Job Description
VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is seeking a Case Manager, Utilization Review position to join our team in Birmingham, AL!
VIVA HEALTH knows that nursing is not just a job; it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights and weekends. This way, you can do what you love at work and take care of the people you love at home! We also offer a great benefits package, including tuition reimbursement for employees and dependents, 401(K), paid parental leave, and paid day for community service, just to name a few!
VIVA HEALTH is the first and only Alabama-based plan to be named an overall 5-out-of-5 Star Medicare Advantage Plan for the third year in a row! Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team!
The Case Manager, Utilization Review will assist in the development, planning, coordination, and administration of the activities involved in utilization review for VIVA HEALTH members and assigned UAB High-Risk Fund-approved patients. This position will perform timely medical records checks to determine the appropriateness and medical necessity of admission, continued stay, and use of ancillary services. These duties may be performed on-site or telephonically depending on the location. This position may travel to locations within the VIVA HEALTH service area through a reliable means of transportation insured following Company policy. This position will have work-from-home opportunities.
REQUIRED:
PREFERRED:
...Southern California (USC) is one of the worlds leading private research universities. An anchor institution in Los Angeles and a global... ...after USC. A member of the Big Ten Conference and Mountain Pacific Sports Federation, USC is proud to support 10 men's (baseball,...
...Title: Police Office Location: Tennessee College of Applied Technology Anticipated Closing Date: TBD Type of Appointment: Full-Time FLSA Status: Non-Exempt Department : Campus Police Required Documents Needed...
...with disabilities to perform the essential functions. Experience and knowledge of the Clean Air Act, Clean Water Act, Resource Conservation and Recovery Act under the federal and state regulations. Complete management of projects including initial scoping, budget...
...as identified in the shop order work instruction. Processes the part(s) in accordance with the appropriate company process. Inspects and interprets the test results. Marks all unacceptable discontinuities for location and dimension. Documents the completion...
...good faith believe is the rate of compensation for this role at the time of this posting. When you join us, you'll also be joining Danaher's global organization, where 80,000 people wake up every day determined to help our customers win. As an associate, you'll try new...