RN Utilization Review Specialist

Job Summary:We are seeking a skilled RN Utilization Review Specialist to join our team at Trinity Health. As a Utilization Review Nurse Case Manager, you will play a critical role in ensuring that services are delivered in a manner that balances quality of care with efficiency, cost-containment, and compliance.Key Responsibilities:Conduct thorough...

Job Title: Utilization Review SpecialistMount Carmel Behavioral Health is seeking a skilled Utilization Review Specialist to join our team. As a key member of our clinical staff, you will play a critical role in ensuring the efficient and effective delivery of patient care.Key Responsibilities:Act as a liaison between managed care organizations and our...

Job Summary:As a Utilization Review RN at Trinity Health, you will play a critical role in ensuring that services are delivered in a manner that balances quality of care with efficiency, cost-containment, and compliance. This position requires a skilled and detail-oriented RN to conduct utilization management reviews for inpatient and outpatient cases,...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. This role is critical in promoting safe and effective medication therapy, ensuring optimal patient outcomes.Key Responsibilities:Conduct comprehensive drug utilization reviews to identify potential...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. This role is responsible for evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes.Key Responsibilities:Conduct comprehensive drug...

Job Summarydestinationone Consulting is seeking a skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a vital role in evaluating medication use patterns to promote safe and effective medication therapy.Key Responsibilities:Conduct in-depth medication utilization reviews to identify...

Job Summarydestinationone Consulting is seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare team, you will be responsible for evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes.Key Responsibilities:Conduct comprehensive drug...

Job Overviewdestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, and more. We are building a comprehensive database of opportunities in these fields. By applying, you ensure our recruiters can efficiently match you with...

Job DescriptionDenovo Review, a leading plaintiff's trial law firm, is seeking an experienced and charismatic intake team member to join its operations call center team. As an intake specialist, you will play a crucial role in providing exceptional client service and setting the tone for the client's entire experience.This is an onsite position at the...

Job Title: Clinical Review ClinicianJob Summary:We are seeking a highly skilled Clinical Review Clinician to join our team at Spectraforce Technologies. As a Clinical Review Clinician, you will be responsible for performing appeal reviews for medical necessity, completing appeal cases, and ensuring compliance with regulatory requirements.Key...

Job SummaryWe are seeking a highly skilled Utility Specialist 1 to join our team at the Ohio Department of Developmental Disabilities. As a Utility Specialist 1, you will be responsible for ensuring the efficient and effective operation of our utility systems.Key ResponsibilitiesConduct regular inspections of utility systems to identify potential issues and...

Job SummaryWe are seeking a highly skilled Utility Specialist 2 to join our team at the Ohio Department of Developmental Disabilities.Key ResponsibilitiesEnsure compliance with regulatory requirements and industry standards.Conduct inspections and audits to identify areas for improvement.Investigate and enforce compliance with utility regulations.Organize...

Job Summary The Ohio Department of Developmental Disabilities is seeking a highly skilled Utility Specialist 2 to join our team. As a key member of our Public Utilities Commission, you will be responsible for ensuring compliance with utility regulations and enforcing auditing and inspection principles. Key Responsibilities Enforce compliance with utility...

Job SummaryWe are seeking a highly skilled Utility Specialist 2 to join our team at the Ohio Department of Developmental Disabilities.Key ResponsibilitiesEnsure the effective operation and maintenance of utility systems and infrastructure.Develop and implement strategies to improve utility services and efficiency.Collaborate with cross-functional teams to...

Job SummaryWe are seeking a highly skilled Utility Specialist to join our team at the Ohio Department of Developmental Disabilities.Key ResponsibilitiesConduct inspections and audits to ensure compliance with regulations and standards.Apply mathematical principles and problem-solving skills to resolve complex issues.Investigate and analyze data to identify...

Job SummaryWe are seeking a highly skilled Loan Review Officer to join our team at WesBanco Bank Inc. This role will involve providing independent and objective evaluation of the quality of our loan portfolio, ensuring the adequacy of loan documentation, and assessing the effectiveness of loan administration functions.Key ResponsibilitiesAssist in the...

Job SummaryWe are seeking a skilled Utility Specialist 1 to join our team at the Ohio Department of Developmental Disabilities. As a key member of our organization, you will be responsible for providing technical expertise in utilities and inspection principles.Key ResponsibilitiesApply technical skills in utilities and inspection principles to ensure...

Job SummaryWe are seeking a highly skilled Loan Review Officer to join our team at WesBanco Bank Inc. This role will provide assistance in the independent evaluation of the loan portfolio, ensuring the adequacy of loan documentation, and the effectiveness of loan administration functions.Key ResponsibilitiesAssist in the thorough knowledge of commercial and...

Job SummaryAs a Utility Specialist 2 at the Public Utilities Commission, you will be responsible for ensuring compliance with inspection principles, auditing, investigation, and enforcement of regulations. This role requires strong organizational and planning skills, as well as technical expertise in utilities. If you are a detail-oriented professional with...

Job SummaryThe Ohio Department of Medicaid is seeking a skilled Clinical Authorization Review Nurse to join our team as a Medicaid Health Systems Specialist - RN. As a key member of our organization, you will be responsible for reviewing and authorizing medical services to ensure compliance with Medicaid regulations.Key ResponsibilitiesConduct thorough...