Utilization Review Nurse

Job DescriptionAlliant Health Solutions, Inc. is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the quality and integrity of our medical review processes.The ideal candidate will have a strong clinical background and experience in medical utilization review. You will be...

Job SummaryAlliant Health Solutions is seeking a skilled Clinical Utilization Review Nurse to join our team. As a member of our professional multi-disciplinary work team, you will perform retrospective reviews of medical records, document clearly the rationale for all review decisions, and evaluate clinical information to approve cases that meet criteria.The...

Job SummaryAlliant Health Solutions is seeking a skilled Utilization Review Nurse to join our team in North Carolina. As a key member of our Utilization Review team, you will be responsible for conducting medical reviews of requests for Emergency Medicaid Services to ensure compliance with federal guidelines and state policy.Key Responsibilities:Conduct...

Alliant Health Solutions is seeking a skilled Utilization Review Nurse to join our team in North Carolina. As a key member of our multi-disciplinary work team, you will perform retrospective reviews of medical records, document review decisions, and evaluate clinical information to approve cases that meet criteria.The ideal candidate will have strong...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team.Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.The schedule for this remote position is second shift, Monday - Friday, with a...

About WakeMed:WakeMed Health & Hospitals is the leading provider of health services in Wake County, serving the community since 1961. Our mission is to improve the health and well-being of our community by providing outstanding and compassionate care.Job Summary:The Behavioral Health Case Manager for Utilization Review is responsible for assisting patients...

About WakeMedMental Health & Well-Being Hospital - WakeBrook provides innovative solutions to address the mental health issues among adults in our community. WakeBrook will serve adults in need of inpatient care for psychiatric illnesses. This is an exciting opportunity to be part of a critical service for our community and care for adults who need our...

Job Title: HEDIS Review NurseJob Summary:The HEDIS Review Nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. This role requires a high level of accuracy and attention to detail in reviewing and abstracting clinical data from medical records.Key...

Job Title: Utility InspectorRiverside Community Care is seeking a highly skilled Utility Inspector to join our team. As a Utility Inspector, you will be responsible for ensuring that utility installations meet all applicable engineering standards and guidelines.Key Responsibilities:Inspect utility installations for compliance with approved plans and...

Job Title: Utility InspectorWe are seeking a highly skilled Utility Inspector to join our team at Riverside Community Care. As a Utility Inspector, you will be responsible for ensuring that utility installations meet all applicable engineering standards and guidelines.Key Responsibilities:Inspect utility installations for compliance with approved plans and...

Clean Utilities Project Engineer Job DescriptionPiper Companies is seeking a highly skilled Clean Utilities Project Engineer to oversee the design, installation, and commissioning of critical utilities and equipment for projects located in Raleigh, NC, and abroad. The ideal candidate will have 5-10 years of experience in clean utilities, preferably in...

Piper Companies is seeking a skilled Clean Utilities Project Engineer to oversee the design, installation, and commissioning of critical utilities and equipment for projects in Raleigh, NC, and abroad. This role requires strong technical expertise and excellent communication skills.Responsibilities:Review and approve submittals from design/builders for...

Job DescriptionWe are seeking a highly skilled Utility Coordinator to join our team at Whitman, Requardt & Associates, LLP. As a Utility Coordinator, you will play a critical role in coordinating the identification, protection, and relocation of public and private utilities to accommodate transportation project design and construction.Key...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that our members receive the most appropriate and effective healthcare services.Key ResponsibilitiesUtilize clinical expertise to coordinate, document, and...

Job SummaryMott MacDonald is seeking a skilled Utilities Project Engineer to join our team in Raleigh, NC. As a key member of our team, you will be responsible for assisting in the preparation and modification of reports, specifications, plans, studies, and designs for projects.Key ResponsibilitiesAssist in the preparation and modification of reports,...

Job Title: External Quality Review Contract ManagerWe are seeking a highly skilled External Quality Review Contract Manager to join our team at Constellation Quality Health. As a key member of our organization, you will be responsible for the effective and efficient operation of assigned contracts and services.Key Responsibilities:Oversee and coordinate all...

Job Title: Senior Utilities SpecialistJoin the City of Raleigh's team as a Senior Utilities Specialist, responsible for providing operational, technical, and maintenance support for the city's water, wastewater, collection, and distribution systems.Key Responsibilities:Plan, prioritize, schedule, coordinate, and perform technical and specialized skilled work...

Job SummaryThe City of Raleigh, NC is seeking a highly skilled Senior Utilities Specialist to provide operational, technical, and maintenance support for the City's water, wastewater, collection, and distribution systems. This role involves leading technical and specialized skilled work, planning and scheduling daily work tasks for crews, investigating...

About Precision for Medicine, Manufacturing SolutionsWe are a leading advanced therapy technical operations consulting company in the life science industry, committed to advancing manufacturing to achieve operational excellence and accelerate speed to market for next-generation medicines.Job SummaryWe are seeking a highly skilled Utilities Engineering...

About The PositionTravel Nurse Source is working with Trustaff to find a qualified ICU/Critical Care RN in a leading healthcare facility. As a CVICU RN, you will provide care to patients with life-threatening heart conditions, utilizing your expertise in cardiac care and recovery to treat patients suffering from heart attacks, cardiac dysrhythmia, and...