Utilization Review Specialist

Job SummaryAlbany Medical Center is seeking a skilled Clinical Utilization Review Specialist to join our team. As a key member of our Care Management department, you will play a critical role in ensuring the quality and efficiency of patient care.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement in patient...

Job SummaryWe are seeking a highly skilled and detail-oriented Utilities Development Review Specialist to join our team at Salt Lake City. As a key member of our Public Utilities department, you will play a critical role in ensuring the development and maintenance of our water, sanitary sewer, and storm drainage systems.Key ResponsibilitiesAssist in the...

Job SummaryAlbany Medical Center is seeking a skilled Clinical Utilization Review Specialist to join our team. As a key member of our Care Management department, you will play a critical role in ensuring the quality and efficiency of patient care.Key ResponsibilitiesConduct thorough reviews of patient records to identify opportunities for improvement in...

Job SummaryThe Utilization Review Specialist - Residential Services will play a critical role in ensuring that youth receive the most appropriate level of residential services for their well-being and to achieve permanency. This position requires a strong understanding of residential services and the ability to work collaboratively with youth, families, and...

Job OverviewPosition Title: Clinical Utilization Review AnalystPraesum Healthcare, established in 2003, specializes in providing administrative support for healthcare providers across key regions in the Northeast, mid-Atlantic, and Southeast. As a recognized leader in the healthcare sector, Praesum is committed to growth and excellence.Our organization...

Job SummaryThe Utilization Review Specialist - Residential Services will play a critical role in ensuring that youth receive the most appropriate level of residential services for their well-being and to achieve permanency. This position will be responsible for coordinating and managing all utilization review tasks for ACH Child and Family Services related...

Position Title:Utilities Development Review SpecialistJob Description:Reporting to Utilities Development Review Coordinator, incumbent assists with the development, recording and maintaining of all developer-initiated water, sanitary sewer and storm drainage extension and service connection agreements; assists with the management of all related construction...

About the RoleWe are seeking a skilled Nurse Case Manager to join our team at Utah Retirement Systems. As a Nurse Case Manager, you will play a critical role in ensuring the health and well-being of our members by identifying and coordinating their healthcare needs.Key ResponsibilitiesIdentify and perform utilization review of selected cases to ensure that...

This position is located in the Health Services Department of a Bureau of Prisons (BOP), Medical Referral Center (MRC), Medical Care Level 3 facility, or Federal Correctional Complex (FCC). Serves as the Utilization Review Nurse and assists in quality improvement activities through data collection, monitoring the quality of processes that impact patient...

Cross Country Nurses is currently seeking a dedicated Registered Nurse (RN) specializing in Utilization Review for a travel nursing opportunity. Position Overview As a Registered Nurse, your primary responsibility will be to deliver exceptional care to patients experiencing health challenges. Your role may involve working in various settings such as...

Job Overview:The Utility Equipment Maintenance Specialist is responsible for the operation, upkeep, and precise calibration of various utility systems, including compressors, pumps, boilers, blowers, refrigeration units, heating systems, ventilation apparatus, cooling towers, and water treatment facilities. This role involves executing essential repairs on...

Position Overview: We are looking for a meticulous and empathetic Claims Review Specialist to become a part of a reputable Healthcare Organization. In this capacity, you will be tasked with evaluating and managing appeals and grievances submitted by patients and healthcare providers, ensuring timely resolution in compliance with regulatory standards.Key...

About the RoleCVS Health is seeking a skilled Clinical Utilization Management Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our members receive the most effective and efficient care possible.Key ResponsibilitiesUtilize clinical expertise to assess the appropriateness of treatment plans and...

About UsAt Watts Water Technologies, we are dedicated to transforming the landscape of water management. Our commitment is to ensure that every individual has access to safe and clean water, which is essential for life.Your RoleAs a Water Utility Specialist, you will play a pivotal role in our mission. Your responsibilities will include:Monitoring and...

Job OverviewPosition: Utility Billing Specialist, Finance DivisionCompensation: $16.76 per hour, Employee Benefits: 401(a) Retirement Plan, Tuition ReimbursementPaid Sick and Vacation Time, Paid Holidays, Employee Referral Bonus ProgramGENERAL OVERVIEW: This role is essential for the precise and prompt preparation, processing, and upkeep of utility billing...

Job DescriptionJob DescriptionMedical Record Review Specialist DonorConnect is seeking a full-time Medical Record Review Specialist who will be responsible for conducting medical record reviews in accordance with CMS regulations and AOPO guidelines. This position requires someone with excellent organizational skills and strong attention to detail, as well as...

About Watts Water Technologies:At Watts, we are dedicated to transforming the future of water management. Our mission is to ensure the availability of safe and clean water while safeguarding our planet's most precious resource.Our Commitment:For over 150 years, Watts has been at the forefront of innovation, delivering high-quality products trusted by...

Job DescriptionJob DescriptionJob Overview: Primoris Services Corporation (“Company”) has an urgent need for a Utility Damages Resolution Specialist to join our Claims Management Group within Primoris’s Corporate Legal department. The ideal candidates will be highly energetic, thrive on the unknown of the day-to-day, take strong initiative, have strong...

Real Estate Buyer SpecialistCompensation: $75,000 to $150,000The Real Estate Buyer Specialist is a dynamic individual who thrives on interpersonal interactions, radiating positivity and enthusiasm. This role requires exceptional leadership qualities, enabling collaboration within a unified team of Buyer Specialists dedicated to maintaining high standards and...

About VIP Staffing VIP Staffing is a leading provider of skilled professionals to various industries, connecting top talent with exciting opportunities. Experienced Utility Pole Drafter We are currently seeking an experienced and detail-oriented Utility Pole Drafter to join our team. In this role, you will be responsible for creating precise and accurate...