Talent.com
Utilization Management Representative

Utilization Management Representative

VirtualVocationsRichmond, Virginia, United States
30+ days ago
Job type
  • Full-time
Job description

A company is looking for a Utilization Management Representative - DME - Remote.

Key Responsibilities

Coordinate prior authorization reviews and ensure compliance with requirements

Verify insurance for DME supplies and process orders for shipment

Maintain positive customer relations and communicate with members, providers, and internal departments

Required Qualifications

Minimum of 2 years of DME and / or Utilization Management experience

High school diploma or GED required

Proficient with Microsoft Office Suite

Excellent organizational skills

Ability to prioritize tasks effectively

Create a job alert for this search

Utilization Management Representative • Richmond, Virginia, United States

Related jobs
  • Promoted
  • New!
Licensed Utilization Management Case Manager

Licensed Utilization Management Case Manager

VirtualVocationsRichmond, Virginia, United States
Full-time
A company is looking for a UM Case Manager.Key Responsibilities Provide case management services including pre-certification, assessment, and coordination of care for assigned members Document a...Show moreLast updated: 13 hours ago
  • Promoted
  • New!
Director, Technical Program Management - Card Tech

Director, Technical Program Management - Card Tech

Capital OneRICHMOND, Virginia, United States
Full-time +1
Director, Technical Program Management - Card Tech.Are you interested in leading programs that deliver on critical business goals and build large scale products & platforms?.At Capital One, we’re c...Show moreLast updated: less than 1 hour ago
  • Promoted
  • New!
Team Manager

Team Manager

Panera BreadGlen Allen, VA, United States
Full-time
At Panera, our leaders are celebrated for bringing out the best in their teams.Enjoy great perks, a welcoming culture, and the opportunity to make a real impact—every day.Get ready to rise and come...Show moreLast updated: 5 hours ago
  • Promoted
  • New!
Certified Rehabilitation RN

Certified Rehabilitation RN

Encompass HealthPotomac Mills, VA, US
Part-time
In your role as certified rehabilitation registered nurse (RN), youll be the connection between exceptional care and real, positive results. Paired with mentors who encourage you to grow, youll be a...Show moreLast updated: 2 hours ago
  • Promoted
Licensed Therapist (LCSW, LPC, LMFT)

Licensed Therapist (LCSW, LPC, LMFT)

LifeStance HealthThornburg, VA, US
Full-time
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 28 days ago
  • Promoted
Intake 24 / 7 Telemedicine Product Manager

Intake 24 / 7 Telemedicine Product Manager

CorVel Healthcare CorporationGlen Allen, VA, US
Full-time
The Intake 24 / 7 Telemedicine Product Manager oversees the product life cycle and supports initiatives aimed at improving efficiency and growth. This position works with CorVel executive leadership, ...Show moreLast updated: 20 days ago
  • Promoted
Georgia Licensed Utilization Management RN

Georgia Licensed Utilization Management RN

VirtualVocationsRichmond, Virginia, United States
Full-time
A company is looking for an RN Central Utilization Management.Key Responsibilities Conduct medical necessity reviews and clinical assessments for patient admissions and ongoing care Ensure timel...Show moreLast updated: 23 hours ago
  • Promoted
Compact RN Utilization Management Nurse

Compact RN Utilization Management Nurse

VirtualVocationsRichmond, Virginia, United States
Full-time
A company is looking for a Utilization Management Nurse RN - Remote.Key Responsibilities Conduct prior authorization reviews for skilled nursing facilities, acute inpatient rehabilitation, and lo...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
New York Licensed Utilization Coordinator

New York Licensed Utilization Coordinator

VirtualVocationsRichmond, Virginia, United States
Full-time
A company is looking for a Utilization Management Coordinator - Compliance.Key Responsibilities Review and analyze member cases for medical necessity and appropriateness of treatment authorizatio...Show moreLast updated: 7 hours ago
  • Promoted
Oklahoma Licensed Utilization Manager

Oklahoma Licensed Utilization Manager

VirtualVocationsRichmond, Virginia, United States
Full-time
A company is looking for a Manager, Utilization Management to oversee two Utilization Management teams and ensure compliance with healthcare guidelines. Key Responsibilities Manage prior authoriza...Show moreLast updated: 1 day ago
  • Promoted
Massachusetts RN Utilization Management

Massachusetts RN Utilization Management

VirtualVocationsRichmond, Virginia, United States
Full-time
A company is looking for an Inpatient Utilization Management Clinician.Key Responsibilities : Perform utilization review activities for inpatient cases, applying evidence-based criteria Monitor i...Show moreLast updated: 3 days ago
  • Promoted
Florida Licensed Utilization Management RN

Florida Licensed Utilization Management RN

VirtualVocationsRichmond, Virginia, United States
Full-time
A company is looking for a Utilization Management RN PRN.Key Responsibilities Analyze patient records to assess hospital admissions, treatment legitimacy, and appropriate care levels Facilitate ...Show moreLast updated: 30+ days ago
  • Promoted
Technology Vendor Management Manager

Technology Vendor Management Manager

VirtualVocationsRichmond, Virginia, United States
Full-time
A company is looking for a Manager, Technology Vendor Management.Key Responsibilities Support the vision and mission of the IT Vendor Management Office (VMO) Manage compliance of technology purc...Show moreLast updated: 30+ days ago
  • Promoted
RN - Home Health

RN - Home Health

Enhabit Home Health & HospiceCharles City, VA, United States
Full-time
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, E...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Haunt Associate

Haunt Associate

Kings DominionMilford, VA, USA
Temporary
Step into the shadows and bring the thrills to life! Now hiring for our Haunt season.Get ready to bring the fear and FUN with Kings Dominion this Haunt season! Help us create memories that will las...Show moreLast updated: 2 hours ago
  • Promoted
Lead Revenue Cycle Management Specialist

Lead Revenue Cycle Management Specialist

VirtualVocationsRichmond, Virginia, United States
Full-time
A company is looking for a Lead, Revenue Cycle Management Specialist.Key Responsibilities Provide leadership oversight and mentorship to RCM teams, primarily offshore Handle escalated inquiries ...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Director, Technology (Portfolio Operations)

Director, Technology (Portfolio Operations)

Capital OnePETERSBURG, Virginia, United States
Full-time +1
Director, Technology (Portfolio Operations).The ideal candidate will work with senior leaders to deliver results across a broad portfolio of initiatives and is comfortable thinking strategically an...Show moreLast updated: less than 1 hour ago
  • Promoted
  • New!
RN Coordinator - Utilization Review

RN Coordinator - Utilization Review

VirtualVocationsRichmond, Virginia, United States
Full-time
A company is looking for an RN Coordinator - Utilization Review Behavioral Health Remote PRN Days.Key Responsibilities Identify clinical, financial, and psychosocial needs of patients and develop...Show moreLast updated: 9 hours ago