Clinical Utilization Management Specialist

Job Title: Clinical Utilization SpecialistJoin Centene Corporation, a leading healthcare company, as a Clinical Utilization Specialist. In this role, you will play a critical part in ensuring our members receive the best possible care.Job Summary:We are seeking a highly skilled Clinical Utilization Specialist to join our Medical Management/Health Services...

Job SummaryAs a Clinical Utilization Review Specialist at Centene Corporation, you will play a critical role in ensuring the quality and appropriateness of mental health and substance abuse services for our members. This position requires a strong clinical background and expertise in reviewing treatment plans related to mental health and substance abuse.Key...

Job Summary:The Utilization Review (UR) Nurse plays a critical role in ensuring the efficient and effective management of patient care. As a Clinical Utilization Review Specialist, you will utilize your strong clinical background and knowledge of Utilization Management (UM) principles to develop and maintain processes for determining patient admission...

Job Title: Utilization Management NurseCambia Health Solutions is seeking a skilled Utilization Management Nurse to join our Clinical Services team. As a Utilization Management Nurse, you will play a critical role in ensuring that our members receive the most appropriate and cost-effective healthcare services.Key Responsibilities:Conduct utilization...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, 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 Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, 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 Responsibilities:Review services to ensure medical necessity and apply...

Job Title: IT Service Delivery SpecialistAt Volt Management, we are seeking an experienced IT Service Delivery Specialist to join our team in Boulder, Colorado. As an IT Service Delivery Specialist, you will play a critical role in supporting the IT and Telecommunications infrastructure for multiple departments, ensuring the utilization of hardware,...

Job Title: IT Service Delivery SpecialistAt Volt Management, we are seeking an experienced IT Service Delivery Specialist to join our team in Boulder, Colorado.Job Summary:The IT Service Delivery Specialist will be responsible for supporting the IT and Telecommunications infrastructure for multiple departments, ensuring the utilization of hardware, software,...

Job Summary:We are seeking a highly skilled Research Nurse Interventionist to join our team at Kaiser Permanente. This is a unique opportunity to work on a CDC research study to evaluate the effectiveness of the flu vaccine.The ideal candidate will have a strong clinical background, excellent communication skills, and the ability to work independently and as...

Job Title: Digital Content Project SpecialistVolt is seeking a skilled Digital Content Project Specialist to join our team. As a key member of our content management team, you will play a crucial role in managing, migrating, and optimizing digital content across various platforms, primarily Adobe Experience Manager (AEM).Key Responsibilities:Oversee the...

Job OverviewAbout UsFounded in 1986, Thomas Management LLC is a renowned, privately owned food service organization dedicated to the transformative power of wholesome, nutritious meals. We emphasize the importance of freshly prepared, scratch-made cuisine and strive to uphold our values through every interaction.Compensation: $38/hrWhat We OfferAs part of...

Job SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Providence St. Peter Hospital. As a key member of our Utilization Management program, you will play a critical role in ensuring that our patients receive the most appropriate care while also meeting regulatory and reimbursement requirements.Key ResponsibilitiesDevelop and...

Job OverviewAbout UsEstablished in 1986, Thomas Management LLC is a recognized leader in contract food service, dedicated to promoting the healing properties of wholesome foods. We emphasize the importance of freshly prepared meals made from scratch each day. Every member of our team embodies our mission, upholding our values, and fostering relationships...

Job Title: Clinical Nurse SpecialistProvidence Health & Services is seeking a highly skilled Clinical Nurse Specialist to join our team. As a CNS, you will be an expert clinician who practices in a specialty area while functioning as a resource to other staff and departments.About the Role:The Clinical Nurse Specialist (CNS) is a key member of our healthcare...

Job Title: Clinical Nurse SpecialistProvidence is seeking a highly skilled Clinical Nurse Specialist to join our team at Providence St. Peter Hospital in Olympia, Washington. As a Clinical Nurse Specialist, you will be an expert clinician who practices in a specialty area and functions as a resource to other staff and departments.Key Responsibilities:Provide...

Job SummaryWe are seeking a highly skilled Clinical Nurse Specialist to join our team at Providence Health & Service. As a Clinical Nurse Specialist, you will be an expert clinician who practices in a specialty area while functioning as a resource to other staff and departments. You will demonstrate expertise in education, mentoring, consulting, research,...

About the RoleThe Clinical Nurse Specialist (CNS) is a highly skilled and experienced nurse who plays a critical role in delivering high-quality patient care. As a CNS, you will be responsible for providing expert consultation to all care providers and implementing improvements in healthcare delivery systems.Key ResponsibilitiesProvide expert consultation to...

We are seeking experienced Nurse Practitioners and Physician Assistants to deliver high-quality, patient-centered care in the comfort of patients' homes. Our innovative in-home care service lines enable us to provide right-sized healthcare to patients across the country.Key Responsibilities:Collaborate with a DispatchHealth Medical Technician to deliver...

About the RoleThe Clinical Nurse Specialist (CNS) is a highly skilled clinician who serves as a resource to other staff and departments. This expert clinician demonstrates expertise in education, mentoring, consulting, research, evidence-based practice, management, and systems improvement.Key ResponsibilitiesProvide expert consultation to all care...

Kaiser Permanente is seeking a highly skilled Clinical Research Specialist to join their team in Olympia, Washington. This is a unique opportunity to work in a fast-paced environment and contribute to the success of the organization.Job Description & RequirementsSpecialty: Interventional RadiologyDiscipline: Clinical ResearchDuration: Ongoing40 hours per...