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- ...effective outcomes and to perform a holistic and comprehensive review of the medical record for the medical necessity, intensity of... ...current state Registered Nurse license. # Minimum 3 years RN Utilization Manager working for a Health Plan. # At least 3 years of...SuggestedDaily paidFull timeTemporary workPart timeLocal areaShift work
- ...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...Suggested
- ...Operator / Delivery Driver IMPACT YOU MAKE: The Warehouse Utility is empowered to keep our communities safe by ensuring customers... ...range for this role considers a wide range of factors that are reviewed in making compensation decisions including but not limited to...SuggestedFull timeTemporary workWork at officeLocal areaFlexible hours
- ...Job Description Job Description SUMMARY The Utilization Review RN reviews client health records to ensure proper utilization of treatment resources. REQUIREMENTS RESPONSIBILITIES AND DUTIES: Coordinates and reviews all medical records, as assigned to caseload...SuggestedWork at office
- ...any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview This Coordinator I of Utilization Management is responsible for providing support to the Medical Management department to ensure the timeliness of outpatient or...SuggestedHourly payFlexible hours
- Description At 1898 & Co., we are changing the game in the utilities industry. With possibilities powered by experience, our purpose is to serve a brighter future. Are you ready to be a part of it? We’re looking for someone ready to take the lead with an entrepreneurial...SuggestedFull timeContract workWork experience placementFor subcontractorLocal area
- ...family/caregivers, staff and appropriate community agencies. Reviews, monitors, evaluates and coordinates the patients hospital... ...interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and...SuggestedLocal areaWeekend work
- ...protected category under applicable law). ADA Specifications Ability to operate a computer to enter and retrieve data Ability to utilize radio equipment for communications Ability to lift up to 70lbs on a consistent basis Ability to pass all pre-screening...SuggestedPart timeWork at officeLocal areaImmediate startShift workNight shiftWeekend work
- ...Utilization Review Nurse Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen...SuggestedFull time
- ...Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance... ...and hospital acquired conditions/never events. The Manager, Utilization Management Nurse Management will report to the Senior...SuggestedContract work
- ...Golden State Water Company is one of the largest investor-owned water utilities in the United States. We deliver quality, reliable water to more than 1 million people in over 80 communities throughout California. Golden State Water has been in business for more than 90...SuggestedFlexible hours
- ...close-outs Other Responsibilities: Assist with capital project accounting Support quarterly and annual financial reporting Review and suggest improvements to JDE contract setups Help identify and implement process improvements What You’ll Need: ~...SuggestedContract workLocal area
- ...Your Role The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry... ...necessity and hospital acquired conditions/never events. The Utilization Management Nurse, Senior will report to the Senior Manager,...SuggestedContract work
- ...Join to apply for the Utilities Manager role at Brightline West Trains 1 week ago Be among the first 25 applicants Join to apply... ...utility owners who have current assets along the HSR alignment Review estimates, pricing, and RFP bids that help lead to agreements...SuggestedHourly payFull timeContract workTemporary workFor contractorsWork at officeLocal areaRelocationFlexible hoursNight shift
- ...United States, and the #19 ranked company in the country. **J** **ob Summary** The Director of Revenue Integrity & Clinical Utilization Review provides clinical oversight and operational leadership for clinical utilization review, charge capture, and revenue integrity...SuggestedFull timeLocal area
- Utility Worker **Location:** MT. SAN ANTONIO COLLEGE - 60494003 **Workdays/shifts** **_:_** Varying shifts, days/hours (open availability preferred). More details will be provided during the interview process. **Employment Type:** Part-time **Pay Range:** $17.81 per hour...Hourly payPart timeWork experience placementLocal areaWorldwideFlexible hoursShift work
- ...drives us forward every day. Job Overview The Physician Reviewer, Medical Management, provides a routine review of authorization... ...may be involved in ad hoc projects and analysis of high-cost utilization areas, unmanaged care, inappropriate utilization, billing practices...Flexible hours
- ...achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications Education, Experience...Full timePart timeWork experience placementShift work
- ...We're Hiring: Utilities Project Manager! An electric utility client is looking for a Utilities Project Manager who will work oversight... ...using project management tools such as P6. Experience reviewing, updating and preparing reports, documents, or correspondence...
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Pomona, CA19 days ago - Discharge Planner - Utilization Management Facility Montclair Hospital Medical Center Location US-CA-Montclair ID 2025-210112 Category... ...Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility's procedure....Full timePart timeShift work
