• Utilization Review Nurse

    University of Utah Health (Salt Lake City, UT)
    …members or third-party payer. + Alerts and discusses with physician/provider and case manager /discharge planner when patient no longer meets medical necessity ... resource utilization to identify at risk patients. + Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of… more
    University of Utah Health (10/02/25)
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  • Senior Human Sub Research Spec

    University of Rochester (Rochester, NY)
    …Time Type: Full time Scheduled Weekly Hours: 40 Department: 400151 Urology M&D Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation ... document verification and ensuring its accuracy and compatibility with case report form information. QA of charts to ensure...at offsite locations under guidance of the Clinical Trials Manager . + Inventories study supplies, restocks exam rooms and… more
    University of Rochester (12/05/25)
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  • SEIU Materials Process Spec, Wk Ldr

    University of Rochester (Rochester, NY)
    …Full time Scheduled Weekly Hours: 40 Department: 500109 Sterile Processing Department Work Shift: UR - Rotating (United States of America) Range: UR SEIU 030 H ... and sterilizes surgical instrument pans, procedural trays, technical equipment, and surgical case carts for the OR, Ambulatory Care Facilities, Hospital Units and… more
    University of Rochester (12/07/25)
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  • Anesthesia Technologist III - Licensed

    University of Rochester (Rochester, NY)
    …Type: Full time Scheduled Weekly Hours: 40 Department: 500211 Anesthesia Technical Services Work Shift: UR - Day (United States of America) Range: UR URCA 209 H ... operating room prior to arrival of patient based on case variables (patient age, case type and...duties as assigned by Shift Supervisor or Anesthesia Operations Manager . QUALIFICATIONS: A two year college education which included… more
    University of Rochester (11/06/25)
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  • Pharmacy Access Rep III DME/HME

    University of Rochester (Rochester, NY)
    …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States of America) Range: UR URCA 206 H Compensation ... coupons, and social work. + Collaborates with social services and case management on patient assistance. + Coordinates medication and supplies preparation… more
    University of Rochester (12/06/25)
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  • Team Leader of Authorization and Referral…

    South County Hospital (Wakefield, RI)
    …and requirements as it relates to referrals or authorizations. + Collaborate with Case Management and UR department to secure inpatient or observation ... Under the supervision of the Manager of Insurance Authorization and Follow-up, the Team...as appropriate. If denied by the payer, working with UR to appeal the payer decisions where appropriate. +… more
    South County Hospital (11/12/25)
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  • Supervisor, Social Worker (L)

    University of Rochester (Rochester, NY)
    …Type: Full time Scheduled Weekly Hours: 40 Department: 500382 Social Work-Peds/OB/Outreach Work Shift: UR - Day (United States of America) Range: UR URCB 213 ... and health screenings occur. + Works collaboratively with Quality Manager and Team Leads in auditing for compliance with...accepted cases to CHH care managers, monitoring for recommended case load size and mix of acuity. + Reassigns… more
    University of Rochester (11/11/25)
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  • Pharmacy Access Rep III - Specialty Pharmacy

    University of Rochester (Rochester, NY)
    …120 Corporate Woods, Rochester, New York, United States of America, 14623 **Opening:** Work Shift: UR - Day (United States of America) Range: UR URCA 206 H ... manufacturer coupons, and social work. Collaborates with social services and case management on patient assistance. + Coordinates medication and supplies preparation… more
    University of Rochester (11/06/25)
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  • Pharmacy Access Rep III - Community Pharmacy

    University of Rochester (Rochester, NY)
    …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States of America) Range: UR URCA 206 H Compensation ... to the pharmacist when appropriate. + Coordinates medication ordering with inventory manager for special order or low volume medications. Tracks changes in… more
    University of Rochester (11/06/25)
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  • Utilization Management Nurse (RN) (H)

    Saint Francis Health System (Tulsa, OK)
    …as required in the examination of numerical data. Ability to synthesize clinical case data into concise summaries. Working knowledge of Microsoft Word, Excel and ... individual patient situations, reporting them promptly to the UM Manager , appropriate clinicians and Process Improvement/Quality Director. Reviews eligibility and… more
    Saint Francis Health System (12/03/25)
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