Utilization Review Specialist

Job SummaryMonte Nido & Affiliates, LLC is seeking a highly skilled Utilization Review Clinician to join our team. As a Utilization Review Clinician, you will play a critical role in ensuring that our patients receive the highest level of care by conducting thorough and comprehensive utilization reviews.Key ResponsibilitiesConduct utilization reviews, peer...

Job Summary:The University of Miami is seeking a skilled Oncology Utilization Review Specialist to join our team. As a key member of our healthcare team, you will be responsible for conducting thorough reviews of patient charts to ensure that medical services are necessary and meet established criteria.Key Responsibilities:Conduct timely prospective reviews...

Job Title: Licensed Utilization Review IAt Elevance Health, we are seeking a highly skilled Licensed Utilization Review I to join our team. As a key member of our healthcare team, you will play a critical role in ensuring the appropriate and consistent administration of plan benefits.Job Summary:The Licensed Utilization Review I is responsible for working...

About the RoleWe are seeking a skilled Utilization Review Clinician to join our team at Monte Nido & Affiliates, LLC. As a Utilization Review Clinician, you will play a critical role in ensuring that our patients receive the highest level of care and support.Key ResponsibilitiesConduct thorough utilization reviews, peer reviews, and pre-certifications to...

Licensed Utilization Review I (RN)Anticipated End Date: 2024-09-21 Position Title: Licensed Utilization Review I (RN) Job Description: Simply Healthcare Plans, Inc. is a proud member of Elevance Health's family of brands. We are a licensed health maintenance organization with health plans for people enrolled in Medicaid and/or Medicare programs in...

Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings)Address: 1611 NW 12 Ave, Miami, FL 33136Shift Details: 8:00 am - 4:30 pm, Monday-Friday with weekends occasionally (primarily remote)Why Jackson Memorial Hospital: Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of...

JOB DESCRIPTION Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings) Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: 8:00 am - 4:30 pm, Monday-Friday with weekends occasionally (primarily remote) Why Jackson Memorial Hospital:  Jackson Memorial Hospital is the flagship hospital for Jackson Health System and...

Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings)Address: 1611 NW 12 Ave, Miami, FL 33136Shift Details: 8:00 am - 4:30 pm, Monday-Friday with weekends occasionally (primarily remote)Why Jackson Memorial Hospital: Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of...

Anticipated End Date: 2024-09-21 Position Title: Licensed Utilization Review I (RN) Job Description: Simply Healthcare Plans, Inc. is a proud member of Elevance Health's family of brands. We are a licensed health maintenance organization with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. Licensed Utilization Review...

OverviewUF Health Leesburg Hospital has been serving the health care needs of our community for 58 years. The hospital offers advanced cardiac care including one of the largest cardiothoracic surgery programs in the state. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating...

Job DescriptionJob DescriptionNational well established AV rated full service law firm focusing in practice areas that include government, insurance, labor and employment and litigation is seeking an Accounts Receivable Specialist to join their team. The AR Specialist will support the administration of collection activities for assigned clients, practice...

Piper Companies is seeking a highly skilled Data Review Specialist to join their team in a Pharmaceutical Manufacturer in the United States.Key Responsibilities:· Conduct thorough reviews of analytical data to ensure compliance with GMP, GLP, and GDP regulations.· Collaborate with cross-functional teams to resolve data discrepancies and ensure data...

Job DescriptionDenovo Review, a leading provider of financial services, is seeking a highly skilled Financial Collections Professional to join their team. The ideal candidate will support the administration of collection activities for assigned clients, practice groups, and/or billing attorneys.Key Responsibilities:Collaborate with assigned attorneys to...

Department: Public Health Trust of Dade Co - Case Management, Utilization ReviewShift Details:Per Diem, Day Shift, 8:00 am-4:30 pm (Remote work available during weekdays, 4 shifts per month)About Public Health Trust of Dade Co: The Public Health Trust of Dade County is dedicated to providing exceptional healthcare services and community support. With a...

Job SummaryWe are seeking a skilled RN Utilization Management Specialist to join our team at UF Health. As a key member of our healthcare team, you will play a critical role in ensuring that patients receive the most appropriate level of care, while also promoting efficient use of resources.Key ResponsibilitiesConduct thorough clinical reviews of patient...

Job Summary:We are seeking a highly experienced Licensed Professional Engineer to join our client's team in the renewable energy sector. The ideal candidate will have a strong background in utility-scale solar projects, specifically in the review and stamping of projects.Key Responsibilities:Review and stamp solar projects to ensure compliance with local and...

About the RoleWe are seeking a highly skilled Licensed Utilization Review Senior to join our team at Elevance Health. As a key member of our clinical review team, you will play a critical role in ensuring that our members receive the most appropriate and cost-effective care possible.Key ResponsibilitiesConduct thorough reviews of medical records to determine...

Overview:In this pivotal role, you will oversee the preparation and management of cases within the utilization review framework. Acting as a primary liaison for healthcare providers, patients, and various medical professionals, you will ensure the comprehensive collection and processing of essential patient, provider, and facility data necessary for...

About the RoleWe are a leading pet care company, committed to delivering high-quality products and exceptional customer service. As a Utility Operator - Manufacturing Specialist, you will play a critical role in ensuring the smooth operation of our production facilities.Key ResponsibilitiesSafely operate and maintain production equipment, including...

Department: Jackson Memorial Hospital- Case Management, Utilization Review Address: 1611 NW 12 Ave, Miami, FL 33136 Shift details: Per Diem, Day Shift, 8:00 am-4:30 pm (Local remote, available to work during the week, 4 shifts per month) Why Jackson Memorial Hospital: Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has...