Clinical Utilization Specialist

{"Job Title": "Clinical Utilization Specialist", "Job Summary": "We are seeking a highly skilled Clinical Utilization Specialist to join our Medical Management/Health Services team. As a clinical professional, you will play a critical role in ensuring the quality and appropriateness of care for our 28 million members.**Key Responsibilities:*** Perform...

Job Title: Clinical Utilization SpecialistJoin Centene Corporation, a leading healthcare company, as a Clinical Utilization Specialist. In this role, you will play a critical part in ensuring the quality and appropriateness of mental health and substance abuse services for our 28 million members.Key Responsibilities:Perform clinical reviews to assess the...

Job Title: Clinical Utilization SpecialistJoin Centene Corporation, a leading healthcare company, as a Clinical Utilization Specialist. In this role, you will play a critical part in ensuring the quality and appropriateness of mental health and substance abuse services for our 28 million members.Key Responsibilities:Perform clinical reviews and assessments...

Job SummaryWe are seeking a skilled Clinical Utilization Specialist to join our team at Acadia Healthcare. As a key member of our healthcare team, you will play a critical role in ensuring the efficient and effective management of patient care.Key ResponsibilitiesAct as a liaison between managed care organizations and our facility's professional clinical...

Job SummaryAcadia Healthcare is seeking a highly skilled Utilization Review Specialist to join our team. As a Utilization Review Specialist, you will serve as a liaison between managed care organizations and our facility's professional clinical staff.Key ResponsibilitiesConduct reviews of insurance plans and coordinate communication with reimbursement...

Job Summary:The Clinical Utilization Review Specialist will provide healthcare services regarding admissions, case management, discharge planning, and utilization review. This role requires a strong understanding of medical necessity and reimbursement policy criteria.Responsibilities:Review admissions and service requests within assigned units for...

{"Job Title": "Clinical Laboratory Specialist", "Job Summary": "We are seeking a highly skilled Clinical Laboratory Specialist to join our team at Clinical Pathology Laboratories, Inc. As a key member of our laboratory operations team, you will play a vital role in ensuring the accurate processing and preparation of laboratory specimens. Your attention to...

Job SummaryWe are seeking a skilled Utilization Review Nurse Specialist to join our team at Ascension Seton Northwest. As a Utilization Review Nurse Specialist, you will play a critical role in ensuring the quality and efficiency of our healthcare services.Key ResponsibilitiesReview admissions and service requests to determine medical necessity and...

Job OverviewClinical Search Group, LLC is seeking a highly skilled Clinical Specialist to join our team in a regional case support role. As a Clinical Specialist, you will be responsible for providing expert support to neurosurgeons and their teams in the use of cutting-edge medical technology.Key Responsibilities:Deliver comprehensive training and...

Job Title: Clinical Nurse SpecialistWe are seeking a highly skilled Clinical Nurse Specialist to join our team at Ascension Seton. As a Clinical Nurse Specialist, you will provide advanced care, consultation, research, management, and education in a specific clinical area.Responsibilities:Provide advanced direct nursing care in accordance with established...

Job SummaryWe are seeking a skilled Clinical Utilization Review Nurse to join our team at Ascension Seton Northwest. As a key member of our healthcare team, you will play a critical role in ensuring the delivery of high-quality patient care while promoting efficient use of healthcare resources.ResponsibilitiesConduct thorough reviews of patient admissions...

Job SummaryWe are seeking a skilled Clinical Utilization Review Nurse to join our team at Ascension Seton Northwest. As a key member of our healthcare team, you will play a critical role in ensuring the highest quality patient care and outcomes.ResponsibilitiesReview admissions and service requests for medical necessity and compliance with reimbursement...

Job SummaryWe are seeking a skilled Clinical Utilization Review Nurse to join our team at Ascension Seton Northwest. As a key member of our healthcare team, you will play a critical role in ensuring the delivery of high-quality patient care while promoting efficient use of healthcare resources.ResponsibilitiesConduct thorough reviews of patient admissions...

Job SummaryWe are seeking a skilled Clinical Utilization Review Nurse to join our team at Ascension Seton Northwest. As a key member of our healthcare team, you will play a critical role in ensuring the delivery of high-quality patient care while promoting efficient use of healthcare resources.ResponsibilitiesConduct thorough reviews of patient admissions...

Job SummaryWe are seeking a highly skilled Clinical Nurse Specialist to join our team at Ascension Seton. As a key member of our nursing staff, you will provide advanced care, consultation, research, management, and education in a specific clinical area.ResponsibilitiesProvide advanced direct nursing care in accordance with established policies, procedures,...

Job SummaryWe are seeking a highly skilled Clinical Nurse Specialist to join our team at Ascension Seton. As a key member of our nursing staff, you will provide advanced care, consultation, research, management, and education in a specific clinical area.ResponsibilitiesProvide advanced direct nursing care in accordance with established policies, procedures,...

About the RoleWe are seeking a skilled Clinical Utilization Review Nurse to join our team at Ascension Seton Northwest. As a key member of our healthcare team, you will play a critical role in ensuring the highest quality patient care and outcomes.ResponsibilitiesReview admissions and service requests for medical necessity and compliance with reimbursement...

About the RoleWe are seeking a skilled Clinical Utilization Review Nurse to join our team at Ascension Seton Northwest. As a key member of our healthcare team, you will play a critical role in ensuring the highest quality patient care and outcomes.ResponsibilitiesReview admissions and service requests for medical necessity and compliance with reimbursement...

Job SummaryWe are seeking a highly skilled Medical Safety Specialist to join our team at Clinical Pathology Laboratories, Inc. As a key member of our laboratory operations team, you will play a critical role in ensuring the safety and quality of our testing processes.Key ResponsibilitiesServe as an internal and external resource for specimen and testing...

Job Title: Clinical SpecialistRegency Integrated Health Services is seeking a highly skilled Clinical Specialist to join our team. As a Clinical Specialist, you will play a critical role in ensuring the highest level of care for our residents.Key Responsibilities:Provide expert clinical guidance and support to facility staffConduct regular audits and reviews...