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
- ...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
$23 per hour
...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...SuggestedLocal area- ...are addressed properly and in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate... ...with policies and guidelines Contributes to the authorization review process by documenting necessary medical information such as...Suggested
$18.23 - $22 per hour
...expertise, excellence in process management, and dedication to corporate... ...Overview: The Equipment Specialist-Yard member performs a variety... ...Site Services safety rules: utilizes protective clothing and equipment... ...weather conditions (in some cases extreme heat/cold), moving...SuggestedFull timeTemporary workPart timeLocal areaLong distanceFlexible hours- ...Responsibilities Coordinate and manage all aspects of workers' compensation cases. Verify workers'... ...and claim status. Utilize knowledge of CPT and... ...requests. Review physician documentation... ...Hills Interventional Pain Specialists is one of the largest pain...Suggested
- ...include completing cost center budget templates by utilizing SAP and excel based financial models. Create Purchase Order and manage subsequent invoices as they come in to the... ...to gather monthly accrual information. Review and validate contract change requests. Run Excel...Contract work
- ...Portfolio Management Specialist The duties entail review of incoming requests for processing limits, DDA, TIN validation and name changes. The requests are submitted by merchants, agent offices and various internal departments. These duties ensure current and accurate...
$23 - $24 per hour
...Job Title: Leasing Specialist Location: Woodland Hills, CA 91... ...all criteria (ask questions; utilize completed guest cards, etc.).... ...related service needs to Property Manager. Demonstrate community and... ...and on a timely basis. Review with the Community Manager prior...Hourly payFull timeWork at officeImmediate startFlexible hoursShift workAfternoon shift$19 - $23 per hour
...Registration Specialist I (Onsite: Agoura Hills, CA) As the leading innovator in Vehicle... ...vehicle industry. Our namesake solution manages titling and registration transactions in... ...auditor is responsible for meticulously reviewing all documents that have been...Hourly payLocal areaFlexible hours$104.5k - $193.5k
...accommodation or an alternative application process. Senior Specialist, Program Management Full Time Simi Valley, CA, US 3 days ago Requisition ID: 1... ...customer contact for program activities, leading program review sessions with customer to discuss cost, schedule, and...Full timeContract workFor contractorsLocal areaImmediate startFlexible hours$93.06k - $136.73k
...sourcing strategies for local & regional initiatives for Facility Management Services that drive value to JLL and our clients. Strategic... ...planning to execution). Meet with JLL and Client Leadership to review progress and engage them to advocate and sponsor change...Daily paidContract workTemporary workLocal areaImmediate startRemote work$30k
...Job Summary As a Delivery Assurance Specialist (DAS), you will be working as a vital link between the Prime Aerospace customers and their... .../Sheet Metal. Bachelor’s degree (or higher) in supply chain management, production control, procurement, business, quality assurance...Hourly payDaily paidPart timeWork experience placementWork at officeImmediate startWorldwideLong distanceMonday to Friday- 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...Remote jobContract work
$18 - $20 per hour
...describe the leak issue * Regularly communicate with office staff, management, colleagues and customers * Complete, maintain and process... ..., pool maintenance companies, pool contractors, apartment managers, drain cleaners, restoration specialists, and municipalities....Hourly payFull timeFor contractorsWork at office$18.23 - $24.62 per hour
...industry expertise, excellence in process management, and dedication to corporate... ...business. Overview: The Equipment Specialist performs routine work in the repair and... ...Follow United Site Services safety rules: utilizes protective clothing and equipment, reports...Full timeTemporary workPart timeSecond jobLocal areaFlexible 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...
- ...Program Associate (PA) plays a critical administrative and project management role in coordinating the Initiative's grantmaking activities.... ...grants are paid according to the timeline and process. Review, analyze, and prepare grantee progress reports and payments for...Contract workWork experience placementWork at office3 days per week
$16.9 - $17.5 per hour
A leading hardware retailer in Thousand Oaks seeks a Part Time Head Cashier to manage register transactions, assist customers, and support office tasks. The ideal candidate will possess customer service experience and a high school diploma or equivalent. Responsibilities...Part timeWork at office- 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
- ...Westlake Village, has an immediate opening for an Inspection Specialist to perform mechanical inspection on machined components and complex... ...capable of performing all manners of mechanical inspection, utilizing all types of handheld equipment. Write programs and operate...Temporary workImmediate startMonday to ThursdayDay shift3 days per week
- ...Construction Safety Specialist US-CA-Los Angeles Job ID: 2026-4795 Type: Regular... ..., staging areas, and laydown spaces Review and approve Job Hazard Analyses (JHAs),... ...infrastructure Regulatory Compliance & Risk Management Ensure compliance with OSHA/Cal...Full timeTemporary workFor contractorsLocal area
$21 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$23 per hour
...Recovery Specialist I - Mental Health 333 Job Category: Direct Care Requisition Number... ...for an interview. Behavioral Health, Case Manager, Case Management, Mental Health If... ...laws. For further information, please review the Know Your Rights notice from the Department...Hourly payFull timePart timeRelocation packageShift workNight shiftWeekend work- ...Legal Documentation Specialist Are you dependable, resilient, and highly organized? Do you enjoy problem-solving and excel at time management? U.S. Legal Support is seeking a Legal Documentation Specialist to join our legal services team in Chicago, Illinois. This role...Work experience placementMonday to Friday
- ...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
- ...Project Accountant to support the financial execution of our projects from kickoff through closeout, working closely with Project Managers and leadership. This role requires consistency, discretion, and a high standard of follow-through. This is a key internal position...Full timeFor contractorsFor subcontractorWork at officeImmediate start
- ...you like to problem solve and multi-task? U.S. Legal Support seeks an Order Entry Specialist that has a keen eye for detail, communicates effectively, and has excellent time management skills. Order Entry Specialist duties include entering, preparing, and sending out...Work experience placementMonday to Friday
$78k
...Position The Virtual Reality (VR) Specialist will be responsible for... ...reality vendor. Project management lead for the development of... ...latest developments and peer reviewed research regarding VR, Autism... ...Occupational Therapy. Fluency in utilizing virtual reality systems....Work at office$70.3k
...Specialist, Club Member Services The role of Specialist, Club Member... ...goals. Effectively manage assigned Season Ticket Member... ...event operations. Effectively utilize ticketing software and CRM to... ...Manager, Club Member Services to review service activity, including...Work at officeLocal areaImmediate startAfternoon shift$85k - $127k
...experienced and knowledgeable Global Trade Specialist to join our Global Trade Management team, specializing in the import... ...clear dossiers for leadership review. Research and analyze regional trade... ...facts and circumstances of each case. A reasonable estimate of the current...Temporary workWork experience placementFlexible hoursShift work
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