• Utilization Review Specialist (LVN)

    Kelsey-Seybold Clinic (Houston, TX)
    …contact for add on procedures performed at the KS Ambulatory surgery center (ASC). The Utilization Review Specialist (LVN) will support the Utilization ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible...plan, ACO, IPA, or provider group or 3 years clinical nursing experience Preferred: N/A **License(s)** Required: TX LVN… more
    Kelsey-Seybold Clinic (11/08/24)
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  • Physician Utilization Review…

    Hackensack Meridian Health (Hackensack, NJ)
    …Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient ... **Overview** The Senior Utilization Review Specialist collaborates with the... support in overall medical management effectiveness, benchmarked utilization and cost management (UM) goals and clinical more
    Hackensack Meridian Health (08/19/24)
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  • Utilization Management Specialist NE

    Cleveland Clinic (Vero Beach, FL)
    …or visit. Some of the responsibilities of a Utilization Management Specialist include medical record review, providing clinical information to payers, UM ... May design and initiate special projects as supervised by the Team Manager. Utilization Management Specialist Join our team at Cleveland Clinic Indian River… more
    Cleveland Clinic (10/31/24)
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  • Utilization Specialist

    Truman Medical Centers (Kansas City, MO)
    …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
    Truman Medical Centers (11/04/24)
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  • Utilization Review Specialist Senior

    BayCare Health System (Clearwater, FL)
    …and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Senior **Location** Clearwater | Clinical | Part Time **Req ... services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote... excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our… more
    BayCare Health System (10/14/24)
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  • Utilization Management Specialist

    CareFirst (Baltimore, MD)
    …coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist , will analyze clinical information, contracts, ... **PURPOSE:** Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective… more
    CareFirst (11/07/24)
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  • Acquisition & Utilization Specialist

    Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
    Summary The Acquisition Utilization Specialist is located at the Jonathan M. Wainwright Memorial VA Medical Center with Supply Chain Management service and is ... located in Walla Walla, Washington. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on… more
    Veterans Affairs, Veterans Health Administration (11/08/24)
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  • Acquisition Utilization Specialist

    Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
    Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... clinical and healthcare services, product acquisition and ...of items to include specialized services. Responsibilities The Acquisition Utilization Specialist will render expert contract pre-award… more
    Veterans Affairs, Veterans Health Administration (11/06/24)
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  • Utilization Management Specialist

    FLACRA (Clifton Springs, NY)
    …Type: Full-Time Job Summary: FLACRA is seeking an organized and detail-oriented Utilization Management Specialist to support our residential services ... Utilization Management Specialist Finger Lakes Addiction...of stay criteria. + Perform preauthorization and continued stay clinical reviews for insurance companies within the required time… more
    FLACRA (10/25/24)
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  • Pharmacy Specialist - Utilization

    Henry Ford Health System (Troy, MI)
    …of pharmacy services, decrease waste, and rework in the region, and improve drug utilization . The Pharmacy Specialist will be instrumental in guiding the further ... GENERAL SUMMARY: The Pharmacy Specialist provides oversight and leadership for appropriate drug...provided by the primary care team. He/she works with utilization management reports, corporate data stores, and information services… more
    Henry Ford Health System (11/06/24)
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  • Utilization Management Specialist

    ManpowerGroup (Durham, NC)
    Our client, the largest health care industry, is seeking a utilization management specialist to join their team. If you are detail-oriented, experienced in ... we encourage you to apply for this remote opportunity. **Job Title:** Utilization Management Specialist **Location: REMOTE** **Pay Range: $24/hr on w2**… more
    ManpowerGroup (11/08/24)
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  • Utilization Review Specialist

    Reno Behavioral Healthcare Hospital (Reno, NV)
    The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... Officer/Medical Director as appropriate. + Coordinates an interdisciplinary approach to support continuity of care. + Provides utilization management, transfer… more
    Reno Behavioral Healthcare Hospital (10/29/24)
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  • Utilization Management Specialist

    Motion Recruitment Partners (Durham, NC)
    Utilization Management Specialist Durham, NC **100% Remote** Contract $17/hr - $17/hr Our client, a nationally recognized and award-winning company in the health ... insurance vertical, has a contract opening for a Utilization Management Specialist . They have over 4...Healthcare background **What You Will Be Doing** *Conducts non clinical reviews based on applicable criteria and guidelines on… more
    Motion Recruitment Partners (10/15/24)
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  • Acquisition Utilization Specialist

    Veterans Affairs, Veterans Health Administration (Richmond, VA)
    Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... clinical and healthcare services, product acquisition and ...This is not a virtual position. Position Description/PD#: Acquisition Utilization Specialist /PD99810A Relocation/Recruitment Incentives: Not Authorized Critical… more
    Veterans Affairs, Veterans Health Administration (11/02/24)
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  • Utilization Management Specialist

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
    Mount Sinai Health System (10/10/24)
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  • Utilization Management Specialist

    Robert Half Office Team (Durham, NC)
    …industry, located in Durham, North Carolina, and we're looking to bring a Utilization Management Specialist on board. This role involves making outbound calls ... strong focus on organization and confidentiality. The position is remote, with support provided in Eastern Standard Time, and offers a long-term contract employment… more
    Robert Half Office Team (10/15/24)
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  • Division Clinical Simulations…

    HCA Healthcare (Richmond, VA)
    **Description** **Introduction** **Division Clinical Simulations Specialist . Strong preference for EMT, MA or Clinical Simulations experience** **Location: ... an organization that invests in you as a(an) Division Clinical Simulations Specialist ? At HCA Healthcare, you...has committed up to $300 million in programs to support our incredible team members over the course of… more
    HCA Healthcare (10/15/24)
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  • Clinical Nurse Specialist (CNS)-…

    University of Michigan (Ann Arbor, MI)
    CLINICAL NURSE SPECIALIST (CNS)- Adult Psychiatry (9C) & Pulmonary Medicine (6C) Apply Now **Job Summary** The Clinical Nurse Specialist will be ... Michigan offers a competitive salary with excellent benefits! **Hourly range for Clinical Nurse Specialist $48.58-$73.39 / hour** The benefit package includes:… more
    University of Michigan (11/06/24)
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  • Sales Support , Clinical

    Philips (Fort Worth, TX)
    As a Clinical Specialist with our Lead Management team you will provide clinical expertise and organic revenue generation and growth to drive customer ... sustain Health Care Provider Education efforts, and help drive full product portfolio utilization to meet the needs of our customers. **Your role:** + Conducting… more
    Philips (10/03/24)
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  • Clinical Pharmacy Specialist

    Bon Secours Mercy Health (Mechanicsville, VA)
    …and clinicians are recognized for clinical and operational excellence. **Inpatient Clinical Pharmacy Specialist - Critical Care - Memorial Regional Medical ... Critical Care (BCCCP) are_ **_strongly preferred_** _._ The Critical Care Clinical Pharmacy Specialist is responsible for providing expert pharmaceutical… more
    Bon Secours Mercy Health (08/29/24)
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