Average salary: $81,597 /yearly
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$41 - $45.5 per hour
...supports members through clinical assessments, health education, and utilization management. Key Responsibilities: Perform clinical... ...outcomes. Conduct prospective, concurrent, and retrospective reviews for inpatient, rehab, referrals, and select outpatient services...SuggestedRemote job- A leading healthcare recruitment firm is seeking a System VP of Case Management and Utilization Review in Wisconsin. The ideal candidate will have over 5 years of multi-site hospital leadership experience and strong expertise in EPIC systems. Responsibilities include overseeing...Suggested
- ...Participates in the process to evaluate clinical service requests. Practices anticipatory case management for members whose cases come for review, in partnership with case managers. Participates in the Physician Review Units' appeal process of service denials. Participates in...SuggestedRemote workMonday to FridayWeekend work
- Performs routine maintenance and repairs on city water, sewer mains, and services. ORGANIZATIONAL RELATIONSHIPS Reports to: Utilities Supervisor/Sr. Gas Operator Directs: This is a non-supervisory position. Other: Has contact with other city employees and the general...SuggestedLocal area
$104k - $166k
...stakeholders to ensure successful project delivery. The ideal candidate will have in-depth experience leading electric distribution and utility capital projects. This work is critical in protecting customers and enhancing the safety of electric systems against wildfire risks...SuggestedFull timeWork at officeVisa sponsorshipFlexible hours3 days per week$75k - $100k
A leading health solutions organization is seeking an experienced Utilization Management RN to evaluate medical services and ensure appropriateness based on evidence-based criteria. This role involves collaborating with Medical Directors and requires an RN licensure in...SuggestedRemote job- A local government entity located in Wisconsin is seeking an efficient Utility Billing Clerk to manage utility bills and payments. Responsibilities include preparing and mailing bills, processing payments, and maintaining records. Candidates should possess a high school...SuggestedLocal area
- ...resource for UM decision‑making, escalations, and complex case reviews Provide clinical oversight and guidance for medical necessity... ...insights and recommendations based on denial trends and utilization data Participate in leadership discussions related to utilization...SuggestedFull timePart time
- **Company:**US0013 Sysco Central Texas (Division of USA I)**Sales Territory:**None**Zip Code:**78132**Travel Percentage:**0The pay range provided is not indicative of Sysco’s actual pay range but is merely algorithmic and provided for generalized comparison. Factors that...SuggestedWork experience placementLocal areaWorldwideNight shift
- Overview Accounting Manager - Utilities & Regulated Energy Remote considered for experienced utility accountants with extensive experience working with the Railroad Commission of Texas. We are seeking an Accounting Manager to lead financial accounting operations for a private...SuggestedFull timeRemote work
- ...week while maintaining client‑mandated turnaround times. Our reviewers are compensated on a per‑case basis as a 1099 independent contractor... ...records and addresses each question posed by the client utilizing client‑specific criteria or other nationally recognized evidence...SuggestedFor contractorsWork experience placementRemote work
- ...Workers' Compensation Act (LHWCA) cases and are seeking experienced physicians to perform: Independent Medical Examinations (IMEs), Peer Reviews, or both. Primary demand is in TX, LA, and CA, particularly in Orthopedics, Neurology, and Psychiatry. However, we welcome...SuggestedFor contractorsFlexible hours
- A consulting firm in the Utilities sector seeks an experienced Oracle Fusion Cloud SCM Consultant to lead implementation projects. The ideal candidate has 5-7 years of total experience and a minimum of 2 years specifically with Oracle Fusion Cloud SCM in the Utilities industry...Suggested
- A municipal organization in Texas is seeking dedicated technicians for water maintenance and repair roles. Candidates will perform a range of tasks, from basic maintenance to operating heavy equipment, depending on the level assigned. A strong commitment to core values ...Suggested
- A municipal utilities department is seeking a skilled individual to perform maintenance and repairs on water and sewer systems in the Town of Texas. The ideal candidate will have a high school diploma and necessary certifications, including a Texas driver's license. This...Suggested
$145k - $210k
...leading global technology company is seeking a Digital Grid Account Executive to generate pipeline and qualify opportunities within the Utilities sector. The successful candidate will have 5-10 years of enterprise sales experience and will work collaboratively with various...- Certified Applicator (Texas) - Utility Infrastructure & Vegetation Management Overview Vantage Point Solutions is seeking a Texas Certified Applicator (RCA) to support vegetation management and utility infrastructure field services across Texas. This role provides regulatory...
- A consulting firm specializing in utility management is seeking a Texas Certified Applicator to oversee pesticide applications and ensure compliance with environmental regulations. The ideal candidate will have at least 3 years of relevant experience and a Texas RCA license...
- EOE STATEMENT EQUAL EMPLOYMENT OPPORTUNITY LongHorn Steakhouse is an equal opportunity employer committed to employing individuals regardless of sex, race, color, religion, age, national origin, disability, sexual orientation, or membership in any other protected category...
- ...Job Title: Professional - Employee File Retrieval & Review Specialist Location (On-site, Remote, or Hybrid?): Israel (onsite) Contract Duration: 2 weeks Overview We are seeking detail-oriented professionals to support a global HR compliance project. This...Contract workWork at officeRemote work
- ...Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Sargento
Wisconsin3 days ago $76k - $85k
...challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing a medical management software system on a day-to-day...For contractorsH1bWork at officeLocal areaRemote work- A healthcare organization seeks a Clinical Reviewer to support medical claims and appeals review activities. This role involves conducting... ...license and at least 2 years of nursing experience, including utilization review and coding. Strong analytical skills and proficiency in...Hourly pay
- ...using various slings in hitches and calculating sling stress. Utilize tools and equipment for lateral movement of loads without a crane... ...Fabricate and install stairs, railings, grating, and decking. Review construction drawings and blueprints to determine work requirements...
- ...Responsibilities Develop and maintain schedules for assigned projects utilizing Critical Path Method (CPM) scheduling techniques. Organize and... ...incoming bid proposals to ensure deadlines are met. Review project schedule data, including activity records, actual start...Temporary workWork experience placementWork at officeFlexible hours
- ...Industrial Equipment. The Forklift Operator is responsible for utilizing the lift equipment to move, load, unload, and stack products in... ...enter or copy/paste the address below into your address bar to review an important notice regarding Kenco's privacy policy. The statements...Temporary workShift work
- Responsibilities Reviews a completed prior authorization request received from the provider and/or reviews the pharmacy technician’s... ...available reporting resources (i.e. Discoverer, IT Department) Drug utilization of non-formulary drugs Overturned IPS recommended denials...
- ...Knowledge of bank security measures.* Knowledge and ability to utilize processes, tools, and techniques to detect, address, and prevent... ...and/or the Branch Manager.* The team member’s work is reviewed periodically for accuracy, completion, and compliance with the...Hourly payFull timeWork at officeShift work
- ...management to determine the best course of approach * Billable Utilization + Strive to achieve a team billable utilization of 70% or... ...a mentor and leader* Strong Documentation Skills + Ability to review, update and maintain documentation + Ability to understand, record...
- A healthcare company is seeking a Clinical Care Manager to advance high-quality, patient-centered care through Utilization Review. The ideal candidate will have an active RN license in Illinois and 5+ years of diverse healthcare experience. Responsibilities include evaluating...Remote job
