- Elevance Health (Grand Prairie, TX)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... law._ The **Pharmacist Clinical** is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS… more
- Bassett Healthcare (Cooperstown, NY)
- …of the Cardiovascular Imaging Medical Director and Cardiovascular Imaging Manager perform prompt, courteous hemodynamic monitoring, accurate documentation and ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data… more
- University of Southern California (Arcadia, CA)
- …outside referring physicians andmedical groups.* Communicates with insurance company utilization review and authorization personnel.* Gathers and maintains ... ESSENTIAL JOB FUNCTIONS AND CORE RESPONSIBILITIES * Accountable to the unit Manager and/or the Director of the department.* Adherence to identified nursing standards… more
- HCA Healthcare (Dallas, TX)
- …staff committees as necessary. + Assists with staff performance evaluations. + Acts as manager in charge as assigned. + Provides review and guidance on physician ... participates in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement improvements… more
- CenterWell (Columbia, SC)
- …providing medical guidance and expertise. . Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the ... care being provided meets appropriate standards and to ensure cost-effective utilization practices. . Oversee the development, revision, and implementation of… more
- University of Miami (Miami, FL)
- … of oncology and non-oncology therapy. Responsibilities: + Collaborate with Utilization Review Department and providers to ensure clinically appropriate, ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Reimbursement Pharmacist… more
- Turner Mining Group (Bloomington, IN)
- Project Manager / Bid Engineer Builds thorough project plans that account for work schedules, productivities, asset utilization , and personnel deployment. Reports ... Bid Team and Operations Team * Draft project description for internal review of project requirements. Include: timeline restrictions, key scope elements, highlighted… more
- CenterWell (Daytona Beach, FL)
- …in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify opportunities in ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 12/03/2025 **Requisition Number** PRN43734B **Job Title** Manager , Program **Working Title** Asst Dir, Departmental & External Scholarships ... External Posting **Pay Rate Range** $55,000 to $56,798 **Close Date** 03/03/2026 **Priority Review Date (Note - Posting may close at any time)** **Job Summary**… more
- CenterWell (Jacksonville, FL)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify opportunities ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more