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Keywords: Quality and Utilization Management Specialist, Location: USA

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Pharmacy Clinical Specialist - Women's Services

protocols. Participates in quality management initiatives such as, but not limited to: medication use evaluations, adverse...At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical...

Posted Date: 03 Oct 2024

Pharmacy Administrative Specialist - Evenings

use evaluations, drug policy development, and continuous quality management activities related to his/her specialty focus area... intradepartmental quality management and performance improvement initiatives related to the respective specialty areas of focus...

Posted Date: 03 Oct 2024

Payroll Specialist (Union focus) (Req #: 952)

delivers the highest quality materials and custom solutions to thousands of road construction and road maintenance customers..., maintaining union records, and improving system processes. Essential Functions: 1. Efficiency. Ensure the proper utilization...

Location: Brewster, NY
Posted Date: 07 Oct 2024
Salary: $75000 - 85000 per year

Procurement Specialist- Warehouse

who are active and responsible for warehouse management. As a Warehouse Specialist you will play a leading role in... future. A Warehouse Specialist has to know the overall work process of inbound warehouse management work...

Company: StarPlus Energy
Location: Kokomo, IN
Posted Date: 11 Oct 2024
Salary: $72000 - 92000 per year

Clinical Care Management Specialist FOCUS

. The CCM Specialist will also be responsible for utilization management by conducting utilization review activities..., population management, cross-system consultation, and treatment quality monitoring. As a member of the Children’s Complex Care...

Posted Date: 04 Oct 2024

Medical Information Specialist II

and Medical Affairs businesses. A frontline specialist responsible for delivering virtual or telephonic support to identified... clients engaging customers, patients, and/or healthcare professionals, in a robust clinical dialogue. The specialist serves...

Company: Inizio Engage
Location: USA
Posted Date: 08 Oct 2024

Bilingual Medical Information Specialists II

Solutions and Medical Affairs businesses. A frontline specialist responsible for delivering virtual or telephonic support... to identified clients engaging customers, patients, and/or healthcare professionals, in a robust clinical dialogue. The specialist...

Company: Inizio Engage
Location: USA
Posted Date: 02 Oct 2024

Quality Assurance Specialist

and customer-oriented Quality Assurance Specialist to join our team in the Columbia and Hanover, MD area. The QA Specialist... shall provide policy support to Government personnel by assisting with the management processes related to the acquisition...

Company: ManTech
Location: Columbia, MD
Posted Date: 07 Sep 2024

Quality and Utilization Management Specialist

Quality and Utilization Management Specialist What you will be doing: The Quality and Utilization Management... Sr. Director, Quality and Utilization Management in developing, implementing, monitoring and updating quality improvement...

Company: Premier
Location: USA
Posted Date: 14 Aug 2024

Utilization Management Nurse Specialist (LVN), Full-Time/Remote

LOCAL CANDIDATES ONLY The UM Nurse Specialist at PIH Health plays a vital role in the Utilization Management... with healthcare providers and administrative staff Knowledge of state and federal regulations pertaining to utilization management...

Company: PIH Health
Location: Whittier, CA
Posted Date: 18 Oct 2024
Salary: $35.02 - 57.77 per hour

Utilization Management Specialist

that touches lives. Utilization Management Specialist Holyoke, Massachusetts Req ID 516605 Post Date Oct. 16, 2024... planning, quality of care and utilization issues. Conducts review for appropriate utilization of services from admission...

Posted Date: 18 Oct 2024

RN Case Manager/Utilization Review (Float) - Case Management - Full Time 8 Hour Days (Non-Exempt) (Union)

Utilization Management Specialist confers and reviews with physicians on medical admitting information to assess medical necessity... access to services. The RN Utilization Management Specialist facilitates timely transmission of admission, concurrent...

Posted Date: 07 Sep 2024

Utilization Specialist (Part-Time)

services. We are actively seeking a compassionate Part-Time Utilization Specialist to enhance our team of dedicated... utilization management is highly preferred ​ ​ ​LICENSES/DESIGNATIONS/CERTIFICATIONS: ​Preferred Licensure: LPN, RN, LMSW...

Location: Nashville, TN
Posted Date: 13 Oct 2024

RN UTILIZATION REVIEW SPECIALIST

of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist... reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care...

Company: HonorHealth
Location: Scottsdale, AZ
Posted Date: 26 Sep 2024

RN UTILIZATION REVIEW SPECIALIST

Licensure Required Responsibilities: Job Summary The Utilization Review RN Specialist reviews and monitors utilization... utilization of available resources. Performs medical record reviews, as required by payer. Interfaces with Care Management team...

Company: HonorHealth
Location: Scottsdale, AZ
Posted Date: 26 Sep 2024

Drug Utilization Specialist – Sharp Memorial Retail Pharmacy – Day Shift – Full Time

maintain cost effective drug utilization and formulary management. Assists other healthcare team members in keeping up... and drug utilization. This member is expected to work effectively and constructively with all health care team members...

Company: Sharp HealthCare
Location: San Diego, CA
Posted Date: 20 Oct 2024
Salary: $29403 - 44104 per year

Utilization Specialist

in utilization management is preferred ​LICENSES/DESIGNATIONS/CERTIFICATIONS: ​CPR and de-escalation and restraint... utilization of services for patients to optimize reimbursement for the facility. Responsibilities ​ESSENTIAL FUNCTIONS: ​Act...

Location: Springfield, MO
Posted Date: 19 Oct 2024

Utilization Specialist

experience in utilization management is preferred ​LICENSES/DESIGNATIONS/CERTIFICATIONS: ​CPR and de-escalation and restraint...: ​Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities...

Posted Date: 19 Oct 2024

Utilization Review Specialist

of the facility and previous experience in utilization management preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS... Education : Bachelors Experience : 2 years: At least 2 year of working in a Utilization Management or Review role....

Location: Lancaster, SC
Posted Date: 18 Oct 2024

Utilization Specialist - Day Shift

is required, or two or more years' experience working with the facility's population. Previous experience in utilization management...​PURPOSE STATEMENT: ​Proactively monitor utilization of services for patients to optimize reimbursement for the...

Posted Date: 17 Oct 2024