Utilization Review Coordinator

Job DetailsRadiology Ltd. is seeking an experienced Clinical Review Specialist to join our team.Job SummaryThe Clinical Review Specialist is responsible for ensuring the timely and accurate pre-exam review and coordination of clinical information pertaining to radiology exams.Key ResponsibilitiesProspectively analyzes and reviews orders and clinical...

Clinical Review Pharmacist Job Description **Key Responsibilities:** * Conduct thorough prior authorization reviews for various lines of business and edit types * Utilize clinical expertise to evaluate member situations against medication policies and benefit designs * Respond to inquiries from pharmacy technicians, member support, and other departments...

Job SummaryWe are seeking a skilled Gas Utility Foreman to join our team at Centuri Group, Inc. As a key member of our operations team, you will be responsible for coordinating equipment and crews to ensure safe and efficient completion of projects.Key ResponsibilitiesCoordinate equipment and crews to ensure safe and efficient completion of projectsCoach and...

Job SummaryWe are seeking a skilled Clinical Utilization Specialist to join our team at Acadia Healthcare. As a key member of our healthcare team, you will play a critical role in ensuring the efficient and effective delivery of healthcare services.Key ResponsibilitiesProvide consultation and guidance to payers regarding admissions and patient length of...

Job Title: Utilities TechnicianFaribault Foods Inc. is seeking an experienced Utilities Technician to join our line maintenance team. As a key member of our team, you will be responsible for ensuring the continued operation, maintenance, and repairs of all Company Utility, Building, and Auxiliary equipment.Key Responsibilities:Maintain, repair, and monitor...

About the RoleWe are seeking a skilled Licensed Plumber to support our natural gas infrastructure projects. As a key member of our team, you will be responsible for performing work on underground or in-home natural gas pipelines while ensuring the safety of the community and your peers.Key ResponsibilitiesExamine and test gas piping systems for safety and...

Job Title: Supervisor, T&D I or II (Right of Way)At UNS Energy Corporation, we are seeking a highly skilled and experienced Supervisor, T&D I or II (Right of Way) to join our team. As a key member of our Land Resources Department, you will be responsible for providing day-to-day support for standard project management coordination for the Right of Way...

Job Title: Intake CoordinatorPalo Verde Behavioral Health Hospital is a leading provider of comprehensive behavioral healthcare services for children, adolescents, adults, and senior adults. We offer partial and intensive outpatient hospitalization, as well as specialized treatment programs for co-occurring symptoms.Job Summary:The Intake Coordinator is...

Job OverviewWe are seeking a highly skilled and motivated Utility Specialist to join our team at Rentokil North America. As a key member of our operations team, you will be responsible for providing exceptional service to our customers while ensuring the highest level of quality and safety in our pest control services.Key ResponsibilitiesConduct thorough...

Job SummaryWe are seeking a skilled Nurse Coordinator to join our team at Tucson Medical Center. As a key member of our healthcare team, you will be responsible for coordinating patient care planning with other disciplines, utilizing the principles of the nursing process and critical thinking skills to maintain patient safety and well-being.Key...

Job SummaryWe are seeking a highly skilled Quality and Credentialing Coordinator to join our team at Northwest Medical Center. This is a full-time opportunity to support our ambulatory surgery center in Tucson, Arizona.Key ResponsibilitiesCoordinate quality functions and reporting within the QRM Department, including physician peer review process and...

Job SummaryWe are seeking a highly skilled Quality and Credentialing Coordinator to join our team at Northwest Medical Center. This is a full-time opportunity to support our ambulatory surgery center in Tucson, Arizona.Key ResponsibilitiesCoordinate quality functions and reporting within the QRM Department, including physician peer review process,...

Job Summary:The Continuum of Care Coordinator is a key role at Northwest Medical Center, responsible for improving patient outcomes, reducing unnecessary readmissions, and ensuring optimal utilization of healthcare resources. This position requires collaboration with leadership and case management to review trends and develop strategies for...

Job SummaryWe are seeking a highly skilled Registered Nurse RN Case Manager to join our Care Coordination team. As a key member of our team, you will work closely with patients, their families, physicians, and other healthcare team members to ensure needed services are received at the correct level of care and in a timely fashion.Key...

Job Title: Quality and Credentialing CoordinatorThis is a Full Time Quality and Credentialing Coordinating opportunity supporting our organization.Job Summary:Coordinates quality functions and reporting within the QRM Department, including physician peer review process, development and coordination of medical care evaluations, focus studies in accordance...

Job SummaryWe are seeking a skilled Gas Utility Pipe Fitter to join our team at Centuri Group, Inc. As a key member of our crew, you will be responsible for installing, troubleshooting, and maintaining underground gas distribution piping systems in a safe and efficient manner.Key ResponsibilitiesConstruct, install, and maintain piping systems and equipment...

Job SummaryWe are seeking a highly skilled Registered Nurse RN Case Manager to join our Care Coordination team. As a key member of our team, you will work closely with patients, their families, physicians, and other healthcare team members to ensure needed services are received at the correct level of care and in a timely fashion.Key...

Job Title: Patient Safety Coordinator RNJob Summary:The Patient Safety Coordinator RN plays a vital role in promoting a culture of proactive patient safety within our organization. This role serves as an advocate for patient safety by developing and leading programs that reduce patient risk.Key Responsibilities:Reviews patient incident reports and ensures...

Job SummaryWe are seeking a highly skilled and dedicated Program Specialist III to join our Foster Care Review Board team. As a key member of our team, you will play a critical role in improving the lives of children and families in our community.Key ResponsibilitiesFacilitate citizen review boards to review cases of children in out-of-home carePrepare and...

Job Title: Event ManagerLoews Ventana Canyon Resort is seeking a highly skilled Event Manager to join our team. As an Event Manager, you will be responsible for coordinating and executing convention, meeting, and rooms-only event business.Key Responsibilities:Review all assigned group files, including contracts and addenda, for accuracy.Lead client...