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- ...Manager of Clinical Services - Utilization Management Amida Care, the largest Medicaid HIV Special Needs Plan in NY, delivers a uniquely effective... ...regularly with delegated UM vendors. This position will also review medical utilization management denials and appeals...Suggested
$32.96 per hour
...Overview Utilization Manager Healthcare staff can work anywhere....The BEST work with US! Monday, Tuesday, Thursday and Friday (9am... ...assuring compliance with external and internal utilization review/quality and appropriateness requirements. Responsibilities...SuggestedWork at officeMonday to Friday$151.56k - $272.76k
...As a Consult Partner, you will play a vital role with utility industry clients and account teams, building senior-level business and technology relationships and driving value-based outcomes. You will have opportunities to lead small teams of practitioners on multiple...SuggestedMinimum wageFull timeContract workPart timeLocal area- ...patients and their families ease the burden of managing a life-limiting illness or end of life... ..., revises and communicates policy reviews and updates for management and staff. Educates... .../family care. Assures that the teams utilize appropriate resource services (ambulance...SuggestedLocal areaRelocation package
$2,035.8 - $2,130.8 per month
...Job Description GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Newark, New Jersey. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 12/15/2025 ~ Duration...SuggestedHourly payWeekly payContract workShift work- ...Description Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Newark, New Jersey. Job... ...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills \n Description: The RN Case Manager coordinates...SuggestedPermanent employmentTemporary workZero hours contractShift work
- ...Description Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Brooklyn, New York. Job... ...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills \n Description: The RN Case Manager coordinates...SuggestedPermanent employmentTemporary workZero hours contractShift work
$119.2k - $149k
...leading global provider of cash and valuables management, digital retail solutions, and ATM... ...initiatives Lead through lean principles and utilize continuous improvement methodologies,... ...have received your application. We will review all candidates and notify you of your...SuggestedTemporary workLocal area- ...working with the Deputy Director on the management, supervision and innovative development... ...workers and case managers in identifying and utilizing community resources for mental health,... ...skills. Conduct quality assurance reviews of patient care to ensure clinically appropriate...SuggestedPart time
$231.9k
...a clinical professional on our Medical Management/Health Services team. Centene is a diversified... ...Internal Medicine or Family Medicine Utilization Management experience and knowledge of... ...activities. Performs medical review activities pertaining to utilization review...SuggestedFull timePart timeWork at officeImmediate startRemote workFlexible hoursWeekend work$75k - $90k
...Tribe Hospitality is in search of a General Manager to support both of our exciting... ...concerns. Monitor and respond to online reviews and feedback. Maintain high standards... ...to meet and exceed standards. Able to utilize traditional software programs such as Microsoft...SuggestedFull timeWork at officeLocal areaNight shiftWeekend work- ...Join to apply for the General Manager role at Waccamaw Management, LLC 3 days ago Be among the first 25 applicants Join to apply... ...development, and fiscal operations at the community level. Review and oversite of client annual financial audits. Other duties...Suggested16 hoursFull timeWork at officeLocal areaWorldwide
- ...medicine, health education, and disease management. Leveraging its vast network of physicians... ..., and evaluation of staff. Reviews patient charts for completeness and accuracy... ...ambulate 8 hours/day, manual dexterity to utilize equipment, auditory acuity, visual acuity...SuggestedAfternoon shift
$65k - $115k
...responsible for the day-to-day account management and broking of complex personal insurance... ...on behalf of clients. Conducts annual reviews for clients ahead of key renewal dates.... ...products, services, and systems. Fully utilizes internal client management system to...SuggestedFull timeTemporary workPart timeLocal areaRemote work$75.12 per hour
A healthcare organization in Hackensack, New Jersey is seeking an Advanced Practice Nurse who will utilize a patient-centered coordinated care model. The role involves assuming responsibilities ranging from performing clinical assessments, prescribing medications, and ensuring...SuggestedHourly pay$160k
...Utilization Sales Manager - NE NJ/NY Salary:$160,000.00 Base Annually Location: Remote / Field - Ideally candidates will live in a major metro area within the central region. Compensation Range: $160,000 base pay, plus variable compensation - $300,000 at plan...Full timeTemporary workLive inRemote workNight shift- ...facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. The Director of... ...departments to ensure implementation of interventions Utilizes PDSA methodology and analytical tools to evaluate results ~...
