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  • Pharmacy Administrative Specialist - Processes & Analytics Operations

    Houston Methodist

    Houston, TX

    At Houston Methodist, the Pharmacy Administrative Specialist position is an advanced pharmacist practitioner responsible for providing and coordinating pharmaceutical care to the patients…

  • Pharmacy Clinical Specialist PRN

    Houston Methodist

    Houston, TX

    At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal pharmacotherapy to patients…

  • Clinical Pharmacy Specialist - Solid Organ Transplant

    Houston Methodist

    Houston, TX

    At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal pharmacotherapy to patients…

  • Appeals Specialist I - Rad Tech

    CHS

    Franklin, TN

    The Appeals Specialist I - Rad Tech reviews, analyzes, and resolves insurance denials to ensure accurate reimbursement and regulatory compliance. This role logs and reviews denials for…

  • Medical Field Case Manager

    Enlyte

    Santa Clarita, CA

    • $95,000 to $100,000 USD / year

    Active Registered Nurse (RN) license required · Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography

  • Vocational Case Manager

    Enlyte

    Helena, MT

    • $70,000 to $80,000 USD / year

    Internet: Must have reliable internet

  • Vocational Case Manager

    Enlyte

    Las Vegas, NV

    • $75,000 to $85,000 USD / year

    Internet: Must have reliable internet

  • Bilingual Medical Field Case Manager

    Enlyte

    Indianapolis, IN

    • $75,000 to $80,000 USD / year

    Active Registered Nurse (RN) license required · Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography

  • Utilization Review RN - Denials

    Ensemble

    Remote, United States

    • $63,100 to $94,650 USD / year

    *Must have current compact RN license, or be willing to obtain*

  • Patient Service Specialist - Emergency Department

    Cleveland Clinic

    United States

    …doors in 2013 and expanding in 2017, this state-of-the-art acute care facility has 177 patient rooms and offers a wide variety of services to meet community needs. Here, you will be…

  • Pharmacy Care Delivery Specialist IV, Clinical Pharmacy

    Kaiser Permanente

    Reno, NV

    …independently; leading implementation, evaluating, and reporting utilization, as appropriate, of targeted medications and medication classes to evaluate impact of initiative work to assure…

  • Pharmacy Care Delivery Specialist II, Pharmacy Tech Licensed

    Kaiser Permanente

    Reno, NV

    …drug plan, with general directions; tracking and reporting utilization, as appropriate, of targeted medications and medication classes to support the evaluation impact of initiative work to…

  • Pharmacy Care Delivery Specialist II

    Kaiser Permanente

    Sparks, NV

    …drug plan, with general directions; tracking and reporting utilization, as appropriate, of targeted medications and medication classes to support the evaluation impact of initiative work to…

  • Pharmacy Care Delivery Specialist II

    Kaiser Permanente

    Reno, NV

    …drug plan, with general directions; tracking and reporting utilization, as appropriate, of targeted medications and medication classes to support the evaluation impact of initiative work to…

  • Pharmacy Care Delivery Specialist II, Pharmacy Technician Licensed

    Kaiser Permanente

    Reno, NV

    …drug plan, with general directions; tracking and reporting utilization, as appropriate, of targeted medications and medication classes to support the evaluation impact of initiative work to…

  • Pharmacy Care Delivery Specialist II

    Kaiser Permanente

    Reno, NV

    …drug plan, with general directions; tracking and reporting utilization, as appropriate, of targeted medications and medication classes to support the evaluation impact of initiative work to…

  • Care Coordination Specialist

    Hackensack Meridian Health

    Hackensack, NJ

    • From $24.34 USD / hour

    The Care Coordination Specialist performs selected services and functions related Transitions of Care & Utilization Management, including insurance authorization, payer communications,…

  • Sterile Processing Coordinator

    HMSL - Houston Methodist Sugar Land Hospital - Methodist Health Centers

    United States

    *** Day Shift ***

  • Sterile Processing Coordinator

    HMSL - Houston Methodist Sugar Land Hospital - Methodist Health Centers

    United States

    *** Evening Shift ***

  • Patient Care Coordinator

    Serene Health

    Los Angeles, CA

    Individuals at risk for avoidable hospital or emergency department utilization: Five or more emergency room visits in a six-month period that could have been avoided with appropriate…

  • Community Health Worker

    Serene Health

    Modesto, CA

    Individuals at risk for avoidable hospital or emergency department utilization: Five or more emergency room visits in a six-month period that could have been avoided with appropriate…

  • Outpatient Navigator

    Sonora Behavioral Health

    Tucson, AZ

    Utilization Review/Management (UM) to secure necessary authorizations. Support with ongoing UM, as needed, including, but not limited to pre-certifications, renewal authorizations, denial…

  • Clinical Pharmacist- Outpatient Retail

    Denver Health and Hospital Authority

    Denver, CO

    • $57.21 to $91.54 USD / hour

    Acts as a consultant on medication-related issues and assisting in coordinating the drug utilization programs.

  • Clinical Pharmacist- Outpatient Retail Float

    Denver Health and Hospital Authority

    Denver, CO

    • $57.21 to $91.54 USD / hour

    Acts as a consultant on medication-related issues and assisting in coordinating the drug utilization programs.

  • Peer Specialist (Relapse Prevention Team)

    AltaPointe Health

    Mobile, AL

    …psychiatric hospitalizations, crisis episodes, emergency department utilization, substance use relapse, homelessness, and involvement with the criminal justice system while improving…

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