Utilization Management Specialist - Preauth & Case Review
Direct Staffing Inc
A staffing agency is looking to hire several Site Logistics Operators in Knoxville, TN for a leading chemical company. The role requires coordinating cases for precertification, managing claims, and requires a high school diploma/GED. Ideal candidates should have medical terminology knowledge and at least one year of call-center experience. Strong communication and organizational skills are essential for success. This is a long-term, indefinite assignment in a dynamic environment. #J-18808-Ljbffr Direct Staffing Inc
$24.88 - $33.17 per hour
...Senior/Lead Online Enrollment Specialist- Remote The Senior/Lead... ...enrollment process for clients utilizing these online platforms. This... ...as needed to management. Initiate, evaluate, and... ...understanding, complying, and regularly reviewing all policies and procedures,...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeRemote workMonday to FridayWeekend work- ...The Asset Protection Specialist is primarily responsible... ...multiple stores. They utilize tools to minimize loss... ...of theft and fraud, reviewing CCTV and exception reports... ...accurate and detailed case reports documenting... ...unsafe condition to the Manager on Duty and carry out...Suggested
- ...PR Range: 25-35/hr DOERole: Specialist Manufacturing, New Product IntroductionYou... ...effective indirect people management and effective communication,... ...and other relevant business cases execute per schedule. *... ...when appropriate. * Reviewing protocols for manufacturing activities...SuggestedImmediate start
- ...The Asset Protection Specialist is primarily responsible... ...multiple stores. They utilize tools to minimize loss... ...of theft and fraud, reviewing CCTV and exception reports... ...accurate and detailed case reports documenting... ...unsafe condition to the Manager on Duty and carry out...Suggested
- Spectraforce Technologies is seeking a Sr Associate to support RDSG governance and tool management. The role works remotely across the U.S. and participates in scheduling, minutes, and cross-functional initiatives. The ideal candidate will have 2+ years in supplier governance...SuggestedRemote jobContract work
- ...of subjects and reaching academic goals. Observe, monitor and manage behavior of students enrolled in an assigned after-school program... ...of action Set appropriate boundaries with children and adults utilizing conflict resolution skills and proactive communication,...Permanent employmentDay shift
$90.5k - $168.5k
...Specialist, Systems EngineeringJob Type: ExemptJob Location: Simi Valley, CA (This position... ...to the defense sector. Led by a seasoned management team, Fisica is committed to excellence... ...requirements.Support program milestones, design reviews (SRR, PDR, CDR), and delivery schedules....Contract workFor subcontractorLocal areaImmediate startFlexible hours- A technology solutions provider in Thousand Oaks is looking for a Messaging Admin. This role involves implementing Rightfax solutions and requires good communication and documentation skills. The ideal candidate should have experience with Rightfax implementation and be...
- ...Order Management SpecialistThe Order Management Specialist provides top-tier customer service to their assigned accounts through proactive management of orders from receipt through shipping and by partnering with cross-functional team members and stakeholders to ensure...Work at officeWorldwide
- Incyte Corporation is seeking an Immunology Therapeutic Specialist in Thousand Oaks, CA. This role involves executing territory plans, building relationships with dermatology providers, and delivering evidence-based discussions on treatment options. The ideal candidate...
$175k - $305k
...on the production and servicing of U.S. mortgage loans and the management of investments related to the U.S. mortgage market. At... ...Corporate Associate General Counsel with extensive experience reviewing, negotiating and drafting deal documents related to complex mortgage...Temporary workFlexible hours$23 per hour
...You Will Do to Change Lives The Recovery Specialist I provides care that responds to the... ...selected for an interview. Behavioral Health, Case Manager, Case Management, Mental Health If job... ...laws. For further information, please review the Know Your Rights notice from the...Hourly payFull timeRelocation packageShift workNight shiftWeekend work$71k - $78k
...placement guide, POP, and signage requests from merchant teams. Manage and organize signage database. Collaborate with marketing... ...for internal use in-store directives and merchandising guides utilizing Adobe Creative Suite. Provide prompt guidance and...Work experience placementLocal area$112.48k - $152.18k
...transform the lives of patients while transforming your career.Specialist IS Engineer - Citrix Virtualization EngineerWhat you will doLet... ...the world. Amgen is seeking a Citrix Virtualization Engineer to manage, optimize, and support our Citrix Virtual Apps and Desktops...Full timeRemote workFlexible hours$16.9 - $19 per hour
...procedures. Maintains photo equipment and utilizes store systems and technology to support... ...continuity during times when the Photo Specialist is not scheduled. Follows company policies... ...and completes e-Learnings requested by Manager or assigned by corporate. Basic...Hourly payWork experience placementSeasonal workFlexible hoursAfternoon shift- Hill International is seeking a Sr. Specialist, Project Management Support in Thousand Oaks, California to help guide project objectives, timelines, risks, milestones, deliverables, and budgets. The role emphasizes advanced project support, data analysis, strong communication...
