Clinical Utilization Review Specialist

Job Title: Clinical Utilization Review SpecialistJoin Centene Corporation, a leading healthcare company, as a Clinical Utilization Review 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...

Job SummaryWe are seeking a highly skilled Clinical Review Nurse to join our Medical Management team at Centene Corporation. As a Clinical Review Nurse, you will play a critical role in analyzing prior authorization requests to determine medical necessity and appropriateness of care.Key ResponsibilitiesMedical Necessity Reviews: Perform thorough reviews of...

Job Title: Pharmacist - Clinical Engagement SpecialistAdecco Healthcare and Life Sciences is seeking a highly skilled Pharmacist to join our team as a Clinical Engagement Specialist. This is a remote opportunity that requires flexibility to work rotating shifts between 8:00am and 8:00pm CST, Monday through Friday.Responsibilities:Engage members...

Job SummaryCVS Health is seeking a highly skilled Clinical 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 care at the right time and in the right setting.Key ResponsibilitiesUtilize clinical expertise to...

Job SummaryWe are seeking a highly skilled Utility Construction Specialist to join our team at Apex Companies, LLC. As a key member of our operational services team, you will be responsible for repairing and constructing vital stormwater infrastructure, underground utilities, and concrete structures across the central states.Key ResponsibilitiesOperate...

Accent Title seeks a skilled Title Specialist to join our team. The ideal candidate will have a strong understanding of real estate title insurance commitments and policies. Key responsibilities include abstract review, title issue communication, and comprehensive knowledge of title insurance. The successful candidate will possess experience in real estate...

Job SummaryWe are seeking a skilled Utilization Management Review Nurse to join our team at Humana. As a key member of our healthcare team, you will play a critical role in ensuring that our members receive the best possible care and services.Key ResponsibilitiesUtilize clinical nursing skills to support the coordination, documentation, and communication of...

Job Title: Clinical Laboratory SpecialistWe are seeking a highly skilled Clinical Laboratory Specialist to join our team at The University of New Orleans.Job SummaryThe Clinical Laboratory Specialist will be responsible for conducting complex clinical laboratory testing, interpreting data, and ensuring compliance with federal and state regulations.Key...

Job SummaryWe are seeking a skilled Utilization Management Coordinator to join our team at Humana. As a key member of our Wisconsin Medicaid Market team, you will play a critical role in ensuring the best and most appropriate treatment, care, or services for our members.Key ResponsibilitiesProcess and document all incoming inpatient and outpatient prior...

Job SummaryBaton Rouge General is seeking a highly skilled Clinical Laboratory Specialist to join our team. As a key member of our laboratory team, you will be responsible for performing routine and special clinical laboratory tests on patient specimens, correlating and interpreting data, and ensuring the accuracy and reliability of test results.Key...

About Ochsner HealthWe are a leading healthcare organization committed to serving, healing, leading, educating, and innovating. Our team is dedicated to making a difference in the lives of our patients and communities.Job SummaryWe are seeking a skilled Pediatric Nurse Triage Specialist to join our team. As a key member of our pediatric clinic, you will be...

Job Title: Clinical Laboratory SpecialistWe are seeking a highly skilled Clinical Laboratory Specialist to join our team at The University of New Orleans. As a key member of our laboratory team, you will be responsible for conducting complex clinical laboratory testing and interpreting data for human specimens.Key Responsibilities:Conduct chemical, physical,...

Job SummaryOchsner Health is seeking a highly skilled Clinical Pharmacist to join our team. As a Clinical Pharmacist, you will play a critical role in ensuring the delivery of high-quality patient care and improving patient outcomes.Key ResponsibilitiesManage and oversee pharmacy services to ensure complete and appropriate drug therapy for...

About the RoleWe are seeking a highly skilled Clinical Pharmacist to join our team at Ochsner Health. As a key member of our pharmacy team, you will play a vital role in ensuring our patients receive the highest quality care.Key ResponsibilitiesManage and maintain complete and appropriate drug therapy in a multidisciplinary pharmaceutical care...

Job SummaryWe are seeking a highly skilled Clinical Pharmacist to join our team at Ochsner Health System. As a Clinical Pharmacist, you will play a critical role in ensuring the safe and effective use of medications in a multidisciplinary care environment.Key ResponsibilitiesManage and oversee the pharmacy services team to ensure complete and appropriate...

About the RoleWe are seeking a highly skilled Clinical Pharmacist to join our team at Ochsner Health System. As a Clinical Pharmacist, you will play a critical role in ensuring the safe and effective use of medications in our healthcare setting.Key ResponsibilitiesAssume responsibility for the management of pharmacy services, ensuring complete and...

Job SummaryOchsner Health is seeking a highly skilled Clinical Pharmacist to join our team. As a Clinical Pharmacist, you will play a critical role in ensuring the safe and effective use of medications in a multidisciplinary pharmaceutical care environment.Key ResponsibilitiesManage and ensure complete and appropriate drug therapy for patientsProvide drug...

Job SummaryWe are seeking a highly skilled Clinical Laboratory Specialist to join our team at The University of New Orleans. As a key member of our laboratory team, you will be responsible for conducting complex clinical laboratory testing and interpreting data for human specimens.Key ResponsibilitiesPerform chemical, physical, and/or biological analysis of...

Job SummaryWe are seeking a highly skilled Clinical Laboratory Specialist to join our team at The University of New Orleans. As a key member of our laboratory team, you will be responsible for conducting complex clinical laboratory testing and interpreting data for human specimens.Key ResponsibilitiesPerform chemical, physical, and/or biological analysis of...

Job Title: Ambulatory Clinical PharmacistAt Shields Health Solutions LLC, we are committed to delivering exceptional patient care and advancing the field of oncology pharmacy. We are seeking a highly skilled and dedicated Ambulatory Clinical Pharmacist to join our team.Job Summary:The Ambulatory Clinical Pharmacist will provide comprehensive medication...