parham Doctors' Hospital ... position control, scheduling excellence, productivity management, and premium pay utilization. Maintains
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EAB
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Richmond, Virginia
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management, service strategy and utilization management, and motivating toward goals
Analytical ... driving utilization and impact, and securing the renewal and upsell of Seramount’s Events, Benchmarking
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HCA Healthcare
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Richmond, Virginia
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healthcare operations required.
Experience with labor management systems preferred.
**HCA ... opening with HCA Healthcare today and find out what it truly means to be a part of the HCA Healthcare team
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Humana
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Charleston, West Virginia
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, other healthcare providers, clinical group practice management.
Utilization management experience ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Highmark Health
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Parkersburg, West Virginia
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Managed Care
Healthcare
Care Planning
Continuous Improvement
Utilization Management
Healthcare Management
Utilization Review
Language (Other than English)
None
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Humana
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Richmond, Virginia
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insurance, other healthcare providers, clinical group practice management.
Utilization management ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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Humana
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Charleston, West Virginia
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insurance, other healthcare providers, clinical group practice management.
Utilization management ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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Humana
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Charleston, West Virginia
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Utilization Management operating model. The Advisor must exercise independent judgment and decision-making on ... Clinical - Utilization Management (UM) domain**
Serve as the primary point of contact (POC) to discuss
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CenterWell
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Charleston, West Virginia
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education opportunities to drive maximum utilization of available resources, and directing patients on the ... . Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and
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