• Senior Clinical Research Specialist

    University of Rochester (Rochester, NY)
    …Full time Scheduled Weekly Hours: 40 Department: 400072 Pediatric Hospital Medicine Work Shift: UR - Day (United States of America) Range: UR URG 110 ... schedules appointments and study visits. + Manages and organizes case report forms, source documents and research records. +...entry and research tabs in the EMR, according to UR and department SOPs. + Assists in training less… more
    University of Rochester (12/05/25)
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  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    …communicating clinical information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical ... What you will be doing? The Utilization Review ( UR ) Specialist is a critical member...Minimum of 2-3 years of experience in utilization review, case management , or insurance coordination in a… more
    BriteLife Recovery (01/05/26)
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  • Pharmacist 2, Clinical Specialist

    University of Rochester (Rochester, NY)
    …Time Type: Part time Scheduled Weekly Hours: 24 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States of America) Range: UR URCD 219 Compensation ... health-care providers to implement and maintain innovative disease or medication management programs and clinical pharmacy services. + Participates in the… more
    University of Rochester (12/13/25)
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  • Clinical Research Data Specialist

    University of Rochester (Rochester, NY)
    …Type: Full time Scheduled Weekly Hours: 40 Department: 400911 Ctr Musculoskeletal Research Work Shift: UR - Day (United States of America) Range: UR URG 106 H ... PURPOSE Assists in creating, updating, and maintaining research charts and case report forms, including regulatory related issues, in accordance with department… more
    University of Rochester (10/23/25)
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  • Utilization Review RN - Patient Bus Svs

    St. Peters Health (Helena, MT)
    …LICENSE/CERTIFICATION/REGISTRY: Nursing licensure in the State of Montana. Certification in Case Management and/or Utilization Review desired. APTITUDES: * ... The Utilization Management RN reports directly to Utilization Review RN Coordinator. The UR RN supports the UR RN Coordinator and other UR team members… more
    St. Peters Health (12/11/25)
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  • Clinical Denials Prevention & Appeals…

    Nuvance Health (Danbury, CT)
    …per diem and percentage of charge reimbursement payers. * If concurrent inpatient case does not meet medical necessity review criteria during the first level review, ... documentation to support inpatient level of care. If the case still does not meet, send to the Physician...to resolve, escalate to the PA and Utilization Review ( UR ) Leadership. * Coordinate with the care team in… more
    Nuvance Health (12/25/25)
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  • Physician Support Specialist

    University of Rochester (Rochester, NY)
    …Scheduled Weekly Hours: As Scheduled Department: 500174 Pediatric Perfusion Work Shift: Range: UR URC 205 H Compensation Range: $19.62 - $26.49 _The referenced pay ... preparations, including but not limited to, providers' time and calendar management while optimizing provider patient schedule, coordination of patient care and… more
    University of Rochester (11/06/25)
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  • Manager - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    management , human resources management , leadership, quality, and operational management objectives. Participates in program development and UR Department ... accountability * Knowledge of or ability to learn financial management related to UR function and reporting,...any of the following: CPHM (Certified Professional in Healthcare Management ), CCM (Certified Case Manager), ACM (Accredited… more
    Minnesota Visiting Nurse Agency (12/06/25)
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  • Medicaid Enroll&Outrch Spc II

    University of Rochester (Pittsford, NY)
    …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR URCA 208 H ... GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I), MEOS II supports the Medicaid Enrollment Department's standards of… more
    University of Rochester (11/05/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …to departments to reconcile any discrepancies and/or answer any questions. Escalates case management when medical assessment is needed. Prioritizes referral ... Full time Scheduled Weekly Hours: 40 Department: 500188 Med Specialties AC-3 Clerical Work Shift: UR - Day (United States of America) Range: UR URC 205 H… more
    University of Rochester (12/17/25)
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  • Social Worker

    University of Rochester (Rochester, NY)
    …up financial budgets, applying for entitlements, learning skills of daily living, and other case management tasks as indicated. + Transports clients as needed to ... time Scheduled Weekly Hours: 40 Department: 500136 Psychiatry SMH Social Work Work Shift: UR - Day (United States of America) Range: UR URCE 211 Compensation… more
    University of Rochester (12/16/25)
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  • Eng. Tech. III - Quality Control

    Skookum Contract Services (Silverdale, PA)
    …Vision, 401(k) retirement plan, Life & Short-Term Disability Insurance + $11.41 /ho ur Health and Welfare Benefit + Flexible Spending Accounts for both medical and ... is seeking a detail-oriented and experienced Engineering Technician III - Quality Control Specialist to support our team. In this role, you'll be responsible for… more
    Skookum Contract Services (01/15/26)
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