Utilization Management Specialist

Job Title: Utilization Management Nurse SpecialistWe are seeking a skilled Utilization Management Nurse Specialist to join our team at Presbyterian Healthcare Services. As a Utilization Management Nurse Specialist, you will play a critical role in ensuring that services rendered to members meet clinical criteria and are delivered in the appropriate...

Job SummaryWe are seeking a skilled Utilization Management Nurse Specialist to join our team at Presbyterian Healthcare Services. As a key member of our healthcare team, you will play a vital role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key Responsibilities• Perform clinical reviews to ensure that...

Job SummaryWe are seeking a skilled Utilization Management Specialist to join our team at Presbyterian Healthcare Services. As a Utilization Management Specialist, you will play a critical role in ensuring that our members receive the most appropriate and cost-effective care possible.Key Responsibilities:Conduct thorough reviews of medical documentation to...

Job SummaryPresbyterian Healthcare Services is seeking a skilled Utilization Management Specialist - Long Term Care to join our team. In this role, you will be responsible for conducting thorough reviews of medical documentation to determine the level of care required for patients in long-term care facilities. Your expertise in utilization management and...

Job DescriptionUNM Hospitals participates in the Clinical Advancement Program (CAP) and depending on your Nursing Education and National Certifications, you'll work towards one of five CAP levels that offer increasing compensation. You may earn up to 8.00 in addition to base pay.Sign-on Bonus and Relocation Reimbursement availableAs a Utilization Review...

Utilization Management Nurse RoleAt UnitedHealth Group, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Utilization Management Nurse, you'll play a critical role in ensuring our health services are administered efficiently and effectively.Key Responsibilities:Assess and interpret member needs...

Job SummaryWe are seeking a highly skilled Behavior Management Specialist to join our team at Albuquerque Public Schools. The successful candidate will provide professional development and individual teacher support regarding general education classroom behavior practices.Key ResponsibilitiesProvide professional development in behavioral strategies or...

Job SummaryWe are seeking a skilled RN to join our Utilization Review team as a Per Diem Case Manager. This role will involve reviewing admissions and continued stays to ensure medical necessity and managing insurance authorization throughout the hospital stay.Key ResponsibilitiesCoordinate all systems and services required for an organized,...

Job SummaryOdle Management is seeking a highly organized and detail-oriented Administrative Support Specialist to join our team. As a key member of our Human Resources department, you will be responsible for providing administrative support to our HR Manager and assisting with various personnel-related activities.Key Responsibilities:Maintain up-to-date and...

TLC Plumbing & Utility is a leading company with a strong culture, and we are always looking for skilled individuals to fill key roles.Our mission is to provide a stable work environment while being respected among our peers. This is supported by our core values of honesty, hard work, respect, compassion, and consistency.We have helped numerous individuals...

Job DescriptionAt FPI Management, Inc., we are seeking a highly skilled Assistant Community Director to assist the Community Director with the day-to-day property operations and manage the asset to meet the client's expressed operational and financial goals.The ideal candidate will have a minimum of 1 year of experience in a similar supervisory role,...

Job SummaryWexford Health Sources is seeking a highly skilled Utilization Management Nurse to join our team. As a key member of our healthcare team, you will play a critical role in ensuring cost-effective outcomes while maintaining a focus on quality care for inpatient and/or outpatient services.Key ResponsibilitiesMonitor on-going medical needs and...

Job SummaryUniversal Waste Systems is seeking a skilled and safety-conscious Waste Management Specialist to join our team. As a key member of our operations team, you will be responsible for providing timely and efficient hauling services to our customers along assigned routes.Key Responsibilities:Perform daily pre and post-trip inspections of vehicles to...

Job DescriptionMultifamily Property ManagementThe Assistant Community Director is responsible for assisting the Community Director with the day-to-day property operations and managing the asset to meet the client's operational and financial goals.Key Responsibilities:Supervise on-site staff, including Resident Services Coordinators, Compliance Specialists,...

Job SummaryWe are seeking a skilled RN to join our Utilization Review team as a Case Manager Per Diem. In this role, you will be responsible for reviewing admissions and continued stays to ensure medical necessity and managing insurance authorization throughout the hospital stay.Key ResponsibilitiesCoordinate all systems and services required for an...

Job DescriptionA career transition specialist plays a vital role in guiding individuals through the process of career change. As a career placement counselor at Odle Management, you will be responsible for providing career counseling, employment counseling, and job search assistance to our clients. Your primary goal will be to help them achieve their career...

Job SummaryWe are seeking a highly skilled Grantee Specialist Manager to join our team at STGi. The successful candidate will have a strong background in program design and management, with experience in providing technical assistance to Head Start and Early Head Start programs.The Grantee Specialist Manager will be responsible for implementing a...

Unlock Your Potential as a Bilingual Loan SpecialistAt Sun Loan, we're seeking a dynamic and customer-focused individual to join our team as a Bilingual Loan Specialist. As a key member of our operations team, you'll play a vital role in providing exceptional service to our customers, navigating their financial needs, and driving business growth.Key...

Job Overview:Bloodhound is seeking a skilled Advanced Locate Technician to join our team. As an Advanced Locate Technician, you will play a crucial role in providing utility locating services to our diverse customer base.Utilize advanced observational skills and deductive reasoning to identify, locate, and mark all utilities within a requested job...

Make a Difference in Home HealthcareProfessional Case Management is seeking a skilled Registered Nurse to provide in-home healthcare services to clients in New Mexico. As a Nurse Care Specialist, you will have the opportunity to work one-on-one with clients, promoting their health, quality of life, and peace of mind. Benefits of Working with Us- Create your...