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- 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
- ...understand the spatial relationships. Behavioral and Social Attributes -CRNA must possess the emotional health required for full utilization of intellectual abilities, the exercise of good judgment, the prompt completion of responsibilities. CRNA must be able to tolerate...SuggestedWork experience placementImmediate start
- ...CRNA Case Reviewer at Yale New Haven Health summary: A Certified Registered Nurse Anesthetist (CRNA) Case Reviewer provides expert... ...-CRNA must possess the emotional health required for full utilization of intellectual abilities, the exercise of good judgment, the...SuggestedWork experience placementImmediate start
- ...Summary: Participates in the member and provider outreach, collection, and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment. Duties: • Outreach to members...Suggested
US Tech Solutions
Woonsocket, RI3 days ago - Behavioral Health Intake and Utilization Review Coordinator Summary The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing intake assessments, verifying clinical appropriateness for services, coordinating admissions...Suggested
- ...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
- ...or able to secure new DOT Health Card Able to hand-lift and utilize two-wheeler, lift gate and/or other equipment to move and/or stack... ...laws and regulations. Please click on the following links to review: (1) our EEO Policy; (2) the "EEO is the Law" poster and...SuggestedHourly payLocal areaImmediate startShift workNight shift
Core-Mark
Woonsocket, RI20 days ago $23 - $35 per hour
...guidelines across all executed visual materials. Tool Expertise: Utilize Adobe Creative Suite (Photoshop, Illustrator) and Figma daily... ...marketing brief. Quality Control: Participate in design reviews to ensure visual consistency, technical accuracy, and adherence...SuggestedTemporary workWork experience placementLocal area2 days per week3 days per week$66.33k - $145.86k
...Enterprise Procurement Contracts Manager, you will: Draft, prepare and review contract documents in accordance with established company... ...and Contracts Policies. Demonstrate established proficiency utilizing all evolving technological tools (e.g., Microsoft Office, Word,...Suggested- ...while building expertise in managed care. Key Responsibilities Review prior authorization requests for accuracy, appropriateness,... ...pharmacist license in the U.S. Experience: Prior authorization, utilization management, or managed care preferred — retail or hospital...SuggestedRemote job
$42 per hour
...physician written order. Follows laws, regulations, and safe practice of medication management activities. Administers therapy utilizing established standard of care and best practices. Qualifications Current State License in Respiratory Therapy. CPR...SuggestedHourly payDaily paidFairlawn Rehabilitation Hospital
Woonsocket, RI6 days ago- ...(60% or more of time) ~ Evaluates exposures and renewal quote ~ Review upcoming renewals and determine which accounts warrant remarket ~ Make coverage recommendations, ~ Utilize comparative rater tool to obtain quotes ~ Transact agency billing (where...SuggestedFull timeWork experience placement
$144.2k - $288.4k
...in creating highly scalable, resilient, and secure applications utilizing the Salesforce platform, including Apex programming, Flows, and... ...Governance: Provide technical leadership, mentorship, and code reviews to engineering teams, ensuring adherence to design patterns,...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeLocal areaRemote workFlexible hours$17 - $34.15 per hour
...will maintain complete, timely, and accurate documentation of reviews. As a Prior Authorization Representative you will make the determination... ...manage work volume by handling inbound calls/fax/ePA requests utilizing appropriate courteous and professional behavior based upon...SuggestedHourly payFull timeTemporary workWork at officeLocal areaWork from homeHome officeFlexible hoursShift work- ...plans, adapt menus, and assist patients with special dietary needs. Conduct calorie counts and make appropriate recommendations. Review, revise, and sign off menus for nutritional adequacy. Qualifications Registered by the Commission on Dietetic Registration of...SuggestedFull timePart timeFlexible hours
Encompass Health Rehabilitation Hospital of Middletown
Woonsocket, RI9 days ago $175.1k - $334.75k
