Children's of Alabama: Specialized medical treatment and healthcare services for children.
2+ YOEAL RN or LPN licensure required, 2 years hospital-level experience, knowledge of third-party payer requirements; associate or bachelor degree in nursing/social work required; utilization review experience preferred.
Bradford Health Services: Provides substance abuse treatment and mental health recovery services.
7+ YOE3+ MgmtBachelor's degree,7+ years utilization/case management or revenue cycle leadership,3+ years multi-site people management,behavioral health/SUD experience,knowledge of payer authorization and medical necessity,CCM preferred.
Supervisory Acquisition and Utilization Specialist
Birmingham, Alabama, United States
$90k-$118k/yrOnsiteFull Time
Department of Veterans Affairs: Provides healthcare, benefits, and cemetery services to military veterans.
1+ YOEOne year specialized experience at GS-11 equivalent in acquisition, procurement, contract administration, supply chain planning, and logistics support in a healthcare environment.
Utilization Management Behavioral Health Professional
Virginia or Texas or Tennessee or South Carolina or Pennsylvania or West Virginia or New York or Wisconsin or North Carolina or New Jersey or Massachusetts or Louisiana or Michigan or Kentucky or Maryland or Kansas or Indiana or Illinois or Georgia or Florida or Arkansas or Alabama or Vermont or Rhode Island or Maine or Delaware or Connecticut
$65k-$89k/yrRemoteFull Time
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
1+ YOERequires behavioral health clinical licensure (RN/LCSW/LPC/LMFT/LCP/clinical psychologist), 1+ year post-degree clinical and 1+ year managed care experience, Microsoft Office proficiency, and remote work capabilities.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, HireVue
Utilization Management Nurse Consultant (UM) - Work at Home CST Zone
Kansas or Mississippi or Wisconsin or Arkansas or Texas or Oklahoma or Illinois or Minnesota or Alabama or Iowa or Missouri or Louisiana
$26-$56/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
2+ YOEActive unrestricted RN license,2+ years acute hospital experience,clinical assessment and decision-making,ability to work independently and telephonically,comfort with computer-based documentation and multitasking.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook
Inframark: Operates water utilities and provides residential community management services.
7+ YOE5+ MgmtBachelor's degree,7-10 years related experience with minimum 5 years supervisory experience; valid driver's license; ability to obtain water/wastewater certification; OSHA/DOT knowledge; advanced Microsoft Office skills; able to lift 50-60 lbs; travel up to 75%.
Baldwin EMC: Provides electric utility services to members in southern Alabama.
6+ YOEHigh school diploma, 6+ years line experience, Class A CDL, First Aid and CPR, proficient with iPad/Windows/Excel/Word/Outlook, strong communication and technical skills.
iPad, Windows, Microsoft Excel, Microsoft Word, Microsoft Outlook
Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Flexible Weekend Dayshift - Remote in VA and NC
Norfolk or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
2+ YOEMaster's in counseling/social work/MFT (or BSN for RN), valid state license (LCSW/LPC/LMFT/RN), 2 years behavioral health and 1 year case management, ASAM/substance use experience preferred.
Strategy Consultant - Utilization Management and Medical Policy
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$109k-$181k/yrRemoteFull Time
Highmark Health: Provides health insurance and integrated medical care services.
6+ YOEMasters in Business/Healthcare/Economics required (or Bachelor's with experience),6+ years related experience (or 2 years post-grad consulting plus 6 years related),healthcare strategy experience,advanced data modeling and analytics skills.
SQL, Python, R, Power BI, Tableau, Microsoft PowerPoint, Microsoft Excel, EHR, ICD-10
Dewberry: Professional firm providing engineering, architecture, and environmental consulting services.
BS/MS in Civil Engineering; AL PE required; utility design experience; field investigations; coordination with utilities; design plans, specs, estimates, reports; valid driver license; local experience preferred.
Integra Water: Operates and manages water and wastewater utility systems.
High school diploma or equivalent, valid driver’s license, experience in utility locating or construction preferred, proficiency with locating equipment (ground-penetrating radar, electromagnetic devices), ability to read utility maps and work outdoors.
ground-penetrating radar, electromagnetic field devices
3-GIS: Web-based software for planning and managing fiber networks.
10+ YOE10+ years quota-carrying sales experience in utilities or infrastructure technology, proven enterprise sales track record, strong utility domain knowledge, CRM/forecasting proficiency, and excellent communication and negotiation skills.
City of Fairhope: Provides municipal governance and public services to the community.
1+ YOELocates underground utility lines; HS diploma/GED, 1-3 years locating experience, Class A CDL or ability to obtain, Professional Utility Locator certification; Apprentice Gas Fitter preferred; able to travel and work non-standard hours; background check and drug screen.
United States Steel Corporation: Produces and sells flat-rolled and tubular steel products.
4+ YOEHigh school diploma required; bachelor’s preferred. Minimum 4 years industrial/utilities maintenance experience and 2 years contract management; strong communication and problem-solving skills.
Qualus: Provides specialized power infrastructure engineering and technical services.
2+ YOEAA/AS/BS in CAD or engineering technology, 2+ years electrical design experience for utilities, proficiency in AutoCAD variants, advanced drafting skills, and effective communication.
New York or West Virginia or North Dakota or Wisconsin or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or Florida or Delaware or Connecticut or New Hampshire or Arizona or Vermont or Alabama or Maine or Wyoming or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Hawaii or Oklahoma
$73k-$120k/yrRemoteFull Time
Healthfirst: Provides not-for-profit health insurance coverage to New York residents.
LPN or RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review preferred. Knowledge of Utilization Review guidelines, InterQual or Medicare guidance; proficiency with Microsoft Word and Excel.
Microsoft Word, Microsoft Excel, Macess, InterQual