Drug Utilization Review Specialist

Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes.Key...

destinationone Consulting specializes in recruitment across diverse sectors including Healthcare Health Tech Government Municipalities NonProfits Legal Public Accounting Food and more. We are proactively building a data bank for opportunities in these fields. By applying you ensure our recruiters can quickly match you with suitable roles when they...

Empower. Unite. Care.MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest...

Dane Street, a certified "Great Place to Work" company, is seeking a Physician to provide utilization review services for the Group Health Department.This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical appropriateness of services in compliance with state regulations, nationally recognized...

Job SummaryNew York State Psychiatric Institute is seeking a Utilization Review Coordinator to analyze and evaluate the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Candidates from outside or within State Service can apply for this position under the Hiring for Emergency...

Dane Street is seeking a Physician to provide utilization review services for the Group Health Department.This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical appropriateness of services in compliance with state regulations, nationally recognized evidence-based guidelines, and client-specific...

Medical Review SpecialistWe are seeking a highly skilled Medical Review Specialist to join our team at Concentra. As a Medical Review Specialist, you will be responsible for reviewing medical files and providing recommendations for utilization review, chart reviews, medical necessity, and appropriateness of care.Key Responsibilities:Reviews medical files and...

We are seeking a skilled Document Review Specialist to join our team at KLDiscovery. As a Document Review Specialist, you will play a critical role in reviewing documents for complex litigation matters using our electronic review platform. Your expertise in coding for relevancy, confidentiality, and privilege will be essential in ensuring the accuracy and...

Job OpportunityMomentum Resource Solutions is seeking a highly skilled Medical Director to join our team.Job SummaryThe Medical Director will play a crucial role in ensuring appropriate healthcare utilization management. As a physician and policy advisor, you will work closely with our Chief Medical Officer to develop and implement policies that promote...

Key Responsibilities:As a Clinical Review Specialist at Infojini, you will utilize your clinical knowledge to review medical charts for accuracy and sequencing of diagnosis. This involves analyzing Consultation reports, History and Physical reports, Operative reports, Progress reports, and Discharge reports, including complex cases. Required Skills: Epic...

Job Description About CarolinaEast Medical Center CarolinaEast Health System is dedicated to quality and compassionate care across the Coastal Carolina region. The flagship of the health system is a 350 bed full service medical center housing a complete complement of inpatient and outpatient services with the latest technology. CarolinaEast Health System...

Job DescriptionAbout CarolinaEast Medical Center CarolinaEast Health System is dedicated to quality and compassionate care across the Coastal Carolina region. The flagship of the health system is a 350 bed full service medical center housing a complete complement of inpatient and outpatient services with the latest technology. CarolinaEast Health System...

Job Summary:Concentra is seeking a skilled Neurologist to join our medical review team as a Telecommute Medical Review Specialist. In this role, you will review health claims and provide medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals.As a Telecommute Medical Review Specialist, you will...

Job Summary:Concentra is seeking a skilled Board Certified Neurosurgeon to join our medical review team as a telecommute medical review specialist. As a medical review specialist, you will be responsible for reviewing health claims and providing medical interpretation and decisions about the appropriateness of services provided by other healthcare...

Job DescriptionAbout CarolinaEast Medical CenterCarolinaEast Health System is dedicated to quality and compassionate care across the Coastal Carolina region. The flagship of the health system is a 350 bed full service medical center housing a complete complement of inpatient and outpatient services with the latest technology. CarolinaEast Health System...

This telework opportunity at Dane Street provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times.Our reviewers are compensated on a per-case basis as a 1099 independent contractor.Preferred candidates will hold a NY License, and be NY WC Board Certified.JOB SUMMARYAs a Clinical Review...

Job Title: Clinical Review SpecialistDane Street is seeking a skilled Clinical Review Specialist to conduct Group Health reviews. This role involves a clinical summary, potential calls to treating providers, and responses to questions posed.Key Responsibilities:Conduct thorough clinical reviews of Group Health casesPrepare and submit high-quality clinical...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. This role is ideal for a motivated and detail-oriented individual who is passionate about promoting safe and effective medication therapy.Key Responsibilities:Conduct thorough drug utilization reviews...

Job SummaryWe are seeking a highly skilled Claims Review Specialist to join our team at the City of New York. As a Claims Review Specialist, you will be responsible for reviewing, processing, and determining potential SNAP benefit overpayments. This is a critical role that requires strong analytical and communication skills, as well as the ability to work...

Job DescriptionClinical Document-Coding MgmtSaint Peter's is the 5th hospital worldwide to earn Magnet status SIX times in a row. Our team of award-winning nurses is growing, and we are looking for talented, compassionate RNs to join our team.The Utilization Review Nurse Per Diem will: Identify appropriate medical information necessary to certify and/or...