Clinical Utilization Manager

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our clinical team, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key ResponsibilitiesApply critical thinking and clinical expertise to review and authorize...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key ResponsibilitiesApply critical thinking and clinical expertise to review...

Job SummaryCVS Health is seeking a skilled Clinical Utilization Management Consultant to join our team. As a key member of our healthcare team, you will play a critical role in ensuring the delivery of high-quality, patient-centered care.Key ResponsibilitiesApply critical thinking and clinical expertise to review and authorize medical services and...

Job SummaryThe Utilization Management Clinical Reviewer plays a critical role in ensuring the delivery of cost-effective and high-quality care to our nation's heroes. As a key member of our team, you will be responsible for reviewing and making decisions about the appropriateness and level of beneficiary care, ensuring that resources are utilized efficiently...

Job SummaryThe Clinical Utilization Reviewer is responsible for reviewing and making decisions about the appropriateness and level of beneficiary care being provided to ensure cost-effective care and proper utilization of resources.Key ResponsibilitiesConducts prior authorization, continued stay, and referral management activities.Assesses medical necessity...

Mobile Research NurseWe are seeking a skilled and compassionate nurse with a passion for clinical research to join our dynamic team as a Mobile Research Nurse. This role plays a crucial part in ensuring the successful execution of research studies, providing high-quality clinical care to patients/participants, and adhering to study protocols with utmost...

Job Title: Clinical Utilization Review SpecialistJoin Centene Corporation, a leading healthcare company, as a Clinical Utilization Review Specialist. In this role, you will play a critical part in ensuring the quality and appropriateness of care for our 28 million members.Job Summary:We are seeking a highly skilled Clinical Utilization Review Specialist to...

Mobile Research Nurse Job DescriptionWe are seeking a skilled and compassionate nurse with a passion for clinical research to join our dynamic team as a Mobile Research Nurse. As a key member of our team, you will play a crucial role in ensuring the successful execution of research studies.Key Responsibilities:Administer investigational medications/products...

Pharmacy Utilization Management RoleWe're a fully licensed health insurer, Medix™, dedicated to making healthcare simple, transparent, and human. Our goal is to create a healthcare experience that's intuitive and puts people, not cost or workflows, first.We're changing how health insurance works by using a consumer-focused and tech-driven approach. This...

Job SummaryThis position is located within the GEC Utilization Management, Nursing Service at the Phoenix VA Healthcare System in Phoenix, AZ.Key ResponsibilitiesEnsure optimal patient care through admission and continued stay reviews for inpatients.Utilize National Utilization Management Integration software package in conjunction with VHA and local...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our Utilization Management team at the Phoenix VA Healthcare System. As a key member of our team, you will play a pivotal role in ensuring optimal patient care through admission and continued stay reviews for inpatients.ResponsibilitiesConduct thorough medical record reviews to identify the...

Director of Utilities Job DescriptionRPM Living is seeking a highly skilled Director of Utilities to oversee the utility management function at our company. This role is responsible for supervising the internal utilities management team and ensuring effective relationships with key utility billing vendors.Key Responsibilities:Oversee all aspects of utility...

Job Title: Certified Pharmacy TechnicianWe're a fully licensed health insurer, Medix™, and we're changing how health insurance works by creating a healthcare experience that's intuitive and puts people, not cost or workflows, first.In this role, you will play an essential part in building our pharmacy utilization management function. The Clinical Review...

Job SummaryCVS Health is seeking a highly skilled Oncology and Transplant Utilization Management Nurse Consultant to join our team. As a key member of our clinical team, you will work in a clinical telephone queue, collaborating with providers to secure additional information for prior authorization reviews. Your clinical expertise will be utilized to...

Job SummaryCVS Health is seeking a highly skilled Utilization Management Nurse Consultant to join our team. As a key member of our clinical team, you will work closely with providers to secure additional information for prior authorization reviews, utilizing your clinical expertise to coordinate, document, and communicate all aspects of the...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our Utilization Management team at the Veterans Affairs, Veterans Health Administration. As a Utilization Management Registered Nurse, you will play a critical role in ensuring optimal patient care through admission and continued stay reviews for inpatients.ResponsibilitiesConduct thorough...

Job Title: Clinical Case Manager BHCareers at CVS HealthAbout the Role:CVS Health is seeking a Clinical Case Manager BH to join our team. As a Clinical Case Manager BH, you will be responsible for coordinating, documenting, and communicating all aspects of the utilization/benefit management program.Key Responsibilities:Utilize clinical skills to coordinate,...

Job Title: Utility Project ManagerManpowerGroup, a leading global workforce solutions company, is seeking a highly skilled Utility Project Manager to join their team in Phoenix, AZ.About the Role:Manage and direct all aspects of work related to transmission lines projectsPrepare proposals, assist in presentations, and participate in contract...

Job SummaryCVS Health is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will play a critical role in coordinating and managing the care of our members, ensuring they receive the best possible outcomes.Key ResponsibilitiesUtilize clinical expertise to coordinate and document all aspects of the utilization/benefit management...

Are you looking for a challenging role in property utilities management? RPM Living is seeking a skilled Utility Associate to coordinate and manage property utilities in an assigned region.Key Responsibilities:Coordinate and manage property utilities in an assigned regionCommunicate with billing providers and utility providers to facilitate discussions and...