Utilization Management Specialist

Job Title: Clinical Utilization Management SpecialistLocation: Flexible work arrangements availableJob Summary:We are seeking a skilled Clinical Utilization Management Specialist to join our team at Medix. As a key member of our IDR team, you will be responsible for conducting reviews up to and including the appeal level, compiling regulatory guidance,...

Job Title: Utilization Management / Appeals Registered NurseJob Details:Job Type: Contract-to-hireSalary Expectations: $50 - $54/hourWork Schedule: Monday to Friday, 8:00 AM - 5:00 PMWork Location: OnsiteJob Description Responsibilities/Job Duties:Conduct reviews for State and Federal Independent Dispute Resolution (IDR) case determinations, including prior...

Job Title: Utilization Management / Appeals Registered Nurse Job Details Posting Date: 10/21/2024 Reference ID: 235039 Locations: Openings in both Lake Success (New Hyde Park), NY or Albany, NY Work Location: Onsite Discipline: Nursing / Utilization Management Job Type: Contract-to-hire Salary Expectations: $50 - $54/hour Schedule/Shift: Monday to Friday,...

Job Title: Utilization Management Nurse SpecialistJob Summary:Myriad Genetics, Inc. is seeking a skilled Utilization Management Nurse Specialist to join our team. This role will be responsible for leading and performing individual work on appeals for erroneous denials and obtaining patient chart notes. The successful candidate will have a strong background...

Job OpportunityGreenlife Healthcare Staffing is seeking a skilled Registered Nurse Clinical Reviewer to join their team.Responsibilities:Conduct thorough reviews of medical records, including chart screens, regulatory guidance, and insurer requirements.Prepare final determinations and provide technical assistance to administrative and clinical...

Job SummaryCVS Health is seeking a skilled Clinical Utilization Specialist to join our team. As a key member of our utilization management team, you will play a critical role in coordinating and documenting all aspects of the utilization/benefit management program for preauthorization of mental health services.Key Responsibilities- Utilize clinical skills to...

Hospice Care SpecialistProvides comprehensive social work services to patients and their families in various healthcare settings. Utilizes psychosocial assessment skills to deliver high-quality care.Key Responsibilities: Provides culturally competent direct service to patients and their families using a variety of social work modalities. Utilizes high-risk...

Job Title: Utilities Development Review SpecialistJob Summary:We are seeking a highly organized and detail-oriented Utilities Development Review Specialist to join our team at Salt Lake City Public Utilities. As a key member of our development review team, you will assist with the development, recording, and maintenance of developer-initiated water, sanitary...

Job Title: Clinical Appeals SpecialistLocation:Flexible work arrangements available, with a preference for nurses to work in the office in either Lake Success (New Hyde Park) or Albany, NYHours:Monday to Friday, 8am to 5pmStart date:As soon as possible, with a focus on getting all RNs started togetherPay:$48-52 per hour, with opportunities for...

Job Title: Wound Care SpecialistJob Description:We are seeking a skilled Wound Care Specialist to join our team at Greenlife Healthcare Staffing. As a Wound Care Specialist, you will be responsible for reviewing and auditing wound care cases to ensure that the standard of care is timely and appropriate.Responsibilities:Audit and review wound care cases to...

Job Title: Utility Program Software SpecialistResource Innovations is seeking a highly skilled Utility Program Software Specialist to join our team. As a key member of our team, you will play a crucial role in supporting utility energy-efficiency program delivery with software system design, configuration, and maintenance.Key Responsibilities:Design and...

Electric Utility Assistant Manager Job SummaryPacifiCorp is seeking a customer-centric Electric Utility Assistant Manager to join our team. As a key member of our Power Delivery department, you will assist the manager of a geographic territory, region, location, or unit that has an impact on corporate, business unit, or organizational objectives.Key...

Job Title: Wound Care SpecialistJob Summary: Greenlife Healthcare Staffing is seeking a Wound Care Specialist to fill an opening with a Non-profit organization. The ideal candidate will have a minimum of 5 years active clinical practice within the specialty and 2 years of recent experience.Responsibilities:Audit and review cases to ensure standard of care is...

Clinical Opportunities with Greenlife Healthcare Staffing **Job Title:** Clinical Nurse Specialist - Wound Care Reviewer **Job Summary:** Greenlife Healthcare Staffing is seeking a Clinical Nurse Specialist - Wound Care Reviewer to join our team. As a Clinical Nurse Specialist, you will be responsible for reviewing cases and providing expert opinions on...

NewtekOne, a financial holding company, is seeking a skilled Deposit Operations Specialist to join its team. The successful candidate will be responsible for managing and overseeing various aspects of deposit-related transactions within the back office of the financial institution.This role requires a keen attention to detail, excellent organizational...

As a skilled Radiologic Technologist: CT Specialist, you will be responsible for operating Computed Tomography (CT) equipment, preparing patients for examination, and ensuring that proper information has been obtained for the physician to make a diagnosis.Maintaining required documentation is also a crucial aspect of this role.Key Responsibilities:Prepare...

Job SummaryWe are seeking a highly skilled Mortgage Servicing Specialist to join our team at Ridgewood Photo. The successful candidate will be responsible for managing all facets of mortgage servicing, including loan assignments, payoff quotes, and customer inquiries.Key Responsibilities:Review and process loan assignments, payoff quotes, and customer...

Job Title: Accounts Payable SpecialistJob Description:FlexStaff Careers is seeking a temporary Accounts Payable Analyst for our Client, a power plant located in Queens, NY. This is a full-time, Monday-Friday, 7a-3pm, temporary job with no benefits. The ideal candidate will have a bachelor's degree in accounting or finance and experience with processing...

Job Summary:WellLife Network is seeking a Quality Assurance Specialist to join our team. The successful candidate will be responsible for ensuring compliance with Federal and State regulations, as well as agency policy and procedures. This includes conducting thorough investigations of reportable incidents, providing training and technical assistance to...

Job SummaryWe are seeking a highly skilled Subsurface Utility Engineering Specialist to join our team at T2 Utility Engineers. As a Senior Utility Locator, you will play a key role in guiding and leading daily field crew operations to ensure comprehensive and accurate utility mapping.As a Utility Mapping Expert, you will be responsible for operating SUE...