Clinical Utilization Management Specialist

Job SummaryMental Health Resource Center Inc is seeking a skilled Clinical Utilization Specialist to join our team. As a key member of our team, you will be responsible for monitoring the utilization of clinical services provided at Mental Health Resource Center (MHRC), using predetermined criteria, review of medical records, and regular participation in...

Job SummaryMental Health Resource Center Inc is seeking a skilled Clinical Utilization Specialist to join our team.The ideal candidate will have experience in psychiatric nursing and be able to review medical records, attend treatment team meetings, and communicate with insurers and third-party payers.ResponsibilitiesReview medical records and attend...

Job SummaryMental Health Resource Center Inc is seeking a skilled Clinical Utilization Reviewer to join our team. As a key member of our utilization management team, you will play a critical role in ensuring the quality and efficiency of our clinical services.Key ResponsibilitiesReview medical records to ensure compliance with established criteria and...

Job Summary:River Point Behavioral Health is seeking a highly skilled and experienced Director of Utilization Management to lead our Utilization Management Department. The ideal candidate will have a strong background in clinical operations and a proven track record of implementing effective case management scenarios.The Director of Utilization Management...

River Point Behavioral Health: A Leader in Mental Health CareWe are seeking a highly skilled and experienced Director of Utilization Management to join our team at River Point Behavioral Health. As a key member of our leadership team, you will be responsible for overseeing the Utilization Management Department, ensuring the provision of effective treatment...

Job OverviewSequel Med Tech is seeking a highly skilled Clinical Diabetes Specialist to join our team. As a key member of our sales team, you will partner with a Territory Business Leader to launch new innovative insulin pumps and future Sequel products. Your primary responsibility will be to deliver exceptional clinical education and product training to...

Job TitleClinical Billing Specialist - Charge AuditorJob SummaryCancer Specialists of North Florida is seeking an experienced Clinical Billing Specialist - Charge Auditor to join our Central Business Office team. This is a full-time position that requires strong analytical and problem-solving skills.Key ResponsibilitiesComplete daily charge schedules by site...

Clinical Responsibilities:As a Registered Nurse II - Peds ID at the University of Florida, you will be responsible for delivering high-quality patient care to children and adolescents with infectious diseases. Your duties will include taking vital signs, preparing immunizations, performing dressing changes, pulse oximetry, and respiratory treatments, as well...

River Point Behavioral Health is a leading provider of behavioral health services, seeking a highly skilled and experienced Director of Utilization Management to join our team of dedicated healthcare professionals.Position Summary:The Director of Utilization Management is responsible for overseeing the Utilization Management Department, ensuring the...

Job DescriptionAt Adtalem Global Education, we are committed to providing exceptional educational experiences for our students. As a Clinical Coordination Specialist, you will play a critical role in supporting our nursing students with their clinical experiences.The Clinical Coordination Specialist will be responsible for coordinating all student clinical...

Job SummaryWe are seeking a highly skilled Regional Technology Specialist to join our team at Biosense Webster, Inc. in Jacksonville, FL. As a key member of our US Field Sales & Service group, you will report to a New Technology Manager and partner closely with Regional Business Directors and Territory Managers.Key ResponsibilitiesAssess and increase...

Job SummaryThis role provides continuous improvement support to Nemours by functioning as an analyst, facilitator, consultant, and/or project manager as required. The specialist will leverage their clinical expertise to support improvements in areas that require clinical subject matter expertise.Key ResponsibilitiesDevelops relationships, collaborates, and...

Clinical Nutrition SpecialistAt NutraCo, we are seeking a compassionate and driven Registered Dietitian to join our team of clinical nutrition professionals. As a Clinical Nutrition Specialist, you will have the opportunity to make a meaningful impact on the lives of our residents by addressing nutrition-related health problems through clinical nutrition...

Job SummaryThe Regional Technology Specialist will be an integral part of Biosense Webster's US Field Sales & Service group, reporting to a New Technology Manager (NTM) and closely partnering with the Regional Business Director (RBDs) and Territory Managers (TMs).Key ResponsibilitiesAssess and increase the clinical competency development for the assigned...

Job Title: Remote Clinical Pharmacy ClerkWe are seeking a highly skilled and experienced Remote Clinical Pharmacy Clerk to join our team at Global Channel Management, Inc.Key Responsibilities:Triage requests from providers and members for pharmacy prior authorizations, exceptions, and appealsEnter authorizations and test claims into the pharmacy benefit...

Job SummarySeeking a highly skilled Utilities Supervisor to oversee the management and operation of water and wastewater plants, distribution systems, and other utility systems. The ideal candidate will have a strong technical background in water and wastewater treatment, as well as excellent leadership and communication skills.Key ResponsibilitiesProvide...

Job DescriptionOpportunity OverviewAt Adtalem Global Education, we're committed to empowering diverse healthcare professionals who advance the health of people, families, communities, and nations. As a Clinical Coordination Specialist, you'll play a vital role in supporting our nursing students with the utmost care by coordinating all student clinical...

About Serenity Healthcare, LLCSerenity Healthcare, LLC is a leader in the field of healthcare technology, utilizing advanced medical devices to provide long-term success for patients who have not responded to other treatments.Job Title: Assistant Clinical ManagerWe are seeking an experienced and compassionate Assistant Clinical Manager to join our team in...

Clinical Document Improvement Specialist RNAscension St. Vincent's Medical Center Riverside is seeking a skilled Clinical Document Improvement Specialist RN to join our team. As a key member of our Total Quality Management department, you will play a vital role in ensuring the accuracy and completeness of medical record...

Hospice Care Specialist RoleWe are seeking a skilled Clinical Specialist to join our team at BrightSpring Health Services. As a Clinical Specialist, you will play a vital role in providing high-quality care to patients and their families in a hospice setting.Key Responsibilities:Provide clinical expertise in nursing management, documentation, and care...