• Utilization Management Reviewer, RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …+ Utilizes appropriate communication techniques with members and providers to obtain clinical information , assesses medical necessity of services, advocating for ... Essential Accountabilities: Level I + Performs pre-service, concurrent and post-service clinical reviews to determine the appropriateness of services requested for… more
    Excellus BlueCross BlueShield (10/07/25)
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  • Behavioral Health Therapist I - Chemical…

    UPMC (Jamestown, NY)
    … documentation on the same day of service delivery and provides clinical information to patient access representative personnel and insurance providers ... for services. + Reviews cases and/or groups periodically, as well as serious clinical patient condition changes, with supervisor and other clinical personnel as… more
    UPMC (09/26/25)
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  • Pharmacist - Prior Authorizations

    US Tech Solutions (May, OK)
    …to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical information . **Skills:** + MUST HAVE MANAGED CARE exp and ... **Duration: 6+ months contract** **Job Description:** + The clinical pharmacist is an operation based role that... pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior… more
    US Tech Solutions (09/20/25)
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  • Behavioral Health Provider -Open Rank

    University of Colorado (Aurora, CO)
    …and paper as needed. + Complete and follow through with financial and clinical information necessary to ensure reimbursement for provided services. + Performs ... or Licensed Behavioral Health Provider / Instructor in the Non-Tenure Clinical Practice Track within its federally qualified community health center, Sheridan… more
    University of Colorado (09/12/25)
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  • Therapist- Faculty and Staff Mental Health Open…

    University of Colorado (Aurora, CO)
    …treatment within appropriate limits. Complete and follow through with financial and clinical information necessary to ensure reimbursement for provided services. ... **Qualifications:** **Minimum Qualifications:** **Instructor:** + 1-3 years of related clinical experience at rank or equivalent experience. + Minimum degree… more
    University of Colorado (09/06/25)
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  • Behavioral Health Therapist II (Hybrid)

    UPMC (Jamestown, NY)
    … documentation on the same day of service delivery and provides clinical information to patient access representative personnel and insurance providers ... at UPMC! We look forward to hearing from you! **Responsibilities:** + Grows clinical skills by learning and implementing new treatment approaches on a regular basis.… more
    UPMC (08/29/25)
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  • Behavioral Health Therapist II

    UPMC (Pittsburgh, PA)
    … documentation on the same day of service delivery and provides clinical information to patient access representative personnel and insurance providers ... - $10,000** **Purpose:** The purpose of this job is to provide independent clinical treatment services to the targeted populations. This is an outpatient treatment… more
    UPMC (08/14/25)
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  • Lead Registered Nurse - Clinical Oncology,…

    St. Luke's Health System (Nampa, ID)
    …and triage as needed + Clinical Practice and Operations (~15%-20%): attend clinical practice meetings and tailor information to Medical Oncology and Chemo ... the successful integration and development of new and existing clinical staff in Medical Oncology and Chemo Infusion. The...Beyond onboarding, the RN Lead will serve as a clinical expert, mentor and educational resource - identifying learning… more
    St. Luke's Health System (10/28/25)
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  • Clinical Pharmacist Opportunities

    Munson Healthcare (Grayling, MI)
    …orders + Monitor patient medication therapies and outcomes + Provide drug information , education, and clinical expertise + Supervise and support pharmacy ... Ready to step away from the demands of retail pharmacy? Explore Clinical Pharmacist opportunities within our health system-no prior residency or experience required.… more
    Munson Healthcare (08/20/25)
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  • Manager, Clinical III Perioperative…

    Saint Francis Health System (Muskogee, OK)
    …Must meet and maintain the Clinical Manager Level Job Factors for Clinical Manager Level III. Supplemental Information : This document generally describes the ... HERE (http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld)** **to login and apply.** Full Time Days ** Clinical Manager III Surgical Services** Mon - Fri 8a… more
    Saint Francis Health System (08/19/25)
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