- ...resonate with clients. As a Product Manager in Merchant Services, eCommerce Payments... ...profitable products that provide customer value. Utilizing your deep understanding of how to get a... ...is contingent on JPMorganChases review of criminal conviction history, including...Full time
- ...resonate with clients. As a Product Manager in Merchant Services, eCommerce Payments... ...profitable products that provide customer value. Utilizing your deep understanding of how to get a... ...is contingent on JPMorganChase\'s review of criminal conviction history,...Full time
$103 per hour
PHYSICIAN UTILIZATION REVIEW SPECIALIST PER DIEM - JFK Johnson Rehabilitation Institute Requisition #: 2024-143324. Shift Day. Status: Per Diem... ...Review Specialist collaborates with the healthcare team to manage and resolve activities ensuring the integrity of clinical...Hourly payDaily paidShift workNight shiftWeekend workAfternoon shift$103 per hour
Overview The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC. These include but are not limited to utilization...Hourly payDaily paidFull timeContract workPart timeFor contractorsApprenticeshipWork experience placementShift workNight shiftWeekend workAfternoon shift$115k - $120k
...visits with physicians to provide real-time support, review performance metrics, and identify opportunities... ...). ~35+ years of healthcare experience in managed care, provider relations, quality improvement, utilization management, or clinical operations. ~ Valid drivers...Permanent employmentPart timeRemote workFlexible hours$90k - $105k
...As the one-stop-shop leader for traffic management systems, sensor products, and services,... ...relationships within existing agencies and utilize their engineering background in selling... ...for Econolite and key clients. Review RFPs, RFIs and other requests for information...Weekly payFull timeRemote workFlexible hours$150k
...Critical Start or check out our Glassdoor reviews for an inside look. Who You Are... ...leverage our comprehensive portfolio, including managed detection and response services,... ...meetings around the state(s). ~ Utilize Salesforce to track all pertinent information...Temporary workWork experience placementCasual workLocal areaRemote work$92.3k
...various leads Creating, delivering, and managing client demos/ presentations, quotes/ proposals, and Quarterly Business Reviews (QBRs) Engaging with C-Level and VP-... ...and UCaaS Experience Have experience Utilizing Customer Relationship Management (CRM) tool...Work at officeRemote work$123k - $224.4k
...customers, process exchanges and returns, and manage risk. We enable consumers to engage in... ...of PayPal merchant partners. You'll utilize your industry connections to secure opportunities... ...fees for courses, applications, resume reviews, interviews, background checks, or...Work at officeLocal areaFlexible hours$184.57k - $248.27k
...field sales position and reports to a Regional Manager - Prenatal. Responsibilities: Increasing utilization of UNITY Fetal Risk Screen and driving market development... ...protect your information, we encourage you to review our Privacy Policy. About BillionToOne...Local areaWorldwideFlexible hours- ...solutions aimed at providing a better use and management in terms of diagnostic efficacy,... ...participating in all sales training and utilizing sales tools provided by the... ...planning, account analysis, forecasting and reviewing sales (e.g. Salesforce.com, BARS, Field...Contract work
$85k - $125k
..., developers, contractors, and property managers mitigate risk and optimize their built facilities... ...Actively contribute to CRM utilization and sales process optimization... ...laws. For further information, please review the Know Your Rights notice from the Department...Full timeFor contractorsWork experience placementImmediate start$160k - $170k
...Officers and their teams to proactively manage regulatory obligations, mitigate risk, and... ...expertise. To thrive in this role, you must utilize the right mix of diligence and creativity... ...such. To learn more about this, please review our Statement of Fraudulent Job Offers....Full timeWork visa






