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474 Utilization Review Jobs

Supervisor - Case Manager/Utilization Review Pyramid Consulting, Inc - Los Angeles, CA, United States Immediate need for a talented Supervisor - Case Manager/Utilization Review . This is a 03+ Months Contract opportunity with long-term potential and is located in Los Angeles, CA(Onsite) . Please 5 days ago
Social Worker - Utilization Review Integrated Resources, Inc ( IRI ) - Temecula, CA, United States Job Title: Social Worker - Utilization Review Location: Temecula, CA Duration: 3 Months (Possible extension) Shift: DAYS - 8 HR: 9a - 5:30p Summary: The Utilization Review Social Worker plays 12 days ago
Utilization Review Specialist Gaudenzia - Claymont, Delaware For A successful Utilization Review Specialist enjoys working with people from diverse backgrounds and doesn’t shy away from honest and caring — yet sometimes difficult — conversations. This position 3 days ago
Utilization Review Nurse- 225289 Medix™ - , CA, United States This position is responsible for providing a clinical leadership role to the Medical Management Department by managing the day-to-day... 16 days ago
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Vice President Care Management Kirby Bates Associates - Buffalo, NY, United States . Partner with Utilization Review, Revenue Cycle and Clinical leadership to develop interdisciplinary relationships resulting in seamless, patient /family-centric care. Official healthcare partner 2 days ago
Utilization Review Specialist North Tampa Behavioral Health - Wesley Chapel, Florida Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes... 3 days ago
Actuarial Senior Specialist Community Health Choice - , TX, United States filings. Review and assess HHSC's development of annual Medicaid rates. Support annual budget process. Track and report on budgeted utilization targets. Review work papers of other Finance staff as needed 7 days ago
Account Manager Pharmacist Clinical Consultant, Medicaid Fee For Service – Remote in Vermont Optum - , VT, United States their market Identify opportunities to increase efficiency Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual 5 days ago
Part-Time Utilization Review Specialist Cottonwood Springs - Raleigh, North Carolina Overview: Triangle Springs Springs *Fully In-Person Role* Part-Time Utilization Review Specialist Members of our team Enjoy: Working with a highly engaged staff Healthy staffing levels Flexible 20 days ago
Nurse Auditor Insight Global - Nashville, TN, United States and procedure codes. Strong working knowledge of CMS, complex claims payors and other industry guidelines. Previous experience in Utilization Management, Clinical Audit, or medical review. 7 days ago

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