Clinical Utilization Management Specialist

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant 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 most appropriate care at the right time and in the right setting.Key ResponsibilitiesUtilize clinical expertise to coordinate, document, and...

Job SummaryCVS Health is seeking a skilled Nurse Consultant to join our team in the Utilization Management department. As a key member of our team, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right location.Key Responsibilities Utilize clinical expertise to coordinate, document,...

Job Title: Clinical Utilization ManagerAt Universal Health Services, we are seeking a highly skilled Clinical Utilization Manager to join our team. As a key member of our multidisciplinary treatment team, you will play a critical role in promoting positive outcomes and optimal reimbursement through coordination of patient care, daily clinical reviews,...

Job SummaryCVS Health is seeking a skilled Clinical Utilization Management Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in coordinating, documenting, and communicating all aspects of the utilization/benefit management program.Key Responsibilities- Utilize clinical experience and skills to assess,...

Job DescriptionWestern Health Advantage is seeking a skilled Clinical Resources Nurse to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring that our members receive the highest quality care while also meeting the needs of our health plan.Key Responsibilities:Perform research and evaluation of...

Job Title: Utilization Management Data and Coding SpecialistWe are seeking a highly skilled Utilization Management Data and Coding Specialist to join our team at Central California Alliance for Health (Remote). As a key member of our Utilization Management Department, you will play a critical role in ensuring the accuracy and integrity of our medical coding...

Job SummarySierra Vista Hospital is seeking a skilled Utilization Management Coordinator to join our team. As a key member of our Utilization Management Department, you will play a vital role in ensuring the efficient use of resources and maximizing patient care.ResponsibilitiesManage and review patient records to ensure clinical appropriateness and maximize...

Job Title: Utilization Management CoordinatorSierra Vista Hospital is seeking a dedicated and experienced Utilization Management Coordinator to join our team. As a key member of our Utilization Management Department, you will play a vital role in ensuring the effective management of patient resources and maximizing the quality of care.Responsibilities:Manage...

Job DescriptionSequel Medical Technology is seeking a highly skilled Clinical Diabetes Specialist to join our team. As a Clinical Diabetes Specialist, you will partner with a Territory Business Leader to successfully launch new innovative insulin pumps and future Sequel products. Your primary responsibility will be to deliver unparalleled clinical education...

Care Management Specialist**Job Summary:**We are seeking a highly organized and detail-oriented Care Management Specialist to join our team. The successful candidate will provide administrative and clerical support to our Care Management Coordinators, ensuring timely and accurate processing of utilization review requests.**Responsibilities:*** Maintain...

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 care at the right time and in the right setting.Key ResponsibilitiesUtilize clinical expertise to coordinate, document,...

Job SummaryCommonSpirit Health is seeking a highly skilled Physician Advisor to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring the quality and efficiency of our healthcare services. Your expertise will be instrumental in reviewing medical records, conducting peer-to-peer reviews, and...

Pain Management Specialist Job DescriptionWe are seeking a skilled Pain Management Specialist to join our team at Integrated Pain Management Medical Group, Inc. The ideal candidate will have a strong background in neurology and pain management, with the ability to evaluate and treat patients with complex pain conditions.Key Responsibilities:Evaluate patients...

Role OverviewAs a Field Clinical Specialist at Edwards Lifesciences, you will play a critical part in delivering our patient-focused innovations, partnering with clinical professionals, and training them on using our groundbreaking products.With your knowledge of working within the hospital ecosystem and our in-depth training program, you will develop into...

Job SummaryWe are seeking a highly skilled Clinical Operations Manager to join our team at Leidos QTC Health Services. As a key member of our operations team, you will be responsible for ensuring the efficient management of our medical clinics, including planning and coordinating work assignments, managing budgets, and ensuring compliance with regulatory...

Pacific Staffing Employment SpecialistWe are seeking a detail-oriented and organized Accounting Supervisor to join our team at one of Sacramento's premier organizations.This onsite position is responsible for:Verifying and reconciling financial data and accountsMaintaining accurate and up-to-date databasesProviding financial analysis and support to the...

Job Summary:Accordance Search Group is seeking a highly skilled Clinical Specialist to join our team. As a Clinical Specialist, you will be responsible for providing clinical case coverage and training to the surgical team on the safe and effective use of medical devices.Key Responsibilities:• Provide clinical case coverage as assigned• Support sales and...

About the Role:The Clinical Specialist will provide clinical product assistance to surgeons, training them on the safe and effective use of the Intracept device. This role will cover Intracept cases in the territory, region, or nation, as assigned. The Clinical Specialist will work with surgical team members to provide clinical support for physician training...

At DirectEmployers, we are seeking a skilled and experienced Healthcare Utilization Manager to join our team. As a key member of our team, you will play a vital role in ensuring the quality and cost-effectiveness of healthcare services for our members.The ideal candidate will have a strong background in nursing, with at least 3 years of experience in...

OverviewCommonSpirit Health is a leading healthcare organization that is committed to building healthy communities and advocating for those who are poor and vulnerable. As a Physician Advisor Denials Management Specialist, you will play a critical role in ensuring that our patients receive high-quality care while also helping us to optimize our utilization...