Utilization Review Coordinator

Job SummaryPrime Healthcare Management Inc. is seeking a highly skilled Utilization Review Technician III to join our team. As a key member of our denial management initiatives, this role will coordinate the utilization review and appeals process, serving as a liaison between teams and responsible for coordinating phone calls, data entry, and tracking data...

Job SummaryWe are seeking a highly skilled Utilization Review Technician III to join our team at Prime Healthcare. As a key member of our denial management initiatives, you will play a critical role in coordinating the utilization review and appeals process.ResponsibilitiesCoordinate phone calls, data entry, mailing/faxing appeals, and tracking data from...

Job SummaryPrime Healthcare Management Inc. is seeking a highly skilled Utilization Review Technician III to join our team. As a key member of our denial management initiatives, you will play a crucial role in coordinating the utilization review and appeals process.ResponsibilitiesThe successful candidate will serve as a liaison and coordinate with other UR...

Job Summary:As a Utilization Review Nurse at Kaiser Permanente, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. Your expertise will be essential in making recommendations to physicians for alternate levels of care when patients do not meet the medical necessity for inpatient...

Join Prime Healthcare as a Utilization Review CoordinatorPrime Healthcare is a leading health system with a strong commitment to quality patient care. As a Utilization Review Coordinator, you will play a critical role in ensuring that our patients receive the best possible care while minimizing unnecessary costs.Key Responsibilities:Conduct thorough reviews...

Job SummaryPrime Healthcare Management, Inc. is seeking a highly skilled Clinical Utilization Management Director to join our corporate team. As a key member of our healthcare operations team, you will be responsible for providing comprehensive oversight of the Utilization Review process for our self-insured Employee Health Plans.The ideal candidate will...

Job SummaryWe are seeking a highly skilled and experienced Clinical Utilization Management Director to join our team at Prime Healthcare Management, Inc. This is a key leadership role that requires a strong background in clinical utilization review, healthcare operations, and management.Key ResponsibilitiesProvide comprehensive oversight of the Utilization...

Job Summary:As a key member of the Kaiser Permanente team, the Utilization Management Program Director plays a vital role in ensuring cost-effective and quality patient care. This position is responsible for managing the day-to-day operations of the Utilization Management Program, collaborating with multidisciplinary teams to plan and coordinate care across...

Job Summary: As a key member of the Kaiser Permanente team, the Utilization Management Manager plays a critical role in ensuring the efficient and effective delivery of patient care. This position is responsible for managing the day-to-day operations of the Utilization Management Program, ensuring that resources are utilized in a cost-effective and...

Job SummaryWe are seeking a highly skilled and experienced Corporate Director of Clinical Utilization Management to join our team at Prime Healthcare Management, Inc. This role will provide comprehensive oversight of the Utilization Review process for our self-insured Employee Health Plans, ensuring alignment with EPO Plan Documents and other applicable...

Job Summary:Kaiser Permanente seeks a skilled Case Manager Utilization RN to join our team. As a key member of our multidisciplinary team, you will work collaboratively with physicians to coordinate and screen for the appropriateness of admissions and continued stays. Your expertise will be essential in making recommendations to physicians for alternate...

About IAPMOWe are a community of plumbing experts dedicated to advancing the latest methods of sanitation and ensuring access to clean water and sanitation through our testing and certification efforts.Job DescriptionOur Research and Testing Department is seeking a talented Product Review Engineer I to join our certification team. As a Product Review...

OverviewPrime Healthcare Management Inc is a leading health system with a strong commitment to providing high-quality patient care. We are seeking a skilled Utilization Review Coordinator to join our team.ResponsibilitiesThe Utilization Review Coordinator will play a critical role in the implementation and management of our employee medical benefit program....

Job Title: Telecom Field EngineerWe are seeking a skilled Telecom Engineer with expertise in utility pole calculations to join our engineering team at Onward.Key Responsibilities:Perform structural analysis and calculations for the installation and modification of utility poles, including load-bearing analysis for telecom equipment such as fiber optics,...

Job Title: Product Review Engineer IWe are seeking a highly skilled Product Review Engineer I to join our Research and Testing Department (R&T) certification team.Job Summary:The Product Review Engineer I will be responsible for performing product reviews for a variety of plumbing, mechanical, and electro-plumbing products to ensure compliance with industry...

Job DescriptionOnward is seeking a skilled Telecom Field Engineer specializing in utility pole analysis to join our engineering team. The ideal candidate will have experience in designing, analyzing, and performing structural calculations for utility poles in the telecommunications industry.Key Responsibilities:Perform structural analysis and calculations...

Job Summary:We are seeking a skilled Case Manager Utilization RN to join our team at Kaiser Permanente. As a key member of our multidisciplinary team, you will work collaboratively with physicians and other healthcare professionals to coordinate and screen for the appropriateness of admissions and continued stays.Key Responsibilities:Coordinate and screen...

Job SummaryWe are seeking a skilled Clinical Care Coordinator to join our team at AMN Healthcare. As a key member of our healthcare team, you will play a critical role in coordinating patient care and ensuring seamless transitions between healthcare settings.Key ResponsibilitiesCollaborate with physicians and other healthcare professionals to coordinate...

About This Career OpportunityBlack & McDonald's Western Utilities team is seeking a highly skilled and experienced Project Manager to join our team. As a Project Manager, you will be responsible for planning, organizing, directing, controlling, and evaluating assigned projects from start to finish.Key ResponsibilitiesPlan, prepare, monitor, and manage...

Job SummaryWe are seeking a highly organized and detail-oriented Administrative Assistant to join our team at Decore-ative Specialties. The successful candidate will provide administrative support to our office, ensuring the smooth operation of our daily activities.Key ResponsibilitiesPrepare and maintain a variety of materials, including interoffice...