Clinical Utilization Management Specialist

Job SummaryCVS Health is seeking a skilled Nurse Consultant to join our team in a remote Utilization Management role. As a key member of our clinical team, you will work closely with healthcare providers to secure additional information for prior authorization reviews, utilizing your clinical expertise to coordinate, document, and communicate all aspects of...

Job SummaryCVS Health is seeking a skilled Clinical Utilization Manager to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our members receive the best possible care.Key ResponsibilitiesUtilize clinical expertise to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate...

Job SummaryCVS Health is seeking a skilled RN Utilization Management Clinician to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that patients receive the most appropriate care while minimizing unnecessary costs.Key ResponsibilitiesUtilize clinical expertise to coordinate and document all aspects...

About the RoleA new and exciting opportunity has arisen for a Medical Oncology Unit Nurse Manager to join our team at Clinical Management Consultants.This is a leadership position that requires a highly skilled and experienced nurse to manage the daily operations of the oncology unit. The successful candidate will be responsible for ensuring the delivery of...

Job Summary:Clinical Management Consultants is seeking a highly skilled and experienced Hospital Blood Bank Supervisor to join our team. As a key member of our laboratory operations, you will be responsible for overseeing the daily activities of the Acute Care Clinical Laboratory, ensuring the highest standards of quality and patient care.Key...

Job Title: Clinical Nurse SpecialistWe are seeking a highly skilled Clinical Nurse Specialist to join our team at Triunity Software. As a Clinical Nurse Specialist, you will play a vital role in providing direct care to our participants in the clinic, including support with clinic overflow, day center triage, checking vital signs, performing POC testing,...

Lead the Way in Blood Bank OperationsClinical Management Consultants is seeking a highly skilled Hospital Blood Bank Supervisor to oversee the daily operations of our Acute Care Clinical Laboratory. As a key member of our team, you will be responsible for staff performance and scheduling, maintaining quality control protocols, and ensuring policies and...

Job Summary:The Assessment Team Specialist plays a vital role in supporting the assessment team at Stars Behavioral Health Group. This position is responsible for reviewing, auditing, and organizing assessment documentation to ensure accuracy and timeliness. The successful candidate will have excellent organizational skills, attention to detail, and the...

Job SummaryCVS Health is seeking a skilled Utilization Management Clinician to join our team. As a key member of our Behavioral Health team, you will play a critical role in coordinating, documenting, and communicating all aspects of the utilization/benefit management program for preauthorization of mental health services.Key ResponsibilitiesUtilize clinical...

Chronic Care Management Nurse Job DescriptionWe are seeking a skilled and compassionate Chronic Care Management Nurse to join our team. As a Chronic Care Management Nurse, you will play a vital role in providing high-quality care to patients with chronic conditions.Key Responsibilities:Perform telephonic encounters with patients to develop and implement...

Position Overview:The Clinical Pharmacist plays a crucial role in ensuring adherence to all relevant state and federal regulations. This position oversees the daily functions of the pharmacy, which includes managing outpatient and mail order services, as well as the repackaging and distribution of medications to various health center locations. The Clinical...

Job SummaryWe are seeking a highly skilled and detail-oriented Waste Management Specialist to join our team at the Nevada State Gov. As a key member of our environmental services team, you will be responsible for ensuring the safe and efficient operation of our landfill facilities.Key ResponsibilitiesOperate Gatehouse and Automated Scale System: You will be...

Job SummaryWe are seeking a highly skilled Behavioral Health Specialist to join our team at Accounting Now. As a key member of our healthcare team, you will play a critical role in managing psychiatric and substance abuse treatment health benefits through telephonic or written review.Key ResponsibilitiesManage psychiatric and substance abuse treatment health...

Clinical Opportunities We are seeking a dedicated Clinic Nurse (RN) to provide direct care for our participants in our healthcare clinic. This role is crucial in supporting clinic operations, including triage, vital signs monitoring, POC testing, medication management, and wound care. **Key Responsibilities:** • Perform wound care, including complex...

About the RoleWe are seeking a dedicated and compassionate Clinic Nurse (RN) to provide direct care for our participants in our healthcare clinic. This role is crucial in supporting clinic operations, including triage, vital signs monitoring, POC testing, medication management, and wound care.Key ResponsibilitiesPerform wound care, including complex...

Job SummaryWe are seeking a highly skilled and experienced Clinical Nurse Manager to lead our ambulatory clinic operations at WelbeHealth. As a key member of our leadership team, you will be responsible for overseeing the delivery of high-quality care to our patients, managing clinic staff, and ensuring efficient clinic operations.Key ResponsibilitiesLead...

Job SummaryWe are seeking a dedicated and experienced Registered Nurse to join our team at i4 Search Group. As a Clinical Nurse, you will play a crucial role in providing high-quality patient care and supporting the operations of our healthcare clinic.Key Responsibilities:Provide direct patient care, including wound care, vital signs monitoring, and...

**Job Summary:**We are seeking a highly skilled Clinical Liaison to join our Medical Management/Health Services team at Centene Corporation. As a clinical professional, you will play a critical role in serving as a liaison for external groups and providers regarding clinical information from our Operations and Medical Management teams.Key...

Job SummaryCentene Corporation is seeking a highly skilled Clinical Liaison to join our Medical Management/Health Services team. As a clinical professional, you will play a critical role in serving as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams.Key ResponsibilitiesInterpret and...

Job Summary:Clinical Management Consultants is seeking a highly skilled and experienced Hospital Pharmacist to join our team at a prestigious hospital in a beautiful location near Lake Tahoe. As a Hospital Pharmacist, you will play a vital role in providing exceptional patient care and contributing to the success of our healthcare team.Key...