Utilization Review Specialist

The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures. + Performs concurrent and retrospective reviews on...

Job DescriptionJob DescriptionThe UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures.Performs concurrent...

Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period!For more information about our benefits, see below!We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control and other services across more than 90 countries. We pride ourselves on being a trusted partner to many of the world's leading brands and serve...

Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our benefits, see below! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control and other services across more than 90 countries. We pride ourselves on being a trusted partner to many of the world's leading brands and...

Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control and other services across more than 90 countries. We pride ourselves on being a trusted partner to many of the world's leading brands and serve consumer and business customers across...

Position Purpose This position#s primary function is to process authorization requests timely and accurately in accordance with federal, state and accreditation guidelines. This position will be responsible for the completion of authorizations, including but not limited to, data entry of information received by phone, fax or electronically,#verification of...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Performs concurrent reviews, including determining member's...

Classification Description Summary Under general administrative direction, plans, directs, manages, and oversees the activities and operations of the Utility Services Department, including planning, directing, and reviewing the activities of the department; provides professional and technical staff assistance; represents the City on water supply, sewer,...

Position Purpose This position's primary function is to process authorization requests timely and accurately in accordance with federal, state and accreditation guidelines. This position will be responsible for the completion of authorizations, including but not limited to, data entry of information received by phone, fax or electronically, verification...

For 75 years, Charles River employees have worked together to assist in the discovery, development and safe manufacture of new drug therapies. When you join our family, you will have a significant impact on the health and well-being of people across the globe. Whether your background is in life sciences, finance, IT, sales or another area, your skills will...

Job DescriptionJob DescriptionDESCRIPTION-SENIOR CODING SPECIALIST (INPATIENT) - HEALTH INFORMATION MANAGEMENT (HIM)SR CODING SPECIALIST (INPATIENT)Full-TimeSenior Coding Specialist (Inpatient) will have the following job responsibilities:This position may be responsible for identifying appropriate charges based on documentation and coding guidelines. When...

Job DescriptionJob DescriptionDESCRIPTION-SENIOR CODING SPECIALIST (INPATIENT) - HEALTH INFORMATION MANAGEMENT (HIM)SR CODING SPECIALIST (INPATIENT)Full-TimeSenior Coding Specialist (Inpatient) will have the following job responsibilities:This position may be responsible for identifying appropriate charges based on documentation and coding guidelines. When...

Inc Authority is looking for a full-time Reno Based "Marketing Specialist" Explore the Inc Authority Advantage! Why Join Us? Industry Leadership : Inc Authority is the gateway to small business success in all 50 states! We're not just leading the pack; we're setting the standard with our business formation service. Rave Reviews : With over 30,000 FIVE STAR...

Are you a Radiologic Imaging Specialist seeking an opportunity to work in a dynamic healthcare environment that values precision, patient care, and professional growth? Join our team in Reno, Nevada, and make a meaningful impact on patient well-being.Responsibilities:Conduct diagnostic imaging procedures with precision, prioritizing safety at all...

Are you a Radiologic Imaging Specialist seeking an opportunity to work in a dynamic healthcare environment that values precision, patient care, and professional growth? Join our team in Reno, Nevada, and make a meaningful impact on patient well-being.Responsibilities: Conduct diagnostic imaging procedures with precision, prioritizing safety at all times....

Inc Authority is looking for a full-time Reno Based "Marketing Specialist" Explore the Inc Authority Advantage! Why Join Us? Industry Leadership: Inc Authority is the gateway to small business success in all 50 states! We're not just leading the pack; we're setting the standard with our business formation service. Rave Reviews: With over 30,000 FIVE STAR...

NV EnergyPosition Title: Technical Tax Specialist - PropertyLocation: Reno, NVFacility: Sierra PlazaDepartment: TaxationFull/Part Time: Full-TimeRegular/Temporary: RegularTravel Percentage: NoneDescription:Basic Purpose - Responsible for overseeing tax compliance review related to the Company's income taxes, specifically focusing on PowerPlant depreciation...

About Us Since our founding in 2011, Nature's Bakery has been baking better-for-you snacks to nourish families and enable them to thrive. We believe that the choice to snack healthier should be an easy and desirable one. Today, we are a top 10 granola and snack bar brand, with approximately 500 employees baking soft-baked snacks with real, recognizable, and...

Job DescriptionJob DescriptionAbout UsSince our founding in 2011, Nature's Bakery has been baking better-for-you snacks to nourish families and enable them to thrive. We believe that the choice to snack healthier should be an easy and desirable one. Today, we are a top 10 granola and snack bar brand, with approximately 500 employees baking soft-baked...

Job DescriptionJob DescriptionAre you a Radiologic Imaging Specialist seeking an opportunity to work in a dynamic healthcare environment that values precision, patient care, and professional growth? Join our team in Reno, Nevada, and make a meaningful impact on patient well-being.Responsibilities:Conduct diagnostic imaging procedures with precision,...