Utilization Specialist

Job Title: Utility & Transportation SpecialistHeartland Human Care Services is seeking a highly organized and detail-oriented Utility & Transportation Specialist to join our dynamic team. As a key member of our kitchen operations team, you will play a vital role in maintaining a clean and safe environment for our clients and staff.Responsibilities:Operate...

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 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 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 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 SummaryWe are seeking a highly skilled Clinical Utilization Review Specialist to join our Medical Management/Health Services team at Centene Corporation. As a key member of our team, you will play a critical role in ensuring the quality and appropriateness of mental health and substance abuse services for our 28 million members.Key...

{"title": "Quality Utilization Specialist Emergency Department", "subtitle": "Join Our Team", "content": "About the RoleThe Quality Utilization Specialist, Emergency Department reflects the mission, vision, and values of Northwestern Memorial Healthcare, adheres to the organization\u2019s Code of Ethics and Corporate Compliance Program, and complies with all...

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 SummaryWe are seeking a highly skilled Clinical Utilization Specialist to join our team at Acadia Healthcare. As a Clinical Utilization Specialist, you will play a critical role in ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesLiaison Role: Act as a liaison between managed care organizations and our facility's...

Job SummaryWe are seeking a highly skilled Quality Utilization Specialist to join our team at Northwestern Memorial Healthcare. As a key member of our healthcare team, you will play a critical role in ensuring the highest quality patient care and optimal resource utilization in our Emergency Department.Key ResponsibilitiesApply medical necessity criteria,...

Job SummaryWe are seeking a highly skilled Quality Utilization Specialist to join our team at Northwestern Medicine. This role will play a critical part in ensuring the highest quality patient care and optimal resource utilization in our Emergency Department.Key ResponsibilitiesApply medical necessity criteria and level of care guidelines to ensure...

Job SummaryWe are seeking a highly skilled Quality Utilization Specialist to join our team at Northwestern Medicine. As a key member of our Emergency Department, you will play a critical role in ensuring the highest quality patient care and optimal resource utilization.Key ResponsibilitiesApply medical necessity criteria and level of care guidelines to...

{"title": "Utility Locator Job Description", "content": "Job SummaryCERA Solutions is seeking a skilled Utility Locator to join our team. As a Utility Locator, you will play a critical role in supporting underground facility construction activities, ensuring damage prevention and facility protection of electrical utility infrastructure.The ideal candidate...

CERA Solutions Job OpportunityCERA Solutions is seeking a skilled Utility Locator to join our team. As a Utility Locator, you will play a crucial role in supporting underground facility construction activities, focusing on damage prevention and facility protection of electrical utility infrastructure.Key Responsibilities:Respond to dig ticket requests from...

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 Summary:Under the direction of the Utility Plant Operator, the Central Utility Plant Assistant Operator will be responsible for operating, maintaining, and monitoring boilers, chillers, and auxiliary equipment located in Steam & Chiller Plants and distribution systems. The successful candidate will perform work in accordance with University standards and...

About the RoleKDM Engineering is seeking a highly skilled Sr. Distribution Designer to join our team of experts in power delivery and electric utility design. As a key member of our team, you will be responsible for performing detailed reviews and training of overhead and underground distribution utility projects.Key ResponsibilitiesProject Review and...

Collection Specialist OpportunityCreative Financial Staffing is seeking a skilled Collection Specialist to join our team. As a Collection Specialist, you will be responsible for managing inbound and outbound collection calls to handle accounts at various stages of delinquency.Key Responsibilities:Manage and resolve customer accounts in a timely and...

Job Title: Distribution SpecialistWe are seeking a highly skilled Distribution Specialist to join our team at KDM Engineering. As a key member of our team, you will be responsible for performing detailed reviews and training of overhead and/or underground distribution utility projects.Key Responsibilities:Review design prints related to overhead and...

About KDM EngineeringKDM Engineering is a minority- and woman-owned professional engineering firm focusing on power delivery, gas distribution, and telecommunications designs. Established in 2012, KDM is headquartered in Chicago with branch offices on the East Coast.Job SummaryKDM Engineering is seeking a highly skilled Distribution Specialist to join our...