Utilization Management Specialist
Harboroaks
Harboroaks in Council Bluffs, IA seeks a dedicated utilization management professional to monitor service utilization and optimize reimbursement for the facility. The role involves coordinating with clinical staff and managed care organizations and ensuring compliance with certification requirements. Key tasks include conducting reviews, monitoring length of stay, reporting utilization data, and leading appeals for denied admissions. #J-18808-Ljbffr Harboroaks
- ...Methodist Jennie Edmundson Behavioral Health seeks a professional to monitor utilization and coordinate reimbursement processes. You will liaise with managed care organizations and internal staff, conduct reviews, and communicate requirements to facilitate appropriate...Suggested
- ...Overview PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct...SuggestedWork at officeLocal area
- ...PURPOSE STATEMENT Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Overview Proactively... .... Responsibilities ESSENTIAL FUNCTIONS Act as liaison between managed care organizations and the facility professional clinical...SuggestedWork at officeLocal area
- ...Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Utilization Review Specialist in Omaha to join its Medical Management team. The individual ensures that medical treatment requests from providers are medically appropriate and reviewed...SuggestedWork at office
- ...Berkshire Hathaway Homestate Companies in Omaha is seeking a Utilization Review Specialist to join the Medical Management team. You will triage, review, and coordinate authorization requests to ensure medical treatments comply with state laws and company policies. You...Suggested
$17 per hour
...find their perfect home, then our Leasing Specialist career at CIP Communities might be the... ...the largest and most diverse property management and development companies in the... ...maintenance and vendors for services Assist in utilizing all company software in an accurate and...Hourly payFull timeWeekend work$18 per hour
...Company Overview Asset Living is a third-party management firm and a proven partner in fostering thriving communities nationwide. Founded... ...leasing data, responding to prospect leads within 24 hours. Utilize established sales and marketing strategies to increase property...Hourly payPermanent employmentFull timeWork at officeImmediate startNight shiftWeekend work- ...of a dynamic crew dedicated to fulfilling variable tasks and utilizing logical thinking tools to achieve excellence. Your journey will... ...You'll Do: Work as a vital member within a four-person team, managing your own station. Enjoy the benefit of comprehensive...Hourly payRelocation packageAfternoon shift
- ...network components.Support connectivity between office environments, private cloud, datacenters, and public cloud services.Assist with management of public cloud network services such as VNets/VPCs, routing, private connectivity, network security controls, and hybrid...Work at officeMonday to FridayShift work
$19 - $20 per hour
...local ordinance, statutes and licensing/accreditation requirements. Amber Specialty Pharmacy Job Title: Authorization Management Specialist Department: Operations FLSA: Non-Exempt General Function Responsible for preparing appeal summaries and prior...Hourly payFull timeWork experience placementWork at officeLocal areaRemote workMonday to Friday$59.15k - $106.93k
Description Change Management Specialist On Site Daily - Omaha, NE Leidos has challenging and exciting engineering opportunities available now! We are seeking a detail‑oriented Change Management Specialist to support our Agile software development program. This role...Local areaImmediate start- ...encourages individuality and values the unique perspectives each team member brings. We are seeking a detail‑oriented Order Management Specialist to join our Commercial Operations team. The individual will play a critical role in ensuring timely, accurate, and customer‑...Work at officeImmediate startWorldwide2 days per week
$16 - $18 per hour
...SpecialistEmployment Type: Full-TimePay: $16-18 per hour based on experienceSchedule: Monday-Friday 8am-5pm (varies)Report to: Property Management Operations ManagerAbout Us At PJ Morgan Real Estate, we believe in more than just real estate—we believe in making a lasting...Hourly payMonday to Friday$19 per hour
...provide expert, sustainable solutions in records and information management, digital transformation services, data centers, asset... ...contributions? If so, let's start the conversation. Senior Imaging Specialist (Team Lead using Gems) Iron Mountain is seeking an...Full timeRemote work$19 - $21 per hour
...National Leader in Workforce Solutions We are a nationally and internationally respected leader in workforce training, consulting, management, and administrative services. From supporting job seekers facing barriers to employment, to building employer talent pipelines...Contract workWork experience placementWork at officeLocal areaImmediate startFlexible hoursAfternoon shift- ...the future of our communities.In the role of Project Controls Specialist, we'll count on you to: Establish WBS, and develop and maintain... ...Preferred QualificationsBachelor's degree in Construction Management or Engineering. A minimum of 5 years of experience in project...Temporary work
