- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
- Sanford Health (Sioux Falls, SD)
- …Sioux Falls, SD 57105, USA **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** 27.50 - 38.50 **Department ... Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Utilization Review Specialist (RN) Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 Hours ( ... Review Specialist actively participates in the utilization management of patients and evaluating hospital...representation of current potential base pay for a successful full time applicant. It may be modified… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West...Nurse and Enter Denial information in Allscripts + Meets time frame for reviews / appeals as specified by… more
- LA Care Health Plan (Los Angeles, CA)
- …to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and ... the Manager and Director of the Utilization Management department in meeting regulatory time lines...terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full… more
- Sharp HealthCare (San Diego, CA)
- …will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM. ... will track and maintain this certification.For Sr Spec ICM assigned to Utilization Management , Train-the-Trainer certification may substitute for ACM or CCM.… more
- Coast Guard Community Services Command (Petaluma, CA)
- …Click on Myself/Talent/Career Center. Search by location or Job Title for: Marketing Specialist FT 6434 Petaluma, CA, US Equal Employment Opportunity: All ... Pay Plan/Series/Pay Band: NF-1035-03 Closing Date: Until Filled Work Schedule: Full-Time (30-40 hrs/wk) Position: Marketing Specialist Salary: $25.00+ DOE/hour… more
- SMX (Fort Belvoir, VA)
- AI Integration Specialist Senior (4612) (TS/SCI) ( Ft . Belvoir, VA - Nolan Bldg)at SMX(View all jobs) (https://www.smxtech.com/careers/) Fort Belvoir, VA SMX is ... seeking a **Senior AI Integration Specialist ** to design, integrate, and optimize AI/ML solutions for Army Intelligence workflows. This role will enhance decision… more
- AdventHealth (Minneola, FL)
- …each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Minneola **Schedule:** Full-time **Shift:** 1 ... 204,000 square feet, the hospital will include an emergency department; full -service imaging; five operating suites; endoscopy services; outpatient laboratory; heart… more
- Houston Methodist (Baytown, TX)
- At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties, enabling the delivery of optimal ... designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, formulary… more
- Trinity Health (Maywood, IL)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal ... in collaboration with attending physicians. + Actively participates in the Utilization Management committee. + Additional responsibilities as needed. **We… more
- HonorHealth (AZ)
- …you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part- time team members designed to help you and your family ... here -- because it does. Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization of… more
- Good Samaritan (Inver Grove Heights, MN)
- …50th St E, Inver Grove Heights, MN 55077, USA **Shift:** Day **Job Schedule:** Full time **Weekly Hours:** 32.00 **Salary Range:** $22.00 - $28.00 **Department ... **Benefits** The Good Samaritan offers an attractive benefits package for qualifying full-time and part- time employees. Depending on eligibility, a variety of… more
- Ochsner Health (Union, MS)
- …Health and discover your future today!** This job works with organizational management to implement and maintain a nationally recognized Diabetes Self- Management ... contact **Certifications** Preferred - Certification as a Diabetes Care and Education Specialist (CDCES) by the Certification Board for Diabetes Care and Education… more
- National Health Care Associates (Marlborough, MA)
- …refunds and deposits + Assist in Month End Processing and Reporting + Management of patient/resident trust funds and confidential files in compliance with state and ... federal regulations. + Utilization of PCC for all resident financial input of...you to join our team as an Account Receivable Specialist **-** **What We Offer** As an affiliate of… more
- Houston Methodist (Houston, TX)
- …to team members on effective and efficient utilization of time . Accurately reviews team member's timecards for management approval. **GROWTH/INNOVATION ... Sonographer II level and serves as the liaison between management , staff and physicians for routine matters as the...organize work schedules, make work assignments, review and edit time cards for accuracy, conduct quality assurance audits of… more
- Montrose Memorial Hospital (Montrose, CO)
- …| Case Management | Hourly | 36.17-57.87 per hour 36.17 - 57.87 | Full Time | Medical, Dental, Vision, 401 with match, PTO About Montrose Regional Health: ... This position combines the unique skill sets of the Utilization Review Nurse and Clinical Documentation Specialist ...experience required; two (2) to three (3) years Case Management experience preferred; and one (1) to two (2)… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … review functions. Oversees daily operations, which include supervising staff performing utilization management activities. The goal is to achieve clinical, ... Review Manager* to join ourTransitional Care Team.This is a full-time role and will be required to work onsite....financial, and utilization goals through effective management , communication, and… more
- St. Luke's University Health Network (Sellersville, PA)
- …partners with participants to facilitate their recovery and community integration through utilization of the Specialist 's personal life experience and first-hand ... ability to pay for health care. The Certified Peer Specialist (CPS) has the lived experience of a mental...utilization . + Identify barriers (internal and external) to full participation in community resources and develop strategies, with… more
- Henry Ford Health System (Detroit, MI)
- Join Henry Ford Health as a Full Time Pharmacy Specialist - Clinical Informatics. GENERAL SUMMARY: Schedule: Full Time 40 Hour Location: Detroit, ... Ford Health is seeking a dedicated and knowledgeable Pharmacy Specialist in Clinical Informatics to serve as the primary...Services and Information Technology (IT)/ EPIC teams. In this full-time role, you will play a critical part in… more