6 utilization management reviewer jobs found

Heartland Technology Group Description: Position Summary: The Client Experience Partner serves as a trusted advisor and primary post-sales advocate for assigned clients, with a focus on client retention, satisfaction, and account expansion. This role proactively engages clients through routine check-ins and structured business reviews to ensure clients are realizing maximum value from their HBS services and solutions, identifying risks to retention early, and uncovering opportunities to grow the relationship. Roles and Responsibilities/ Essential Functions: Own client retention for an assigned portfolio of accounts, including renewal readiness, risk identification, and the development and execution of save/remediation plans. Drive account expansion by identifying upselling and cross-sell opportunities and partnering with Account Managers and Sales to qualify and advance those opportunities. Conduct routine proactive check-ins with clients to ensure satisfaction,...

Heartland Technology Group Description: Position Summary: This position provides a wide range of IT services from desktop & application support to basic administrative duties for servers, networking, and firewall equipment. This position is part of our managed services team and provides critical IT support for multiple Heartland customers. The ideal candidate will bring a good blend of technical and customer services skills to this fast-paced environment.  Roles and Responsibilities/ Essential Functions: Respond to auto generated ticket alerts both critical and non-critical. Monitor and work tickets in ticket system for client submitted requests. Acknowledge and respond to tickets based on Managed Services SLA. Be part of a phone call queue for client call in requests. Review monthly client reports and provide resolutions solutions based on generated reports. Escalate tickets to internal departments and clients IT departments. Perform proactive maintenance...

Evaluate patients within twenty four (24) hours, or 1 business day of physician referral. If unable to complete evaluation in 24 hours, documentation in medical record clearly defines cause for delay. Develop effective treatment plan and obtain approval for services from referring physician. Treat patients per the physician treatment plan. Assist nursing department with training of Restorative Aides. Supervise Physical Therapy Assistants in direct patient care and patient related activities, following state practice act. Communicate with supervisor and other health team members regarding patient progress, problem and plans. Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in services training program for other staff in the facility. Record evaluations, daily treatment notes, weekly progress notes, recertification documentation, per PT Board State Practice Act and governmental and third party payer...

Evaluate patients within twenty four (24) hours, or 1 business day of physician referral. If unable to complete evaluation in 24 hours, documentation in medical record clearly defines cause for delay. Develop effective treatment plan and obtain approval for services from referring physician. Treat patients per the physician treatment plan. Assist nursing department with training of Restorative Aides. Supervise Occupational Therapy Assistants in direct patient care and patient related activities, following state practice act. Communicate with supervisor and other health team members regarding patient progress, problem and plans. Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in services training program for other staff in the facility. Record evaluations, daily treatment notes, weekly progress notes, recertification documentation, per Occupational Therapy Board State Practice Act and governmental and...

Job Summary Job Description Responsible for the daily administration and operation of the warehouse. Oversee materials are received, stored, shipped and reported in accordance with established procedures. Direct and supervise warehouse staff. Review effectiveness of operating procedures, maintenance, space utilization and protection of equipment. Administer and oversee the daily operation of the warehouse including processing, packaging and storage of supplies, materials and equipment. Ensure overtime is maintained within budget allotted. - Oversee receipt, storage and shipment of materials and related reporting in accordance with established procedures. Ensure the accuracy of the inventory. Account for all materials and supplies in the stores facilities. Audit goods received into warehouse. Coach and mentor team members in the areas of productivity, quality, safety and Medline Core Values. Ensure all routine paperwork is completed on time and are filled out...

Our opportunity: As the premium provider of drinking water and water treatment services for the greater part of a century, Hall’s Culligan continues to innovate and expand our business nationwide by offering tailored solutions to meet the specific needs of each customer backed by our superior Culligan service. As a Route Delivery Driver , you’ll play a crucial role in ensuring timely and accurate delivery of Culligan drinking water and associated products to customers on a predetermined route. This role will be customer-facing and requires the Driver to consult with customers to determine the products and/or amount of products necessary to meet their need. The ideal candidate for this role will understand effective route planning, have excellent driving skills, and will be committed to delivering exceptional Culligan service. You'll also receive excellent cross training in other aspects of the business such as: Warehouse and Service & Installation. Why you’ll...