Utilization Review Specialist

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 ensuring safe and effective medication therapy, promoting optimal patient outcomes.Key Responsibilities:Conduct thorough drug utilization reviews to identify potential medication-related...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare team, you will play a critical role in promoting safe and effective medication therapy, ensuring optimal patient outcomes.Key Responsibilities:Conduct comprehensive...

Job Title: Utilization Review ClinicianWe are seeking a highly skilled Utilization Review Clinician to join our team at Monte Nido. As a Utilization Review Clinician, you will play a critical role in ensuring that our clients receive the necessary care and services to achieve their health goals.Responsibilities:Conduct daily administrative and professional...

Job Title: Licensed Utilization Review IAt Elevance Health, we are seeking a highly skilled Licensed Utilization Review I to join our team. As a key member of our healthcare team, you will play a critical role in ensuring the appropriate and consistent administration of plan benefits.Job Summary:The Licensed Utilization Review I is responsible for working...

Job Title: Accounts Receivable SpecialistDenovo Review, a national well-established AV-rated full-service law firm, is seeking a skilled Accounts Receivable Specialist to support the administration of collection activities for assigned clients, practice groups, and/or billing attorneys.Key Responsibilities:Collaborate with assigned attorneys to collect...

Job SummaryWe are seeking a skilled Registered Nurse to join our team as a Utilization Review and Case Management RN. This role will be responsible for conducting initial, concurrent, and retrospective chart reviews to ensure optimal patient outcomes and efficient resource utilization.Key ResponsibilitiesConduct thorough chart reviews to identify delays in...

Job SummaryWe are seeking a skilled Registered Nurse to join our team as a Utilization Review and Case Management RN. This per diem position will play a critical role in ensuring efficient patient outcomes while minimizing length of stay and avoiding delays and denied days.Key ResponsibilitiesConduct initial, concurrent, and retrospective chart reviews to...

Job Title: Clinical Resource CoordinatorJob Summary:The Clinical Resource Coordinator is a key member of the healthcare team responsible for coordinating, monitoring, and managing patient care resources to ensure cost-effective delivery of patient care services while maintaining a high standard of quality care for all patient...

Job Title: Utilization Review Associate Director RNJoin our team as a Utilization Review Associate Director RN and take on a leadership role in our Case Management department.About the Role:The Associate Director of Case Management is a key member of our healthcare team, responsible for coordinating, monitoring, and managing patient care resources to ensure...

Job DescriptionDenovo Review, a leading provider of financial services, is seeking a highly skilled Financial Collections Professional to join their team. The ideal candidate will support the administration of collection activities for assigned clients, practice groups, and/or billing attorneys.Key Responsibilities:Collaborate with assigned attorneys to...

Unlock a Rewarding Career with Monte Nido & AffiliatesWe are a leading provider of treatment for eating disorders, dedicated to delivering comprehensive care with a personalized approach. Our team is seeking a skilled Utilization Review Clinician to join our remote team.About the RoleAs a Utilization Review Clinician, you will be responsible for conducting...

Job Title: Utilization Review ClinicianJoin Monte Nido And Affiliates Holdings Llc as a Utilization Review Clinician and contribute to delivering exceptional care to individuals suffering from eating disorders. As a key member of our team, you will play a vital role in ensuring that our clients receive the necessary support and resources to achieve optimal...

Join Our Team as a Physician ReviewerWe are seeking a highly skilled Physician Reviewer to join our team at Doctors Choice Placement Services, Inc. As a Physician Reviewer, you will play a critical role in ensuring the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.About the OpportunityThis is a...

Job OpportunityKLDiscovery is seeking a skilled Document Reviewer to join our team. As a Document Reviewer, you will play a critical role in supporting our clients' litigation needs by reviewing and coding documents for relevancy, confidentiality, and privilege.Key ResponsibilitiesReview and code documents using electronic review platforms, such as Nebula...

Job SummarySeeking a Physician Advisor to serve as a clinical resource to the medical staff and Case Management/Social Work team. The ideal candidate will have experience in utilization review, CDI, and hospital reimbursement.Key ResponsibilitiesProvide clinical expertise to identify, facilitate, and resolve utilization issuesCollaborate with medical staff,...

Job OverviewWe are seeking a highly skilled Utility Coordinator to join our team at KEITH in Miami, FL. As a Utility Coordinator, you will play a critical role in strengthening our firm's growing presence in the region.About the RoleThe ideal candidate will serve as a liaison between our design team and various utility agencies, including electrical,...

Job SummaryWe are seeking a highly skilled and experienced Director of Utilization Management to lead our utilization management strategy and provide management oversight in implementing, directing, and monitoring the escalation, conversions, LOC reviews, and other related activities.Key ResponsibilitiesDevelop and implement utilization management strategy...

Job Title: Ordinance ReaderWe are seeking a highly skilled Ordinance Reader to join our team at HireMoxie. As an Ordinance Reader, you will be responsible for reviewing and interpreting municipal ordinances related to out-of-home advertising.Key Responsibilities:Review and interpret municipal ordinances related to out-of-home advertisingCollaborate with...

Job SummaryWe are seeking a highly skilled Analytical Data Reviewer to join our team at PL Developments. As a key member of our quality assurance team, you will be responsible for reviewing analytical data to ensure compliance with GMP, GLP, and GDP regulations.Key ResponsibilitiesFinalize analytical data review, including raw materials, finish products, and...

Job SummaryWe are seeking a highly skilled Chemistry Data Review Professional to join our team at PL Developments. As an Analytical Data Reviewer, you will play a critical role in ensuring the quality and integrity of our pharmaceutical products.Key ResponsibilitiesFinalize analytical data reviews, including raw materials, finish products, and stability...