Drug Utilization Review Specialist

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. This role is responsible for evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes.Key Responsibilities:Conduct comprehensive drug...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient...

Job Title: Clinical Utilization Review SpecialistCentene Corporation is seeking a highly skilled Clinical Utilization Review Specialist to join our Medical Management/Health Services team. As a key member of our team, you will play a critical role in ensuring that our members receive high-quality, medically necessary care.Job Summary:The Clinical Utilization...

Job SummaryWe are seeking a highly skilled and experienced Clinical Utilization Review Specialist to join our team at Innovative Systems Group. As a key member of our team, you will be responsible for ensuring compliance with utilization management and quality review functions performed by medical groups and IPAs participating in our networks.Key...

Job SummaryThis role is a key member of the Department of Care Coordination, supporting the Utilization Review (UR) team to enhance efficiency and timely responsiveness to payor requests. The primary responsibility is managing and triaging communication from insurance payors via email, fax, and phone inquiries pertaining to clinical requests, approvals,...

Job OverviewAura Staffing Partners Chicago LLC is seeking a skilled Utilization Review Nurse to join our team. The ideal candidate will play a crucial role in ensuring the appropriate use of healthcare services and resources.Key ResponsibilitiesConduct thorough utilization reviews to assess medical necessity and appropriateness of healthcare...

Job SummaryWe are seeking a highly skilled Medical Review Specialist to join our team at w3r Consulting. As a key member of our team, you will play a critical role in evaluating medical benefit medication service requests made by our organization's members and providers.Key ResponsibilitiesEvaluate medical benefit medication service requests using clinical...

Job SummaryWe are seeking a highly organized and detail-oriented Utilization Review Admin to join our team at Insight Global. As a key member of our Department of Care Coordination, this role will play a critical part in enhancing efficiency and timely responsiveness to payor requests.Key ResponsibilitiesManage and triage communication from insurance payors...

Job SummaryWe are seeking a highly organized and detail-oriented Utilization Review Coordinator to join our team at Insight Global. As a key member of our Department of Care Coordination, you will play a critical role in supporting the Utilization Review (UR) team to enhance efficiency, timely responsiveness to payor requests, and denial prevention.The...

Job SummaryWe are seeking a highly skilled Clinical Review Specialist to join our team at Universal Health Services, Inc. As a key member of our Utilization Management team, you will be responsible for performing timely and accurate clinical reviews with all payer types to secure authorization for initial and continued treatment.ResponsibilitiesConduct daily...

Job Summary:As a Utilization Specialist at Acadia Healthcare, you will play a critical role in ensuring the efficient and effective use of healthcare resources. You will serve as a liaison between managed care organizations and our facility's professional clinical staff, conducting reviews and coordinating communication regarding reimbursement requirements....

Job Title: Pharmacist - Medication Review SpecialistDuration: 6 monthsLocation: North Chicago, ILShift Hours: Mon-Friday - 8-hour shift, that hour could be anytime between 6 am and 10 pmResponsibilities:Reviews prescriptions issued by Physician, or other authorized prescriber to assure accuracy and determine formulas and ingredients needed.Directs pharmacy...

Job SummaryWe are seeking a highly skilled Clinical Utilization Management Specialist to join our team at Mindlance. In this role, you will be responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in our networks.As a Clinical Utilization Management Specialist,...

Job SummaryWe are seeking a highly skilled Utilization Management Specialist to join our team at HireOps Staffing LLC. As a key member of our team, you will be responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in our networks.Key ResponsibilitiesReview and...

Job SummaryWe are seeking a highly skilled Quality Utilization Specialist to join our team at Northwestern Memorial Healthcare. As a Quality Utilization Specialist, you will play a critical role in ensuring that our patients receive the highest level of care while also optimizing our hospital's resources.Key ResponsibilitiesApply medical necessity criteria...

Job SummaryThe Salvation Army USA Central Territory is seeking a highly skilled and detail-oriented Drug Testing Coordinator to join our team. As a key member of our Pathway Forward Program, you will be responsible for ensuring uniform and equitable procedures, scheduling, monitoring, and reporting related to drug testing.Key ResponsibilitiesCoordinate drug...

Job Title: Drug Product Manufacturing AssociateJob SummaryYanTech Associates is seeking a highly motivated and detail-oriented Drug Product Manufacturing Associate to join our team. As a key member of our manufacturing team, you will be responsible for supporting the production of high-quality drug products in a cGMP environment.Key ResponsibilitiesAssist in...

Job Summary:We are seeking a Board Certified Orthopedic Surgeon to join our medical review team as a telecommute specialist. This role provides the opportunity to work from home and customize your schedule and caseload within a Monday - Friday work week.Responsibilities:Reviews medical files and provides recommendations for utilization review, chart reviews,...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient...

Job Title: Pharmacy Technician Specialist-Investigational Drug ServiceAt Northwestern Medicine, we are committed to delivering exceptional patient care and advancing the field of healthcare. As a Pharmacy Technician Specialist-Investigational Drug Service, you will play a vital role in ensuring the safe and effective use of medications in our investigational...