Clinical Utilization Specialist

Utilization Management SpecialistAbout the Role:This position involves working closely with medical groups and IPAs to ensure compliance with utilization management and quality review functions. The ideal candidate will have strong analytical and communication skills, as well as experience in utilization review, quality assurance, or statistical research.

At Sargent & Lundy, we are committed to delivering exceptional results for our clients. We are seeking a highly skilled Utility Transmission Specialist to lead our team of engineers and designers in the design, modification, and analysis of new and existing high voltage substations.The successful candidate will have a strong background in project management...

About the RoleWe are seeking a highly skilled and experienced Clinical Utilization Management Specialist to join our team at Mindlance. In this role, you will be responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in the networks of Client's HMOs.The ideal...

Job SummaryWelcome to Guidehealth, a data-powered healthcare company dedicated to operational excellence. We are seeking an experienced Registered Nurse with a passion for utilization review and patient care. As a Nurse Utilization Specialist, you will play a vital role in ensuring that our clients receive high-quality, cost-effective care while maintaining...

Your Opportunity:US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. As a Nurse Utilization Reviewer - Clinical Policy, you will be responsible for reviewing documentation and interpreting data obtained from clinical records or systems to apply appropriate clinical criteria and...

About the RoleWe are seeking an Utility Interconnection Specialist to join our team.In this role, you will be responsible for managing our New York interconnection portfolio and collaborating with internal teams to facilitate interconnection application submittals.ResponsibilitiesDevelop and maintain accurate records throughout the interconnection...

Streamlining Healthcare OperationsAs an ED Utilization Review/Case Manager at Insight Hospital and Medical Center, you will play a crucial role in optimizing patient flow and resource utilization.This position requires a deep understanding of healthcare operations and the ability to communicate effectively with various stakeholders, including healthcare...

About the Role:As a Clinical Quality Specialist at US Tech Solutions, you will play a vital role in ensuring the delivery of high-quality healthcare services. Your primary responsibility will be to participate in the development and implementation of Quality Management (QM) Work Plan activities, focusing on improving quality products and services through...

Job Title: Clinical Operations SpecialistAt Mindlance, we're seeking a skilled Clinical Operations Specialist to join our team. As a key member of our Utilization Management (UM) team, you will be responsible for ensuring compliance with UM and Quality Review (QR) standards across our network of healthcare providers.About the Role:This is a dynamic position...

About the OpportunityAre you a detail-oriented and analytical professional looking for a challenging role? Do you have experience in commercial banking, credit analysis, and portfolio management? If so, we invite you to apply for the position of Power and Utilities Credit Specialist at Associated Bank.In this role, you will be responsible for analyzing...

Elevance Health seeks a skilled Clinical Review Specialist to join our team. As a valued member of our organization, you will play a critical role in ensuring the quality and efficiency of healthcare services. Your primary responsibilities will include conducting medical necessity reviews for diagnostic imaging procedures and out-of-network services,...

About UsLeidos is a diverse and fast-paced organization committed to delivering exceptional results. We are currently seeking a skilled Sr. Utility Infrastructure Specialist to join our Chicago-based team.This role offers an exciting opportunity to lead and design high-voltage utility civil substation projects while working collaboratively with other...

Key ResponsibilitiesThe ideal candidate will possess excellent clinical judgment and communication skills, with the ability to work effectively in a fast-paced environment.Your primary duties will include:Conducting initial medical necessity clinical screenings and determining whether the presented information meets medical necessity criteria.Notifying...

We are looking for a seasoned Electric Utility Design Specialist to join our team at KDM ENGINEERING LLC. As a key contributor to our engineering department, you will be responsible for developing teams of talented engineers, driving excellence and quality, and mentoring less experienced staff.The successful candidate will have a bachelor's degree in...

Job OverviewClinical Safety Specialist is a crucial role at Lifelancer, where we connect talent with opportunities in life sciences, pharma, and IT.Estimated Salary$80,000 - $110,000 per year, depending on location and experience.Key ResponsibilitiesWe are seeking a highly skilled Clinical Safety Specialist to join our team. The ideal candidate will have...

Job OverviewThe Clinical Implementation Specialist is a critical role at TheCareerBridge, responsible for defining and demonstrating the value of our product to customers from a clinical perspective. This individual will work closely with customers to ensure smooth onboarding, training, and support during the implementation process.About the RoleThis...

Job Title: Clinical Specialist in Psychiatric CareThe role of a Clinical Specialist in Psychiatric Care at FCS involves conducting diagnostic evaluations and prescribing appropriate treatments, utilizing evidence-based research within the scope of standards of practice for Advanced Practice Registered Nurses. This position requires the ability to ensure...

About the RoleThe Clinical Support Specialist provides direct patient care in a clinical setting, working under the direction of registered nurses to ensure safe and appropriate patient care. This role involves performing phlebotomy and EKGs, utilizing the hospital information system to order diagnostic tests and therapies, and obtaining patient information...

Job Title:Clinical Quality Assurance SpecialistAbout PSG Global Solutions Careers:We are a leading recruitment agency specializing in IT, Financial, Engineering, Healthcare, and Data Analytics talent. Our connections span Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services.Estimated Salary:$85,000 - $110,000 per...

We are looking for an experienced Clinical Specialist to join our team at Metric Bio. In this role, you will be responsible for training healthcare professionals on the use of our Heart Failure Solution. You will also provide guidance on how to effectively utilize the equipment in clinical settings.The successful candidate will have a strong background in...