- Point32Health (MA)
- …additional review by a pharmacist or medical director + The Pharmacy Utilization Management Specialist will run test claims for approved authorizations ... more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department : Utilization Management Location: Los Angeles, CA, US, 90017 ... more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Utilizing key principles of utilization management , the Utilization Review Specialist will perform prospective, ... more
- Cleveland Clinic (Cleveland, OH)
- …career with one of the most respected healthcare organizations in the world. As Utilization Management Resource Center Specialist , you will support the ... more
- Vanderbilt University Medical Center (Nashville, TN)
- …is to advance health and wellness through preeminent programs in patient care, education , and research. **Organization:** Utilization Management 20 **Job ... more
- Nuvance Health (Norwalk, CT)
- …Clinical Care Coordinator - ED acts as principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and ... more
- Adecco US, Inc. (Federal Way, WA)
- …workflows, enhance compliance, and improve overall revenue cycle performance. **Position: Executive Director - Clinical Service Line** **Role Summary:** ... more
- LA Care Health Plan (Los Angeles, CA)
- …staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by maintaining ... more
- Northwell Health (Valley Stream, NY)
- **Req Number** 144275 Job Description Implements, coordinates, and evaluates all Emergency Department Clinical Pharmacy services. Assists and directs Medication ... more
- Munson Healthcare (Traverse City, MI)
- …of resources. + Assists in developing and revising policies to support utilization management activities, including criteria and guidelines for appropriate use ... more
- Hackensack Meridian Health (Hackensack, NJ)
- …evidence based medicine e. Provides professional support to the functions within the Utilization Management Department f. Provides periodic written and ... more
- Lawrence General Hospital (Lawrence, MA)
- …advisor and healthcare team supports all administrative tasks/responsibilities for utilization management and revenue integrity cycle processes. Interacts ... more
- Sutter Health (Berkeley, CA)
- …systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with ... more
- BayCare Health System (St. Petersburg, FL)
- …foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions ... more
- Amity Foundation (Tucson, AZ)
- …generated by association with substance abuse students. Title: Utilization Review Specialist Reports To: Dragonfly Program Director Job Number: Department ... more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... more
- CaroMont Health (Gastonia, NC)
- …CDS and Denial Specialist will work collaboratively with Health Information Management , Utilization Review and Clinical Documentation Specialist to ... more
- Tufts Medicine (Burlington, MA)
- …of hire. 4. Three (3) years hospital/health care experience in the area of Utilization Management . 5. Basic Life Support Certification **OR** Obtain within three ... more
- Granville Health System (Oxford, NC)
- …of the job require clinical skills to consumers who report in crisis in GHS Emergency Department . #Case management and support services for Transitional Care ... more
- Granville Medical Center (Oxford, NC)
- …of the job require clinical skills to consumers who report in crisis in GHS Emergency Department . Case management and support services for Transitional Care ... more