Utilization Management Nurse Specialist

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 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 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 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 Summary:As a Licensed Utilization Review Specialist at Elevance Health, you will play a critical role in ensuring that our members receive the most appropriate and cost-effective care. You will work closely with healthcare providers to collect clinical information, assess medical necessity, and apply medical policies and clinical guidelines to make...

Job SummaryWe are seeking a highly skilled and experienced RN Utilization Management Nurse Sr. 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 high-quality, cost-effective care.Key ResponsibilitiesLead a team of nurses in medical management, ensuring that...

Job SummaryWe are seeking a highly skilled and experienced RN Utilization Management Nurse Sr. 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 high-quality, cost-effective care.Key ResponsibilitiesLead a team of nursing staff in collaboration with...

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...

Job SummaryWe are seeking a highly skilled Clinical Support Specialist to join our team at Orthopaedic Solutions Management. This role will provide administrative support to our physicians, ensuring seamless patient care and efficient clinic operations.Key Responsibilities:Deliver exceptional patient care and follow through on physician ordersUtilize...

Job OverviewHillsborough County is seeking a highly skilled and detail-oriented Customer Account Specialist to join our team. In this role, you will be responsible for processing and monitoring fiscal transactions related to Public Utilities Department customer billings and payments.Key ResponsibilitiesProcess and reconcile fiscal transactions, including...

Job SummaryThe Senior Vendor Management Specialist will lead a team of Vendor Support Specialists in managing all aspects of vendor relationships, including utility activations, landscaping services, snow removal, and cleaning services. This key leadership role plays a critical part in ensuring the efficient operation of our single-family rental properties...

Job Title: Behavioral Health Utilization Care ManagerCentral Florida's Behavioral Health Network, Inc. (CFBHN) is seeking a highly skilled Behavioral Health Utilization Care Manager to join our team. As a key member of our organization, you will play a vital role in ensuring the system of care is accessible, effective, efficient, and appropriate for...

Job Summary:Primoris is seeking an experienced leader to oversee the operations of our electrical utility division. As VP of Operations, you will be responsible for ensuring the success of our distribution and transmission services, while maintaining a strong focus on safety, quality, and financial performance.Key Responsibilities:Drive operational...

Job OverviewTarget Freight Management is seeking a highly skilled Truckload Procurement Specialist to join our team. As a key member of our logistics team, you will be responsible for managing and optimizing truckload freight procurement, analyzing freight data, and collaborating with our logistics and operations teams to ensure cost-effective decisions are...

Pain Management OpportunitiesAt HCRC Staffing Health Care, we are seeking a skilled Pain Management Specialist to join our team. As a key member of our multidisciplinary team, you will be responsible for evaluating, diagnosing, and contributing to personalized treatment plans for patients experiencing acute and chronic pain. Your expertise will be invaluable...

Cancer Care SpecialistWe are seeking a skilled Cancer Care Specialist to join our team at the H. Lee Moffitt Cancer Center & Research Institute.Job Summary:The Cancer Care Specialist will utilize the nursing process to assess, plan, and evaluate the care of cancer patients and families. This role will integrate patient and family-centered care and the...

About the RoleWe are seeking a skilled Nurse Practitioner to join our team at Monogram Health. As a key member of our integrated Care Team, you will play a vital role in delivering high-quality, patient-centered care to individuals with chronic kidney and end-stage renal disease.ResponsibilitiesConduct comprehensive annual wellness exams and provide...

Job Title: Nurse Practitioner - Chronic Kidney Disease Specialist About the Role: We are seeking a skilled Nurse Practitioner to join our team at Monogram Health. As a key member of our integrated Care Team, you will be responsible for delivering personalized medical care to patients with chronic kidney disease and end-stage renal disease. Your expertise...

Job SummaryWe are seeking a highly skilled Insurance Verification Specialist to join our team at Orthopaedic Solutions Management. As a key member of our patient access team, you will be responsible for verifying patient insurance information and ensuring seamless communication with our patients and healthcare providers.Key Responsibilities:Verify patient...

Job DetailsPosition Summary: RN Case ManagerKey Responsibilities:• Utilization review and discharge planning• Collaboration with healthcare teams to ensure quality patient careRequirements:• RN licenseBenefits of Working with AMN Healthcare:• Medical, dental, and vision benefits• Earned time off and paid holidays• Paid continuing education...