Utilization Review Clinician

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. Job Description100% Remote Position - Must be license in the state of TexasRN,...

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. Job Description100% Remote Position - Must be license in the state of TexasRN,...

Join Our Team as a Clinical Professional at Centene! You have the opportunity to make a significant impact on the 28 million members we serve by joining our Medical Management/Health Services team. Centene, a national organization, values workplace flexibility and offers competitive benefits that give you a fresh perspective on your professional journey.Job...

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.   Job Description 100% Remote Position - Must be license in the state of Texas...

Details Department: Case ManagementSchedule: PRN - DaysLocation: Austin, TX - Remote after trainingBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement...

Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice Behavioral Health, Behavioral, Clinician, Management, Health, Clinical, Retail

Employee is expected to cheerfully and enthusiastically carry out tasks and responsibilities of the job, including but not limited to, high quality professional patient care, thorough and accurate documentation, a willingness to work closely with physicians, administrators, coworkers, and supervisors. Prompt assistance to other units/ departments is expected...

Details Department: Case ManagementSchedule: PRN - DaysLocation: Austin, TX - Remote after trainingBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement...

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we...

Please note- Candidates must have COS-C, HCS-O or COQS and HCS-D or BCHH-C in order to be considered, there is no flexibility around this requirement.BAYADA Home Health Care has an immediate opening for a Full Time, OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, and SLP's with certifications will be...

**Position Description**:Medical Review Nurse (MRN)** Reporting to the Medical Review Manager, the Medical Review Nurse (MRN) will provide professional assessment, planning, coordination, implementation and reporting of complex clinical data and support the medical review operations of Provider Resources, Inc (PRI). The MRN position will perform...

Contact and maintain relationships with utility companies, Inspection and documentation of field facilities Permit preparation/submittal Coordination with local municipalities, state agencies, and Utility Companies Utility Conflict Identification and Resolution Utility Agreement preparation and review Review of ROW documentsWe are a company committed to...

TRANSPORTATION SENIOR UTILITY COORDINATORWHY BUILD YOUR CAREER HERE?LJA is offering a Senior Utility Coordinator position that will allow you to develop a strong career foundation, expand your base skills into a larger repertoire of technical tools across multiple disciplines and be assigned project roles that best fit your interests, drive, and skill. The...

TRANSPORTATION SENIOR UTILITY COORDINATORWHY BUILD YOUR CAREER HERE?LJA is offering a Senior Utility Coordinator position that will allow you to develop a strong career foundation, expand your base skills into a larger repertoire of technical tools across multiple disciplines and be assigned project roles that best fit your interests, drive, and skill. The...

Overview: Works with the Utilization Management team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right time. Provides daily review and evaluation of members that require hospitalization...

Job DescriptionJob DescriptionAt Whitman, Requardt & Associates, LLP, we are "People Focused and Project Driven". We have been in business for more than 105 years and we are known for our quality work and quality employees. This is your chance to join our team - help us to design the infrastructure and buildings that improve the world!We are currently...

Job DescriptionJob DescriptionAt Whitman, Requardt & Associates, LLP, we are "People Focused and Project Driven". We have been in business for more than 105 years and we are known for our quality work and quality employees. This is your chance to join our team - help us to design the infrastructure and buildings that improve the world!We are currently...

As a trusted global transformation partner, Welocalize accelerates the global business journey by enabling brands and companies to reach, engage, and grow international audiences. Welocalize delivers multilingual content transformation services in translation, localization, and adaptation for over 250 languages with a growing network of over 77,000...

As a trusted global transformation partner, Welocalize accelerates the global business journey by enabling brands and companies to reach, engage, and grow international audiences. Welocalize delivers multilingual content transformation services in translation, localization, and adaptation for over 250 languages with a growing network of over 77,000...

Clinical Product Consultant, Utilization Management Join Us. Let's make a direct impact in healthcare.Being an Iodine employee means becoming part of something bigger: using clinical AI technology to drive smarter healthcare processes and positively impact patient care.Who We Are:Iodine is an enterprise AI company that is championing a radical rethink...