Average salary: $76,852 /yearly
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- ...Job Description Job Description Job Title: General Laborer (Utility Team Member) Department : Operations Reports To: Facilities Supervisor Position Overview: At Lakeside, our work changes with the seasons—and we need team members who can adapt. The...SuggestedFull timeSummer workSeasonal workImmediate startFlexible hoursShift workAfternoon shiftEarly shift
- ...~ Every third weekend rotation off-site; less than 3 hours per scheduled weekend Duties and Key Responsibilities The Utilization Review Coordinator reviews and clarifies patient status, applies initial and continued stay criteria to determine medical necessity,...SuggestedPart timeLocal area
- Utilization Management RN | Contract-to-Hire Location: Remote (Must reside in PA, NJ, or DE for future conversion consideration) Licensure... ...including PA Department: Care Management & Utilization Review About the Role We’re hiring an experienced Utilization Review...SuggestedContract workRemote work
- ...including mental, physical, and financial wellness Professional development and growth opportunities How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine...SuggestedFull timeTemporary workLocal areaFlexible hours
- Position Title Clinical Review Nurse (Utilization Review) Work Location Remote - TX Assignment Duration 12 Months Position Summary This role reviews members’ medical information to ensure they’re receiving the right level of care and that services meet medical necessity...SuggestedRemote work
- Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for...Suggested
- ...interdisciplinary team in the provision of patient care by ensuring the appropriate level of care at the point of entry. The utilization review nurse will work on defined patient populations and is responsible for an initial clinical review at the point of patient entry...SuggestedRotating shift
- A healthcare review organization seeks a Physician Reviewer/Advisor in Delaware, Ohio. This role involves utilizing clinical expertise to review insurance appeals and claims while ensuring compliance with established guidelines. Responsibilities include thorough medical...SuggestedExtra income
- ...evidence based clinical guidelines. Conducts prior authorization reviews to determine financial responsibility Qualifications 2 years... ...with Hospital Nursing (Med-Surg, ER) Well versed in Utilization Management-Must be able to determine elective vs urgent request...SuggestedPrivate practice
- A leading behavioral health facility in Willoughby, Ohio is seeking a Utilization Review Coordinator to ensure appropriate reimbursement processes are followed by third-party payers. The role requires managing denials and appeals, obtaining pre-approval for diagnoses,...Suggested
- Formulary Strategy & Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct...Suggested
- ...about this position, we encourage you to apply - even if your experience doesn’t match every requirement. About the role The Utilization Review Nurse is responsible for reviewing and processing medical services requests for members of Quantum Health’s employer groups...SuggestedPermanent employmentCasual workWork at office
- A healthcare navigation organization is seeking a Utilization Review Nurse to manage inpatient medical service requests at their Dublin, OH campus. The ideal candidate must possess a current RN license in Ohio and have at least two years of clinical experience. Responsibilities...Suggested
- A healthcare staffing firm is seeking an experienced Utilization Review Nurse for a fully remote position. The ideal candidate will have an active PA RN license and at least 3 years of acute care clinical experience. Responsibilities include evaluating medical records,...SuggestedRemote jobContract workWork at office
- A healthcare services provider is seeking a Clinical Review Nurse to work remotely. The role involves reviewing medical information... ...and have a minimum of 2 years of nursing experience, preferably in utilization management or managed care. #J-18808-Ljbffr SPECTRAFORCESuggestedRemote job
- A leading healthcare organization in Columbus, OH is seeking a Utilization Review Specialist to facilitate clinical reviews for patient admissions. The ideal candidate will have a Bachelor's degree, preferably a Master's, and experience in psychiatric healthcare. Responsibilities...
- ...leagues, and other local businesses. We hire individuals who can utilize their own management style to achieve our company’s objectives.... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Full timeCasual workLocal areaRelocation packageFlexible hours
- A leading healthcare provider in Cleveland seeks a Utilization Review Nurse responsible for supporting patient care and improving organizational revenue through denial management processes. This position requires a Bachelor's degree in Nursing, a current RN license in...
- A leading health system in Cleveland, OH, seeks a Utilization Review Nurse to support patient care and collaborate with an interdisciplinary team. Responsible for clinical reviews at patient entry and participating in denial management, the ideal candidate will have a...
- ...leagues, and other local businesses. We hire individuals who can utilize their own management style to achieve our company’s objectives.... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Full timeCasual workLocal areaRelocation packageFlexible hours
- A healthcare navigation organization in Dublin, OH is looking for a Utilization Review Nurse to assess and process medical service requests for inpatient care. Responsibilities include reviewing clinical documentation, facilitating discharge planning, and collaborating...
- A healthcare navigation organization is seeking a Utilization Review Nurse to review and process medical services requests at their Dublin, OH campus. This role involves collaborating with patients, providers, and facilities, ensuring high-quality patient care and effective...
- ...and paper, rubber, petroleum, pharmaceutical, glass, metals, and utilities industries. We also deliver equipment for use worldwide. Our... ...experienced Mechanical Engineer. The Mechanical Engineer will create/review models and BOM’s for power distribution equipment including...Worldwide
- ...is hiring for a part-time remote position focusing on medical review activities related to pediatric services. The ideal candidate... ...responsibilities include improving quality of care, managing utilization, and providing educational support. This role requires board certification...Remote jobPart time
- RN, Registered Nurse- Manager, Utilization Review Operations Location: This position is located at our Dublin, OH campus. Who we are: Founded in 1999 and headquarted in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that...
- ...compliance with regulations, analyzing clinical requests, and conducting prior authorization reviews. The ideal candidate should have 2 years of inpatient nursing, familiarity with Utilization Management, and experience with ICD10 and CPT coding. Interested candidates should...
$19 - $22.26 per hour
...collaborative. Meets people wherever they may be with support for self-management of health and well-being. Carries out utilization review and quality assurance activities as directed. Maintains necessary documentation, participates in program evaluation,...Hourly payTemporary workWork at officeLocal area$20 - $22 per hour
...Action Plan and skillfully respond to all first aid situations Review and sign off on all incident reports and submit them to the... ...; Interact with facility and watercraft users to ensure safe utilization and adherence to policies and procedures Maintain required...Summer workSeasonal workWork at officeImmediate start- ...and paper, rubber, petroleum, pharmaceutical, glass, metals, and utilities industries. We also deliver equipment for use worldwide. Our... ...project is completed on schedule, meets quality standards including review meetings and checking procedures, performance is within the...Worldwide
- ...Oversee all Financial Aspects (Cost & Capital Projects) and setup & review all allocations and methodologies. Advise on all... ...equipment to design and production Lean Manufacturing Manpower utilization Ceramic slurries and processes Microsoft office JDE...Work at office


