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Um First Assistant Professor Jobs

Legal Assistant Bi/Um (Hybrid)
By USAA At , Seattle, 98101
Intermediate knowledge of the function/discipline and demonstrated application of knowledge, skills and abilities towards work products required.
Oversees management and maintenance of attorneys' files per the attorney's specifications.
Identifies and manages existing and emerging risks that stem from business activities and the job role.
Collaborates with team to evaluate risk of alternatives and calculate costs of potential liability and assesses benefits/drawbacks.
Applies intermediate knowledge to assist with proper filing of documents with regulatory authorities, courts, other tribunals, monitors status and distributes copies.
1 year of experience in legal support or related experience to include multi-tasking in a fast paced and complex business environment.
Data Entry Tech (Um)
By Impresiv Health At Orange, CA, United States

The Data Entry Tech will be responsible to perform routine to complex data entry. The incumbent will provide office support functions as needed for the Utilization Management department. Candidates ...

Clinical Supervisor - Um - Gov Programs
By CareCentrix At , Remote $60,000 - $72,000 a year
You are competent and experienced with Utilization Management and Regulatory and Accrediting agency standards.
You should get in touch if: (Required education, skills and experience)
Serve as a resource for the Utilization Management program and clinical guideline applications
Support operations and management team with clinical feedback and utilization training
Partner with Operations Leadership, Clinical Management, and the Quality Department to support clinical and utilization management goals and objectives.
Track and monitor turnaround times to assure service requirements are met
Um Nurse Consultant Jobs
By CVS Health At , , Fl $28.25 - $60.50 an hour
Minimum 2 years of clinical experience
Position requires proficiency with computer skills which includes navigating multiple systems
Complete at least 10 NF member assessments weekly
Rebalance a minimum of 5 members a month or clearly document why goal was not met.
Support the Health Plan Rebalancing Initiative goal of successful transitions: Assess, identify, screen and transition NH members into the community
Drive enhanced value of health care to increase member satisfaction and retention, and drive new membership growth.
Um Rn Jobs
By Centers Plan for Healthy Living At Jamaica, NY, United States
Minimum 2 years utilization management experience
Utilizes knowledge of community resources and the member’s benefit structure
Experience working within a managed care environment
Have a knowledge of the Appeals and Grievances process
Strong written and verbal communication skills
Knowledge of Milliman or InterQual criteria
Um Service Coordinator Jobs
By Fallon Health At Worcester, MA, United States
Initiates entry of request(s) into core system (QNXT/TruCare) and case management application (TruCare) as applicable.
Manage applicable queues in both the core system (QNXT UM and Call Tracking) and the case management application (TruCare).
Mature judgment: knows when to seek guidance/direction and or when to refer problems to management
Manage the Call Tracking module in the core system (QNXT) as required.
Some advanced education highly preferred.
Excellent telephone, typing and computer skills
Rn - Or - First Assistant
By TidalHealth At Seaford, DE, United States
At least two years of perioperative experience
OR RN - First Assistant Position Requirements
OR RN - First Assistant Benefits
Licensed and currently registered to practice as a Registered Nurse. Must hold a license in the state of permanent residency.
American Heart Association Basic Life Support (BLS)
May be assigned to day, evening, or night shifts or a combination per departmental policy.
Um Rn Jobs
By Centers Plan for Healthy Living At Staten Island, NY, United States
Minimum 2 years utilization management experience
Utilizes knowledge of community resources and the member’s benefit structure
Experience working within a managed care environment
Have a knowledge of the Appeals and Grievances process
Strong written and verbal communication skills
Knowledge of Milliman or InterQual criteria
Um Coordinator Jobs
By Centers Plan for Healthy Living At Margate, FL, United States
Experience working within a managed care environment
Participates in case round meetings and on-going education activities
Ensures that all job responsibilities are carried out in compliance with CPHL and State and Federal regulations
Strong written and verbal communication skills
Assists in the prior authorization of services and ongoing authorization requests
Assists in completing authorization updates as needed based on the care plan of the member
Um Care Coordinator Jobs
By Centers Plan for Healthy Living At Jamaica, NY, United States
Experience working within a managed care environment
Participates in case round meetings and on-going education activities
Ensures that all job responsibilities are carried out in compliance with CPHL and State and Federal regulations
Strong written and verbal communication skills
Assists in the prior authorization of services and ongoing authorization requests
Assists in completing authorization updates as needed based on the care plan of the member
Um Denial Coordinator Lvn
By Texas Children's Hospital At , Houston, 77001, Tx
Required 5 years of Utilization Management experience and a preferred 3 years of Denial or Appeal experience
Analyzes requests against regulatory and decision-making guidelines and benefits allowance.
Provides community education for other reviewers on guideline application, changes, and updates
Educates physician reviewers and nursing staff on policies and procedures of the Texas Children's Health Plan managed care and Medicaid
Graduation from an accredited School of Vocational Nursing
LVN - Lic-Licensed Vocational Nurses by the State of Texas
Um Administrative Coordinator- Medicare- Wah Mon-Fri 9Am-6Pm Est
By Humana At , Tampa, 33610, Fl
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
1+ years administrative or customer service experience
Excellent verbal and written communication skills
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Proven experience working with tight deadlines/timeframe in an ever changing environment
Proficient and/or experience with medical terminology and/or ICD-10 codes
Um Administrative Coordinator- Medicare- Wah Mon-Fri 9Am-6Pm Est
By Humana At , Lancaster, 29720, Sc
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
1+ years administrative or customer service experience
Excellent verbal and written communication skills
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Proven experience working with tight deadlines/timeframe in an ever changing environment
Proficient and/or experience with medical terminology and/or ICD-10 codes
Legal Assistant Bi/Um (Hybrid)
By USAA At , Jacksonville, 32258, Fl
Intermediate knowledge of the function/discipline and demonstrated application of knowledge, skills and abilities towards work products required.
Oversees management and maintenance of attorneys' files per the attorney's specifications.
Identifies and manages existing and emerging risks that stem from business activities and the job role.
Collaborates with team to evaluate risk of alternatives and calculate costs of potential liability and assesses benefits/drawbacks.
Applies intermediate knowledge to assist with proper filing of documents with regulatory authorities, courts, other tribunals, monitors status and distributes copies.
1 year of experience in legal support or related experience to include multi-tasking in a fast paced and complex business environment.
Um Administrative Coordinator- Medicare- Wah Mon-Fri 9Am-6Pm Est
By Humana At , Atlanta, 30338, Ga
Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization
1+ years administrative or customer service experience
Excellent verbal and written communication skills
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Proven experience working with tight deadlines/timeframe in an ever changing environment
Proficient and/or experience with medical terminology and/or ICD-10 codes
Um & Clinical Denials Assistant
By Piedmont Healthcare At , Atlanta, Ga

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:

Forbes named Piedmont one of Georgia’s 10 best employers and the highest-ranked healthcare provider.

Compliance Nurse - Home Solutions Um
By Humana At , Louisville, 40202, Ky
Previous experience in utilization management, case management, discharge planning and/or home health or rehab
Certification in Case Management a plus (CCM)
Less than 5 years of technical experience
3 or more years of clinical experience
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Experience working on a team performing auditing, quality and/or compliance
Um First Assistant Professor
By University of Maryland, Baltimore At , Baltimore, Md
Successfully compete for federal research funding
Develop a vibrant and independent research program
Meet the criteria for NIH-defined Early Stage Investigators
Have a strong commitment to diversity
The University of Maryland FIRST Program
to create an environment conducive to supporting highly effective biomedical researchers