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Donor Assessment Coordinator
TransMedics, Inc.
…coordination with TransMedics partners, resulting in better utilization of donor…
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Donor Assessment Coordinator
TransMedics, Inc.
…coordination with TransMedics partners, resulting in better utilization of donor…
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Donor Assessment Coordinator
TransMedics, Inc.
…coordination with TransMedics partners, resulting in better utilization of donor…
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Manager, Palliative Care (IKC)
RMD VillageHealth DM, LLC
The Manager, Palliative Care (IKC) will lead the DaVita IKC Palliative Care IDT team and is accountable for teammate performance, daily clinical operations, quality outcomes, and consistent…
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Nurse Specialist II
Qlarant
…have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with…
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Audit Manager
Arizona Department of Administration
The Audit Manager will report to the Inspector General. This position is responsible for the direct oversight of the Quality Assurance Nurse Investigations Unit as a highly skilled…
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LPN Care Manager (Hybrid Remote) (Baldwin, Mobile & Washington Counties, AL)
AltaPointe Health
Conduct structured reviews of clinical records to assess service utilization, client engagement, and treatment plan compliance.
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RN - Clinical Supervisor
MGA Home Healthcare North Carolina LLC
Compliance and participation in the continuing quality improvement and utilization review of organizational services.
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RN Medical Management Services
Banner Health
…for contracted and noncontracted status,) and more. You will review plans and receive case reviews via fax and a non-clinical team data enters into the system for determinations. The…
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Manager, Utilization Management
Centene Management Company LLC
Position Purpose: Manages Prior Authorization, Concurrent Review, Retrospective Review Clinical Review and/or Appeals team to ensure appropriate care to members. Manages utilization…
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Manager, Advisory Services
Premier Healthcare Solutions, Inc.
The Manager works collaboratively within a team of highly qualified Advisory consultants to deliver performance improvement to healthcare systems. This position will be primarily…
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Clinical MDS Account Manager - US
Limitlessli
Minimum of 2+ years of experience in case management, utilization review, or related nursing role.
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Group Health Oncology Utilization Review Nurse - Clinical Review Preparation
Dane Street, LLC
The QA Specialist plays an integral role in the review process as they are responsible for communicating with the customer, reviewer, and management to ensure a completed report is…
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Behavioral Health Case Manager
Hartford Fire Ins. Co
Preference for managed care/utilization review/insurance experience.
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Manager, Patient Safety
Parexel International, LLC
We are seeking a Manager, Patient Safety Operations (Pharmacovigilance Operations Manager, Drug Safety Operations Manager) to join our team in a remote capacity.
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FSP Clinical Research Associate II - U.S. Northeast Region - Multiple Therapies
PPD Development, LP
Ensures data accuracy through SDR, SDV and CRF review as applicable through on-site and remote monitoring activities.
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FSP Clinical Research Associate II
PPD Development, LP
Ensures data accuracy through SDR, SDV and CRF review as applicable through on-site and remote monitoring activities.
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FSP CRA I / CRA II - U.S. South Central Region - Multiple Therapeutic Areas
PPD Development, LP
…decrease risks. Ensures data accuracy through SDR, SDV and CRF review as applicable through on-site and remote monitoring activities. Assess investigational product through physical…
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Director, Qualification Engagement
Lantern
Handle pushback with composure and consistency, explaining the rationale and the published guideline review process, and escalate to the Associate CMO only when a case warrants clinical…
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Utilization Review WEO RN
CoxHealth
The Utilization Review Nurse RN collaborates with the physician and members of the multidisciplinary team to facilitate progression-of-care; monitors the patient's progress, intervening…
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Case Manager - Utilization Management
Lehigh Valley Hospital
2 years of previous utilization review experience. and
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Behavioral Health Service Mgr
Centene Management Company LLC
Master's degree in Behavioral Health. 3+ years of case and/or utilization management experience. Experience in psychiatric health care settings, child behavioral health conditions and…
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Healthcare, Release of Information Audit Abstractor
Mass General Brigham Incorporated
Prepares and delivers records to the designated review/audit location in a timely manner for onsite audits
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Market Physician Executive - Pennsylvania
Monogram Health
…of the advanced practice providers, the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians,…
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Case Manager - Utilization Review Specialist
Jobgether
…applications and next steps. Our partner is looking for a Case Manager – Utilization Review Specialist based in the United…