Clinical Utilization Management Specialist

CoreCare Utilization Management SpecialistVitalCore Health Strategies is seeking a highly skilled CoreCare Utilization Management Specialist to join our team. As a key member of our Utilization Management team, you will be responsible for reviewing and analyzing medical data to ensure accurate and timely authorization of patient services.Key...

Job Title: CoreCare Utilization Management SpecialistVitalCore Health Strategies is seeking a highly skilled CoreCare Utilization Management Specialist to join our team in Kansas. As a key member of our team, you will be responsible for reviewing and analyzing medical data to ensure accurate and timely authorization of patient services.Key...

Job Title: CoreCare Utilization Management SpecialistJob Summary:VitalCore Health Strategies is seeking a skilled CoreCare Utilization Management Specialist to join our team. As a key member of our healthcare team, you will be responsible for reviewing patient data to ensure accurate application of clinical and benefits administration procedural guidelines....

Job Summary:The Medical Management Specialist I is a key role within the Medical Management and/or Operations areas, providing non-clinical support to drive business outcomes. This position is responsible for gathering clinical information, determining appropriate areas to refer or assign cases, and providing information regarding network providers or...

Job Title: Clinical Nurse Specialist - Telemetry UnitWe are seeking a skilled Clinical Nurse Specialist to join our team in Kansas. As a Clinical Nurse Specialist, you will be responsible for providing high-quality patient care in a telemetry unit.**Job Summary:*** Provide direct patient care in a telemetry unit* Collaborate with the healthcare team to...

Job Summary:The Medical Management Specialist I is a key role within our organization, responsible for providing non-clinical support to the Medical Management and/or Operations areas. This position requires a strong understanding of managed care and Medicaid/Medicare, as well as excellent communication and organizational skills.Key Responsibilities:Gather...

Job Title: Medical Management Specialist IIJob Summary:We are seeking a highly skilled Medical Management Specialist II to join our team at Elevance Health. As a Medical Management Specialist II, you will play a critical role in providing non-clinical support to medical management operations, handling complex file reviews and inquiries from members and...

Job SummaryCVS Health is seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a critical role in facilitating appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services.Key...

Job SummaryCVS Health is seeking a skilled Clinical Case Manager to join our team. As a Clinical Case Manager, you will play a critical role in facilitating appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to...

Job SummaryAs a Utilities Equipment Repair Technician with the Army National Guard, you will be responsible for maintaining and repairing utilities equipment and special-purpose support systems. This includes inspecting and repairing electric motors, electrical equipment, and other systems.Key ResponsibilitiesInspect and repair air conditioner electrical...

Specialization:Emergency Medicine is in high demand as we seek a skilled Clinical Specialist to join our esteemed team in Shawnee, Kansas.Job Summary:We are looking for a dedicated Clinical Specialist with expertise in emergency medicine to provide top-notch patient care at our state-of-the-art facility.Key Responsibilities:• Board...

Job Summary:The City of Topeka seeks a highly skilled Water Utility Engineer to join our team. As a key member of our engineering department, you will be responsible for supervising, coordinating, and administering major public improvement projects and programs related to GIS mapping and asset management of the City's Water System.Key...

Roshal Health is seeking a skilled Diagnostic Imaging Specialist to join our team. As an Ultrasound Technologist, you will perform a variety of routine and emergency ultrasound imaging and other sonographic procedures with minimal supervision, requiring independent judgment.The ideal candidate will have a minimum of one year of ultrasound imaging experience...

Job Summary:As a Social Worker Primary Care Clinics Specialist at AdventHealth Shawnee Mission, you will be responsible for providing professional social work services to patients and families in the primary care setting. This includes assessing patients' psychosocial needs, developing and implementing treatment plans, and collaborating with the healthcare...

Unlock Your Potential in a Dynamic Laboratory EnvironmentSSM Health is seeking a highly skilled and experienced Laboratory Manager to oversee the operations of our laboratory services. As a key member of our team, you will be responsible for managing the daily workflow, coordinating technical operations, and ensuring the highest level of patient care and...

Job SummaryThe Medical Management Specialist I provides non-clinical support to the Medical Management and/or Operations areas. This role is responsible for gathering clinical information, determining the appropriate area to refer or assign cases, and providing information regarding network providers or general program information when requested.Key...

Job SummaryThe Clinical Pharmacist Practitioner (CPP) is a key member of the healthcare team at the VA Eastern Kansas Health Care System. This role is responsible for practicing in a major clinical area, such as primary care, psychiatry, or medicine, and working with assigned providers and healthcare teams to design, implement, monitor, evaluate, and modify...

Company OverviewOak Street Health is a mission-driven organization that provides personalized primary care to older adults on Medicare, focusing on quality over volume and centered in our patients' communities.Salary Range$45,000 - $60,000 per year, depending on experience and qualifications.Job DescriptionWe are seeking a highly skilled Clinical...

About the Role:We are seeking a skilled Community Pharmacy Clinical Manager to join our team at SSM Health. As a key member of our pharmacy team, you will play a vital role in ensuring the delivery of exceptional patient care and service.Job Summary:The Community Pharmacy Clinical Manager is responsible for overseeing the clinical operations of our community...

About the RoleThe Registered Nurse - Primary Care Specialist works closely with a concierge physician to provide exceptional healthcare services for corporate clients. This role requires a strong ability to assess patients, inform the physician of changes, and ensure the physician has the necessary resources and tools to deliver high-quality care. The nurse...