- Sanford Health (SD)
- …Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to ... utilization and potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for… more
- Trinity Health (Stafford Springs, CT)
- …time **Shift:** Day Shift **Description:** RN or Social Worker **Position Purpose** The Utilization Management Specialist is responsible for acute care ... Management (Medical Records) and Admitting, to provide pertinent data relating to utilization management / clinical resource management issues and… more
- Spectrum Billing Solutions (Skokie, IL)
- …cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR Specialist ... in a cohesive and rewarding environment. This is a remote or office/ home hybrid position. Responsibilities include: + Review patient admission and clinical… more
- Sanford Health (WI)
- …**Weekly Hours:** 40.00 **Salary Range:** $21.50 - $28.00 **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients ... multiple administrative duties including accurate record keeping and electronic data management when needed. Ability to work with growth and development needs… more
- Intermountain Health (Las Vegas, NV)
- …interacts with MG clinicians, Affiliate Network PCPs and Specialists in the community, utilization management , care management , claims, network management ... finance. As the Medical Director for Utilization Management , you are responsible, in partnership with MG Clinical... Initiatives here. Co-manage several on-going work groups with Specialist groups in Las Vegas to further the causes… more
- Catholic Health Initiatives (Omaha, NE)
- **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a rewarding opportunity to impact patient care and optimize ... position offers the flexibility to work remotely with proven Utilization Review experience.** Medical Coding experience is a plus!...hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year… more
- State of Massachusetts (Boston, MA)
- *_Executive Office of Housing and Livable Communities (EOHLC) is seeking a Facilities Management Specialist in the Division of Public Housing & Rental ... residents and reducing and preventing homelessness. *_OVERVIEW:_* The Facilities Management Specialist (FMS) providestechnicalassistance,performance-basedmonitoringoversight,andserveasprimaryEOHLCpointof contact on maintenance… more
- Censeo Consulting Group (Washington, DC)
- Facilities Management Specialist - Department of State The Position: We are looking for eager, driven candidates with experience in people management , ... solutions for our Federal clients at the Department of State. The Facilities Management Specialist is responsible for overseeing and managing the physical… more
- UPMC (Pittsburgh, PA)
- …+ Provide innovative and applicable ideas in clinical program development, utilization management , formulary management , provider education, therapeutic ... UPMC Corporate Quality is hiring a Clinical Pharmacist Specialist to join our team! This role will...innovative ideas for new and existing clinical program development, utilization management , formulary management , provider… more
- MyFlorida (Fort Myers, FL)
- ENVIRONMENTAL SPECIALIST II - 64005698 Date: Apr 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 848946 Agency: Department of Health Working Title: ENVIRONMENTAL SPECIALIST II - 64005698 Pay Plan: Career Service Position Number: 64005698… more
- Virtua Health (Marlton, NJ)
- …the latest technologies, treatments, and techniques to provide exceptional care close to home . A Magnet-recognized health system ranked by US News and World Report, ... our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient… more
- HCA Healthcare (Denver, CO)
- …to join an organization that invests in you as a Labor Performance Improvement Specialist ? At HCA HealthOne, you come first. HCA Healthcare has committed up to $300 ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- HCA Healthcare (Richmond, VA)
- …patients who may need acute inpatient rehabilitation services prior to returning home . The Clinical Rehabilitation Specialist will review these patients daily ... **Introduction** Do you have the PRN career opportunities as a Clinical Rehab Specialist PRN you want with your current employer? We have an exciting opportunity… more
- Fairview Health Services (Edina, MN)
- **Job Overview** The Care Management Specialist is responsible for establishing and maintaining relationships with providers, patients, families and vendors of ... the health plans for all community enrolled members. The Care Management Specialist directly supports Fairview Partners Care Coordinators. **Responsibilities:**… more
- HCA Healthcare (Dallas, TX)
- **Description** **Clinical Pharmacist Specialist BMT** **BMT Experience required** **PRN Position** **Introduction** Experience the HCA Healthcare difference where ... of each individual is recognized. Submit your application for our Clinical Pharmacist Specialist BMT PRN opening with Medical City Dallas today and find out what… more
- AdventHealth (Deland, FL)
- …care planning and are core competencies of this role. The Social Work Specialist facilitates the collaborative management of patient care across the continuum, ... 32720 **The role** **you** **'ll** **contribute** **:** The Social Work Specialist intervenes with patients who have complex psychosocial needs, require assistance… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical ... + Prefer minimum of 2-5 years' experience in case management and/or utilization management . +...your application using your full legal name and current home address. Be sure to include employment history for… more
- University of Washington (Seattle, WA)
- …Operations has an outstanding opportunity for a HCM Service Partner - Academic Specialist to join their team.** Reporting to the HCM Operations Director, the HCM ... Service Partner - Academic Specialist will operate as a member of a team...support staff specialists and partner effectively with UW-IT Application Management . * Have proficient knowledge of policy, procedure, and… more
- Texas Health Resources (Dallas, TX)
- **Growth Specialist ** _Bring your passion to Texas Health so we are Better + Together_ **Work location:** Texas Health Dallas ( home base) and will travel to ... license upon hire required **What You Will Do** **The Business Growth Specialist is responsible for driving strategic growth and enhancing the utilization… more
- HCA Healthcare (Derry, NH)
- …today.** **Introduction** Do you have the career opportunities as a Provider Solution Specialist you want with your current employer? We have an exciting opportunity ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more