- ...Parts SpecialistThe Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store management in the accomplishment of assigned tasks. Bilingual candidates encouraged to apply.Essential Job FunctionsFollow...Local areaFlexible hours
$40.31k - $64.5k
...Summary of the Job: The Lead Specialist assists with planning, prioritizing, monitoring, and performance... ...from an activity being performed within a department. ~Assist manager in the review and assessment of team adherence to standard operating...Full timeTemporary workWork experience placementWork at officeMonday to FridayFlexible hours$78.25k - $92.25k
...workers' compensation claims of higher technical complexity, with a direct impact on departmental results. Negotiating settlements. Managing subrogation claims in litigation. Resolving issues that are generalized and typically not complex but require understanding of a...Local area$63.9k - $95.15k
About this Opportunity As a Portfolio Specialist, you are responsible for executing trade orders on all Brinker Capital client accounts and managing the product portfolios to be aligned to the models provided by the Investment team. This role requires a deep understanding...Work at officeFlexible hours3 days per week$21 - $24 per hour
...Discover a more connected career The Project Specialist plays an important role in supporting our project teams and ensuring work moves... ...organized, detail-oriented, and eager to build a career in project management within the construction/telecom industry. This position is 100...Work experience placementWork at office- ...Job Description Job Description Job Title: Service Management Specialist (Data Center Asset Management) Duration: 12 Months Contract... ...asset-related requests and maintain accurate documentation. Utilize DCIM tools to verify asset locations, rack positions, power...Contract workWork at officeLocal area
$19 - $21 per hour
...leader in workforce training, consulting, management, and administrative services. From... ...Description Job Title: Community Engagement Specialist Reports to: Community Engagement... ...and Company policies and procedures. Utilize Extreme Customer Service behaviors in all...Hourly payWork at officeLocal areaImmediate startFlexible hoursWeekend workAfternoon shift- ...Gastroenterology/IBD Advanced Practice Provider Specialist Updated: May 28, 2026 Location: Omaha,... ...education have taught you, it’s how to manage priorities and move seamlessly from one... ...education to support appropriate utilization of company approved products Engage with...Work at officeLocal areaHome office
- ...education have taught you, it's how to manage priorities, and move seamlessly from one... ...(HCPs) delivering patient care. The APP Specialist, Gastroenterology is responsible for proactively... ..., and to support HCPs in appropriate utilization of our client's access and fulfilment...Work at officeLocal areaHome office
$17 per hour
...may be scheduled on any day from Monday through Sunday. We are seeking a dedicated and hardworking individual to join our team as a Utility Worker at Thrift World! As a utility worker, you will play a crucial role in assisting our team with a variety of tasks to ensure...Hourly payShift work- Gastroenterology/IBD Advanced Practice Provider Specialist Updated: Yesterday Location: Omaha, NE,... ...education have taught you, it’s how to manage priorities, and move seamlessly from one... ..., and to support HCPs in appropriate utilization of our client’s access and fulfilment...Work at officeLocal areaHome office
- ...(3PL) with a national warehouse presence. KSSC specializes in managed warehousing for all types of industries. From Distribution solutions... ...efficient and agile in all processes. Job Overview: The Utility Associate is responsible for performing a variety of tasks to...Weekly payFlexible hours
- ...We are searching for a Fire &Life Safety Specialist at our global headquarters in Omaha,... ...specialists, fire protection designers, project managers, and multi-discipline design teams daily... ...related industry experience.Proficient utilizing AutoCAD and Revit.Must be able to work...Work at officeLocal areaImmediate start
$17 per hour
...accruing on 1st day of employment - can be utilized after 90 days of employment. ~ Sick... ...- Sun Day to Day The Resident Specialist is responsible for maintaining the... ...procedures, which are designed to provide management, guidance, and redirection for the youth...Hourly payFull timeAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Management Specialist. Be the first to apply!
- coding specialist Council Bluffs, IA
- consulting specialist Council Bluffs, IA
- ecommerce specialist Council Bluffs, IA
- specialist Council Bluffs, IA
- welding specialist Council Bluffs, IA
- transportation specialist Council Bluffs, IA
- records management specialist Council Bluffs, IA
- adoption specialist Council Bluffs, IA
- amazon specialist Council Bluffs, IA
- infection control specialist Council Bluffs, IA



