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Become a part of our caring community and help us put health first
Humana is seeking a Utilization Management (UM) Coordinator to join the Wisconsin Medicaid Market (iCare) team. The UM Coordinator provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. Join this dedicated team and lead change in how health car...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.
Work Shift:
8 Hours - Day Shifts (United States of America)
Scheduled Weekly Hours:
40
Compensation:
Salary Range: $29.00 - $46.50
Union Position:
No
Department Details
Fully Remote. Monday - Friday...

Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared to the policy and physi...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...

Work From Home
Work From Home Work From Home, Indiana 46544
The Coder I Specialist- Hospital Outpatient Emergency Room/Ancillary reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on hospital emergency room and/or ancillary services. This position abstracts key data elements necessary for billing and data analysi...

Position Summary:
Responsible completion of assigned tasks related to preadmission reviews, continued stay reviews, medical necessity requests, and chart audit requests. Supports the organization's commitment to the principle that providing the most appropriate services, in the least restrictive environment, utilizing proven clinical interventions will lead to the provision of safe and effectiv...

Requisition Details
GENERAL REQUISITION INFORMATION
EEO Statement:
UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities.
Location
Omaha, NE
Requisition Number:
Staff_14342
Department
Clinical Research Center 50000598
Business Unit
Vice Chancellor for Research
Reg-Temp
Full-Time Regular
Work S...

Salary : $65,614.00 - $98,421.00 Annually
Location : 1170 West 3rd Street, 2nd Floor, San Bernardino, CA
Job Type: Full Time
Remote Employment: Flexible/Hybrid
Job Number: 2026-00018
Department: Council of Governments
Division: I-REN Energy Programs
Opening Date: 06/08/2026
Closing Date: 8/31/2026 11:59 PM Pacific
ABOUT THE JOB
OPEN UNTIL FILLED
Led by a Board of Directors made up of elected o...

Duke University:
Duke University was created in 1924 through an indenture of trust by James Buchanan Duke. Today, Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who...

Job Type
Full-time
Description
Position Summary:
Provide exceptional technical support and service coordination by leveraging in-depth knowledge of AHT and third-party products to efficiently resolve warranty and non-warranty service requests. This role serves as a key liaison between customers, service contractors, and internal teams, ensuring timely issue resolution, effective dispatch and m...

Posting End Date:
September 12, 2025
Employee Type:
Regular-Full time
Union/Non:
This is a non-union position
An exciting role as a Work Management Process Specialist I is available at Enbridge. This position is vital for improving efficiency and safety within our Liquid Pipelines (LP) Operations teams. You will be responsible for developing and implementing effective work management ...

Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals hea...

Become a part of our caring community and help us put health first
The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination o...

Description
Position Title: Development Coordinator, Prospect Management and Research
Reports To: Manager of Prospect Research
Location: Boston, MA or Remote
Employment Type: Full-Time
Position Overview: The Development Coordinator, Prospect Research will provide full-time administrative, and prospect research and identification support to the Prospect Management and Research ("PMR") team. The ...

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation rates to ensure that continual growth is possible. UKSC is a nurturing workplace for all healthcare professionals. We invite you to explore our current jo...

For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive.
As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned ...