Healthcare Utilization Review Specialist

About Prime HealthcarePrime Healthcare is a leading health system headquartered in Ontario, California, operating 45 hospitals and over 300 outpatient locations in 14 states, providing more than 2.6 million patient visits annually.Job SummaryWe are seeking a skilled Utilization Review Coordinator to join our team. The successful candidate will be responsible...

Job SummaryWe are seeking a highly skilled Utilization Review Technician III to join our team at Prime Healthcare. As a key member of our denial management initiatives, you will play a critical role in coordinating the utilization review and appeals process.ResponsibilitiesCoordinate phone calls, data entry, mailing/faxing appeals, and tracking data from...

Job SummaryPrime Healthcare Management, Inc. is seeking a highly skilled Clinical Utilization Management Director to join our corporate team. As a key member of our healthcare operations team, you will be responsible for providing comprehensive oversight of the Utilization Review process for our self-insured Employee Health Plans.The ideal candidate will...

Job Summary:As a key member of the Kaiser Permanente team, the Utilization Management Program Director plays a vital role in ensuring cost-effective and quality patient care. This position is responsible for managing the day-to-day operations of the Utilization Management Program, collaborating with multidisciplinary teams to plan and coordinate care across...

About Prime HealthcarePrime Healthcare is a leading health system headquartered in California, operating 45 hospitals and over 300 outpatient locations in 14 states. With a strong commitment to excellence, Prime Healthcare provides high-quality patient care and strives to be a leader in the healthcare industry.Equal Employment OpportunityPrime Healthcare is...

Inventory Specialist Role at Mondelez InternationalAs an Inventory Specialist at Mondelez International, you will be responsible for ensuring accurate stock alignment between SAP and the warehouse management system. Your key tasks will include:Key Responsibilities:Review and analyze stock inaccuracies to guarantee accurate stock alignmentMonitor inbound,...

Job SummaryPrime Healthcare Management Inc is seeking a highly skilled Medical Benefits Coordinator to join our team. As a Utilization Review Specialist, you will play a critical role in the implementation and management of our employee medical benefit program.Key ResponsibilitiesAssist in the direction and utilization of available resources to provide...

Job SummaryWe are seeking an experienced Inventory Specialist to join our team at Mondelez International. As an Inventory Specialist, you will be responsible for ensuring accurate stock alignment between SAP and the warehouse management system.Key ResponsibilitiesReview and analyze stock inaccuracies to guarantee accurate stock alignment between SAP and the...

Job SummaryPrime Healthcare is seeking a skilled IT Support Specialist to provide technical assistance and support to our team. As a key member of our Information Services department, you will be responsible for troubleshooting and resolving technical issues related to hardware and software applications.Key ResponsibilitiesProvide tier one IT support for...

Job SummaryPrime Healthcare Management Inc is seeking a skilled Contracts Coordinator to join our team. As a key member of our healthcare operations team, you will play a critical role in managing contracts and ensuring seamless relationships with healthcare providers.The ideal candidate will possess a strong understanding of healthcare contracts, managed...

Job SummaryWe are seeking a highly skilled and detail-oriented Referral Coordinator to join our team at Unicare Community Health Center. As a Referral Coordinator, you will play a critical role in ensuring seamless communication between medical providers and specialists, facilitating timely and effective patient care.Key ResponsibilitiesProcess and...

Join Prime Healthcare's Team as an IT Support SpecialistPrime Healthcare is a leading health system with a strong presence in 14 states, operating 45 hospitals and over 300 outpatient locations. Our team provides exceptional patient care, with over 2.6 million patient visits annually.About the RoleWe are seeking a skilled IT Support Specialist to join our...

Job SummaryWest Coast University is seeking a highly skilled and detail-oriented Student Account Specialist to join our team. As a Student Account Specialist, you will be responsible for all campus collection and billing efforts, working directly with students to ensure timely collection of payments during their attendance at West Coast University.Key...

Job SummaryWe are seeking a highly skilled and experienced Vice President of Health Plan Claims and Operations to join our team at Prime Healthcare Management, Inc. This key leadership role will be responsible for developing and executing Claim Operations strategies, end-to-end Claim process automation, optimization, and management.Key...

Travel Nursing Opportunity with Planet HealthcareWe are seeking a skilled Travel Nurse ICU Specialist to join our team at Planet Healthcare. As a global leader in clinical staffing, we take a candidate-first approach to find the right opportunity for each healthcare professional.Job Details:Specialty: ICU - Intensive Care UnitDiscipline: RNShift: 12 hours,...

OverviewPrime Healthcare is a leading health system headquartered in Ontario, California, operating 45 hospitals and over 300 outpatient locations in 14 states, providing more than 2.6 million patient visits annually.We are seeking a skilled Credentialing Coordinator to join our corporate team, responsible for facilitating all aspects of credentialing,...

Student Account Specialist Job DescriptionAt West Coast University, we are seeking a highly skilled Student Account Specialist to join our team. As a key member of our student services department, you will play a critical role in ensuring the timely collection of payments from students and achieving strict collection metrics.Key Responsibilities:Serve as the...

Job SummaryWe are seeking an experienced Electrical Design Specialist to join our team at SitelogIQ. As an Electrical Design Specialist, you will be responsible for designing and developing electrical systems for EV charging applications.Key ResponsibilitiesCollaborate with sales teams to determine customer technical requirements and project scope.Prepare...

Unlock Your Potential as a EVV Agent at AccentCareAt AccentCare, we're on a mission to reimagine care and provide world-class patient experiences. As a EVV Agent, you'll play a vital role in delivering compassionate and personalized care to our patients and their families.What You'll DoProvide exceptional patient care and support to patients and their...

Job SummaryWe are seeking a highly skilled and detail-oriented Student Account Specialist to join our team at West Coast University. As a key member of our financial services department, you will be responsible for ensuring timely collection of payments from students and maintaining accurate records of student accounts.Key ResponsibilitiesStudent Billing and...