...contracting. You will take a lead role in optimizing contract intake, review, and management systems, and will champion the adoption of... ...and reduce cycle times. Drive business partner engagement to utilize standardized agreements and advocate for best practices in contracting...$15 - $32.31 per hour
...outbound campaigns. + Ability to learn and adapt to new approaches, utilizing defined trainings, processes, and scripting. + Assesses... ...in internal monitoring audits and coaching feedback sessions to review schedule adherence, quality, selling skills and compliance. + Ensuring...Hourly payFull timeWork at officeLocal areaFlexible hours$82.94k - $182.55k
...offers, colleague promotions, and ongoing business cycles such as the annual compensation review process and compensation programs in partnership with the Compensation team. Utilize workforce data and analytics to provide insights and recommendations to business leaders...- ...organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role... ...license in the U.S. Experience: Prior managed care or utilization management experience preferred — retail and hospital pharmacists...Remote work
$50 - $65 per hour
...exposure to advanced AI techniques. Data Visualization: Utilize Power BI for visualization and reporting to enhance user insights... ...we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: Skills and...Remote work$66.33k - $145.86k
...promote various Benefits plans and programs + Apply data from utilization and colleague surveys to inform and improve programs and initiatives... ...leadership as a member of the benefits team + Contribute and review benefits communications and plan documents + Build...Hourly payFull timeTemporary workWork experience placementLocal areaFlexible hours$16.5 - $19.8 per hour
Job Description A World-Class Team BJ’s Wholesale Club is powered by more than 30,000 team members who make a real impact every day. Whether you're stocking shelves, solving problems or shaping strategy, your work helps families save on what matters most. ...Weekly payPart timeFlexible hoursBJ's Wholesale Club
Northborough, MA25 days ago$54.1k - $155.54k
.../EAP experience. + SAP/DOT experience. + CISM experience. + Human Resource and/or Supervisory experience. + Case management, Utilization Review, or Utilization Management background preferred. **Education** + Master's degree in behavioral health field. **Anticipated Weekly...Hourly payFull timeTemporary workLocal areaRemote workMonday to FridayFlexible hours$46.99k - $112.2k
...you will own the expense and funding portfolio management and utilize your analytic and problem-solving skills to develop and report... ...vs. planned on core KPIs as part of monthly leadership business review. Assist with the development and reporting of business cases...Hourly payFull timeTemporary workLocal areaFlexible hours$67.9k - $182.55k
...product access, gain incremental market share, conduct business reviews, and design/deliver enhanced services driving improved outcomes... ...customer service To be successful in this role, you will utilize your skills of networking within the organization, navigating effectively...Hourly payFull timeTemporary workWork experience placementLocal areaFlexible hours$35.69k - $53.54k
...outlets at N.B.O.C. Hands-on approach with Stewards and other utility employees to ensure all kitchen equipment is working properly and... ...N.B.O.T.C. Standard ~ Attends daily production meetings for review of the day's work and upcoming events. ~ Run errands as needed...Temporary workRemote workFlexible hoursHebrew SeniorLife
Dedham, MA1 day ago- ...individuals.Facilitate various therapeutic and health focused groups.Review medical screening form for children's behavioral health clients... ...of auto insurance (including a 100/300 K Rider) to utilize your automobile for work purposes.WORKING CONDITIONS:Ability to...Full timeRelocation packageFlexible hours
$16.5 - $19.8 per hour
Job Description A World-Class Team BJ’s Wholesale Club is powered by more than 30,000 team members who make a real impact every day. Whether you're stocking shelves, solving problems or shaping strategy, your work helps families save on what matters most. ...Weekly payFull timeFlexible hoursBJ's Wholesale Club
Northborough, MA9 days ago- ...Job Description Job Description Seth Burkhart Wed, Oct 29, 11:58 AM (21 hours ago) to me Dishwasher / Utility Person Part-Time | Monday–Friday | 4–5 Hours Per Day We are looking for a reliable and hardworking individual to join our team as...Part timeWork at officeMonday to FridayAfternoon shiftEarly shift
$71.1k - $97.8k
...seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against... ...+ Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours
