Clinical Utilization Review Nurse

Job Summary:Alliant Health Solutions 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 effectiveness of our healthcare services.Key Responsibilities:Conduct medical reviews of requests for Emergency Medicaid Services to ensure compliance with federal...

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...

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...

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...

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...

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: Clinical Project ManagerJoin D2V Clinical, a full-service global Contract Research Organization (CRO), in our quest to expedite program advancement and get better medicines to patients as efficiently as possible.Job SummaryWe are seeking a highly skilled Clinical Project Manager to support our clients throughout the various phases of our projects....

Job DescriptionThis is a remote position for a Contract Clinical Project Manager to support our clients throughout the various phases of our projects.Dose2Value Clinical (D2V Clinical) is a full-service global CRO addressing the challenges of early-phase studies faced by biotech companies.The Clinical Project Manager is responsible for the management of all...

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...

Clinical Research Associate II or Senior CRA (Single-Sponsor)ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development.Key Responsibilities:Set up and monitor...

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...

Clinical Pharmacist 1Spectraforce Technologies is seeking a highly skilled Clinical Pharmacist to join our team. As a Clinical Pharmacist, you will play a critical role in providing timely drug therapy for Medicaid health plan members by processing prior authorization and medical necessity requests.Key Responsibilities:Direct resources to individual cases,...

Job SummaryCVS Health is seeking a skilled Clinical Nurse Consultant to join our team. As a Clinical Nurse Consultant, you will play a critical role in assessing, planning, implementing, coordinating, monitoring, and evaluating options to facilitate appropriate healthcare services and benefits for our members.Key Responsibilities• Utilize clinical...

Clinical Opportunities at Astyra **Job Summary** A clinical assessor is sought by Astyra to work out of a home office and travel to assessment locations in the region. The assessor will be responsible for conducting needs-based eligibility determinations for North Carolinians applying for Medicaid-funded personal care services. **Key Responsibilities** *...

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 SummaryWe are seeking a highly skilled and compassionate Clinical Nurse II to join our team at UNC Health. As a key member of our 4 East Pulmonary and Nephrology Intermediate Care Unit, you will provide exceptional care to patients with complex medical conditions, utilizing your critical thinking and clinical skills to deliver high-quality patient...

Job SummaryAs a Clinical Nurse II at UNC Health Care, you will play a vital role in delivering high-quality patient care in a fast-paced pulmonary and nephrology intermediate care unit. With a focus on critical thinking and clinical skills, you will work collaboratively with a strong team to provide exceptional care to patients with complex...

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...