• 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 ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
    Reno Behavioral Healthcare Hospital (11/13/24)
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  • Correspondence Policy Specialist

    Evolent Health (Carson City, NV)
    …meet the minimum standards for National Committee for Quality Assurance + Utilization Review Accreditation Commission (URAC), Employee Retirement Income Security ... of legislative/oversight bodies [e.g., National Committee for Quality Assurance Utilization Review Accreditation Commission (URAC), Employee Retirement Income… more
    Evolent Health (11/06/24)
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  • IT Specialist (Custspt)

    Air National Guard Units (Reno, NV)
    …factors. Recommends methods and procedures and coordinates corrective action to optimize utilization of present equipment. Ensures upgrades to the base IT and ... Participates with operating officials, system users, and others in progress review of established systems to determine the reliability, productivity, and user… more
    Air National Guard Units (11/15/24)
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  • Director, Benefits

    Verint Systems, Inc. (Carson City, NV)
    …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... across plans to address issues, discuss trends & best practice, utilization and opportunities for improvement. + Responsible for ensuring internal compliance… more
    Verint Systems, Inc. (09/20/24)
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