Drug Utilization Review Specialist

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Job SummarySSM Health is seeking a skilled RN Utilization Review Specialist to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring payors receive accurate clinical information to support services provided by our hospital.Key ResponsibilitiesReview electronic medical records and screen clinical...

Job Title: Medical Director - Utilization Review SpecialistInnova Solutions is seeking a highly skilled Medical Director to join our team in a Utilization Review Specialist role. As a key member of our clinical leadership team, you will be responsible for performing utilization management related to inpatient level of care and home care services.Key...

Job Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. This role is responsible for conducting clinical assessments, collaborating with healthcare providers, and ensuring compliance with regulatory requirements.Key Responsibilities:Conduct clinical...

Job Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical assessments,...

Job Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical assessments,...

Job Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical assessments,...

Job Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a highly skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical...

Job Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical assessments,...

Job Title: Registered Nurse Utilization ReviewVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. This role is responsible for conducting clinical assessments, collaborating with healthcare providers, and ensuring compliance with regulatory requirements.Key Responsibilities:Conduct clinical assessments,...

Job Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct thorough clinical assessments,...

About the JobVNS Health is seeking a skilled healthcare professional to lead interdepartmental quality improvement activities, focusing on clinical review, risk management, and patient satisfaction.Key ResponsibilitiesConduct thorough clinical assessments, including medication reconciliations, post-discharge transitions of care, and follow-up...

Job Title: Utilization Review CoordinatorNew York State Psychiatric Institute is seeking a Utilization Review Coordinator to analyze and evaluate the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key Responsibilities:Review clinical records for completeness and accuracy to...

Physician Utilization ReviewerDane Street, a certified "Great Place to Work" company, is seeking a skilled Physician to provide utilization review services for the Group Health Department.This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical appropriateness of services in compliance with state...

Job SummaryVNS Health is seeking a skilled Registered Nurse to join our team as a Clinical Utilization Review Specialist. In this role, you will be responsible for resolving grievances, appeals, and external reviews for our Managed Long Term Care, Medicare Advantage, and Select Health product lines.Key Responsibilities:Investigate and review routine and...

Job SummaryAs a Utilization Review Nurse with SSM Health, you will play a critical role in ensuring that payors receive accurate clinical information to support services provided by our hospital. Your expertise will help ensure that our hospital receives authorization from payors, ensuring seamless care for our patients.Key ResponsibilitiesReview electronic...

Job Title: Clinical Review SpecialistUS Tech Solutions is seeking a skilled Clinical Review Specialist to join our team. As a Clinical Review Specialist, you will be responsible for reviewing and evaluating clinical information and documentation to ensure compliance with regulatory and accreditation guidelines.Key Responsibilities:Review and evaluate...

Job OpportunityMomentum Resource Solutions is seeking a highly skilled Medical Director to join our team.Job SummaryThe Medical Director will play a crucial role in ensuring appropriate healthcare utilization management. As a physician and policy advisor, you will work closely with our Chief Medical Officer to develop and implement policies that promote...

Medical Director - Utilization ReviewInnova Solutions is seeking a highly skilled Medical Director to lead our Utilization Review team. As a key member of our organization, you will be responsible for ensuring the highest quality of care for our patients.Key Responsibilities:Develop and implement utilization management strategies to optimize patient care and...

Job Title: Medical Director - Utilization ReviewInnova Solutions is seeking a highly skilled Medical Director to lead our Utilization Review team. As a key member of our organization, you will be responsible for ensuring that our clients receive high-quality, cost-effective care.Key Responsibilities:Perform utilization management related to inpatient and...