Licensed Utilization Review Specialist

Job SummaryAt Elevance Health, we are seeking a skilled Licensed Utilization Review Specialist to join our team. As a Licensed Utilization Review Specialist, you will play a critical role in ensuring the appropriate and consistent administration of plan benefits through collecting clinical information required to preauthorize services, assess medical...

Job SummaryWe are seeking a highly skilled Licensed Utilization Review II to join our team at Elevance Health. As a key member of our medical management team, you will play a critical role in ensuring the appropriate and consistent administration of plan benefits.Key ResponsibilitiesWork with healthcare providers to collect clinical information required for...

About the RoleWe are seeking a skilled Licensed Utilization Review II to join our team at Elevance Health. As a key member of our healthcare team, you will play a critical role in ensuring the appropriate and consistent administration of plan benefits.Key ResponsibilitiesCollaborate with healthcare providers to collect clinical information required for...

Job SummaryWe are seeking a highly skilled Licensed Utilization Review II to join our team at Elevance Health. As a key member of our medical management 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 precertification requests,...

About the RoleWe are seeking a skilled Licensed Utilization Review II to join our team at Elevance Health. As a key member of our healthcare team, you will play a critical role in ensuring the appropriate and consistent administration of plan benefits.Key ResponsibilitiesCollaborate with healthcare providers to collect clinical information required for...

Job Title: Utility SpecialistJoin Lakeshore Employment Inc. as a Utility Specialist and take on a challenging role that requires a unique blend of technical expertise and business acumen. As a key member of our team, you will be responsible for overseeing all utility-based projects, analyzing and tracking utility trends, and ensuring compliance with local...

Job SummaryLakeshore Employment Inc is seeking a highly skilled Utility Operations Specialist to join our team. As a key member of our operations team, you will be responsible for overseeing all utility-based projects, analyzing and tracking utility trends, and ensuring compliance with local and state agencies.Key ResponsibilitiesProject Management: Plan,...

Civil/Environmental Project Management SpecialistCPH is seeking a full-time Civil/Environmental Project Management Specialist with strong organizational, supervision and technical skills to manage all facets of Water/Wastewater Utility projects including, client management, project management, presentations, conceptual design, construction documents, plan...

De Novo Review Inc is seeking a highly skilled Civil Defense Litigation Specialist to join their team. This is an excellent opportunity for a Paralegal with civil defense litigation experience to work in a fast-paced and collaborative environment.Key Responsibilities:Handle files from inception to trial with exceptional attention to detail and strong legal...

Job OverviewDenovo Review, a top-rated plaintiff personal injury firm based in Tampa, FL, is seeking a highly skilled Litigation Paralegal to join their team. The ideal candidate will have a minimum of 5 years of experience in plaintiff personal injury litigation and possess excellent organizational, communication, and client service skills.Key...

Job Title: Utilization Management Nurse SpecialistJob Summary:ReqRoute Inc is seeking a skilled Utilization Management Nurse to join our team. As a Utilization Management Nurse, you will be responsible for managing the utilization of healthcare services and resources. This is a contract position that can be worked remotely.Key Responsibilities:• Manage the...

The Risk and Compliance Review Specialist is an entry-level position responsible for performing risk and compliance reviews in coordination with the broader Anti-Money Laundering (AML) team.The overall objective is to assist in conducting reviews and analysis on business cases.Responsibilities:Assist with AML Review/investigations of account activityDocument...

Job Title: Utilization Management NurseReqRoute Inc is seeking a skilled Utilization Management Nurse to join our team. As a Utilization Management Nurse, you will play a critical role in ensuring that patients receive the necessary care and services to achieve optimal health outcomes.Key Responsibilities:Utilize clinical expertise to review and manage...

Job OpportunityDenovo Review is seeking an ambitious attorney to join its First-Party Property division in Tampa. Responsibilities:Manage a comprehensive caseload from initiation through post-trial.Participate in hearings, depositions, mediations, and trials.Draft pleadings, manage discovery and responses, file motions, and create other legal...

Job OpportunityDenovo Review, a top-rated plaintiff personal injury firm in Tampa, FL, is seeking a skilled Social Security Disability/Workers' Compensation Attorney to join their team.Key Responsibilities:Represent claimants in Social Security Disability and Workers' Compensation litigation, from intake to final hearings and settlement.Guide claimants...

Job Title: Utilization Management NurseJob Summary:ReqRoute Inc is seeking a skilled Utilization Management Nurse to join our team. The ideal candidate will have experience working with major payors, 3rd party vendors, and telecommuting. The Utilization Management Nurse will be responsible for managing patient care and ensuring that medical services are...

Job Title: Document Review AttorneyLHH Recruitment Solutions is seeking experienced US-licensed attorneys for remote document review positions. These projects offer competitive hourly pay rates, flexible full-time schedules, and opportunities for extensions and long-term engagements.Responsibilities:Conduct thorough document review and analysis within...

Job SummaryWe are seeking a highly skilled Senior Utilization Management Nurse to join our team at Elevance Health. As a key member of our nursing staff, you will play a critical role in promoting quality member outcomes, optimizing member benefits, and ensuring effective use of resources for complex medical issues.The ideal candidate will have a strong...

Job OpportunityDenovo Review is seeking a highly skilled General Liability/Casualty Attorney to join their team. This is an excellent opportunity for a motivated and experienced attorney to work on a wide range of litigation cases from inception to trial.The ideal candidate will have 3+ years of civil litigation experience, preferably in casualty, premises,...

Job Title: Licensed Vocational Nurse - Referral Management SpecialistEpic Government is seeking a highly skilled Licensed Vocational Nurse (LVN) to join our team as a Referral Management Specialist. In this role, you will play a critical part in the Referral Management Center, working closely with healthcare providers and patients to ensure seamless...