- 1-800 Water Damage of Western Montana is seeking a Water Mitigation professional in Westlake Village, California. This role requires at least 1 year of experience with a strong knowledge of MICA software and excellent customer service skills. Responsibilities include performing...Full timePart time
$107.55k - $145.5k
...lives of patients while transforming your career.Specialist Manufacturing - Production Process OwnerWhat... ...manufacturing documents within Amgen’s electronic document management system (CDOCs).Serve as document author, owner, reviewer, or data verifier, ensuring accuracy and...Full timeWorldwideFlexible hours- ...Join us as a Behavioral Health Specialist at Dentrust Optimized Care Solutions . We are seeking... ...health assessments for soldiers. Review behavioral health questionnaires. Collaborate with military providers on case-managed patients. Requirements: Active Clinical Social...For contractorsWork at officeWeekend workWeekday work
$82.5k - $153k
...or an alternative application process. Specialist, Manufacturing Engineering Full Time Simi... ...the defense sector. Led by a seasoned management team, Fisica is committed to excellence... ...responsibility for the delegation of work and the review of others’ work product. Communication...Full timeLocal areaImmediate startFlexible hours- ...policy language; appropriate utilization of forms and exclusions. Assist... ...an underwriting profit. Manage the existing renewal book and... ...profitability and production.Review forms and pricing of competitors... ...salary range for the Underwriting Specialist position is $104,480k - $143,...Full timeWork at officeLocal areaWork from homeFlexible hours
- ...A national recruiting company is seeking a Grievance/Appeals Representative in Thousand Oaks, CA. The role involves reviewing claims, investigating customer grievances, and ensuring resolution of appeals. Candidates must possess a high school diploma and have 1 to 3 years...Contract work
$19 - $28 per hour
...the direction of the Program Manager, is responsible for planning... ...Behavioral Health. The TBS Specialist carries out the mission of Casa... ...clients. Attends weekly Case Supervision and monthly... ...undergo a one-hour training which reviews mandatory reporting...Full timeWork at officeLocal areaImmediate startWork from homeFlexible hours- EMCOR Services Mesa Energy is seeking a detail‑oriented back‑office coordinator to support project administration for HVAC, building automation, chiller, and retrofit projects. The role focuses on organizing bid materials, coordinating kickoff meetings, recording meeting...
- ...and deviation handling, and champion continuous improvement for a multiproduct drug product facility. The role requires project management, GMP experience, and availability for on-site work in a clean room, with shift flexibility to align with production schedules and...Shift work
- ...Corporate Card Specialist Eligible for a hybrid work schedule split between home & office... ...providing exceptional customer service, managing cardholder programs, supporting expense... ...Travel & Expense (T&E) card programs. Review, audit, and approve expense reports to...Work at officeWork from homeHome office
- ...results 4. Knowledge of data integrity requirements of QC systems 5. Ability to prioritize appropriately based on criticality 6. Strong, clear, concise communication skills 7. Document authoring and review capabilities Preferred: 1. Experience in Biovia SmartLab and CIMFull timeRemote work
- ...accounts receivable/payable QuickBooks specialist to handle financial transactions and clerical duties while managing our front desk. This role involves... ...service. Responsibilities: Utilize QuickBooks for bookkeeping tasks Review and reconcile day-to-day financial...Full timeWork at officeFlexible hours
- Millworks by Design is seeking a Construction Accounts Receivable Specialist to manage billing and collections across our projects, collaborating with Project Managers and leadership. This role demands precision, discretion, and a strong follow-through mindset. Ideal candidates...
- American Family Care, Inc. is seeking a Medical Front Office & Patient Coordinator to manage the front lines of a high-volume urgent care clinic in Thousand Oaks, California. The role requires strong administration skills, problem-solving abilities, and exceptional multi...
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