• Mental Health Prof II

    HCA Healthcare (San Antonio, TX)
    …+ Participates in developing department goals/objectives and clinical programming. Performs utilization review as assigned. + Assists with Process and ... Quality Improvement initiatives. + Performs other duties as assigned. + Practices and adheres to the "Code of Conduct" and "Mission and Value Statement." **What qualifications you will need:** + Masters Degree in Social Work or related field required. + Basic… more
    HCA Healthcare (12/19/25)
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  • 1 Yr Student Pharmacist-Retail

    Fairview Health Services (Minneapolis, MN)
    …may include prior authorizations, vacation supplies, dose changes, price check and drug utilization review . + Process new and refill prescriptions in the ... computer system quickly and accurately; including entering refill authorization requests and entering and calculating complex prescriptions such as compounds and injectables. + Demonstrate comprehensive knowledge of the computer system. Utilize the reporting… more
    Fairview Health Services (12/19/25)
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  • RN Evening Supervisor

    NHS Management, LLC (Pleasant Grove, AL)
    …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... care and ensures that orders are transmitted to other units as needed. + Oversees delegation of simple nursing and other therapeutic procedures to other level professionals and paraprofessional associates. + Makes regular patient rounds to observe and assess… more
    NHS Management, LLC (12/19/25)
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  • Occupational Therapist

    OhioHealth (Pickerington, OH)
    …(COTA) and rehab technicians. Is involved in department quality improvement through utilization review and quality assurance program. Takes active role in ... orienting new staff members. Serves as clinical instructor for OT and COTA students. Educates other disciplines and medical/hospital personnel on the topic of OT purpose, goals and treatment policies and procedures. Represents department at problem-solving and… more
    OhioHealth (12/19/25)
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  • LPN / LVN

    UnityPoint Health (Cedar Rapids, IA)
    …+ Is knowledgeable regarding managed care implications - precertifications and utilization review + Maintains competence in performing procedures involved ... with the management of violent or potentially violent patients. Complies with policies for restraint and seclusion per service guidelines. Qualifications + Current licensure in good standing to practice as a licensed practical nurse in the state of Iowa. +… more
    UnityPoint Health (12/19/25)
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  • Occupational Therapist

    Dignity Health (Long Beach, CA)
    …when appropriate, discharge planning activities, and coordination with the multidisciplinary team/ Utilization Review Case Manager for referral to a CCS-paneled ... provider or CCS Medical Therapy Unit for patients who may continue to require Occupational Therapy services after hospital discharge. **Job Requirements** _Level I:_ + No prior experience required. _Level II:_ + Minimum one year experience as an Occupational… more
    Dignity Health (12/18/25)
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  • RN Supervisor

    NHS Management, LLC (Huntsville, AL)
    …of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident ... care and ensures that orders are transmitted to other units as needed. + Oversees delegation of nursing and other therapeutic procedures to other level professionals and paraprofessional associates. + Makes regular patient rounds to observe and assess… more
    NHS Management, LLC (12/18/25)
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  • Consumer Care Advocate

    Sedgwick (Irving, TX)
    …updates or changes with internal departments. + Provides referrals to legal, utilization review , pharmacy, and Special Investigations Unit (SIU) as appropriate ... and coordinates independent medical examinations. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** High school diploma or GED… more
    Sedgwick (12/18/25)
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  • Population Health Management Pharmacist (Clinical…

    Elevance Health (Denver, CO)
    …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 ... military base, vessel or any embassy located in or outside of the US, unless they are command-sanctioned activities. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and… more
    Elevance Health (12/18/25)
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  • Clinical Pharmacist - Specialty Pharmacy

    Ochsner Health (New Orleans, LA)
    …the patient and provider. Oversees the Patient Advocate team. Performs drug utilization review and checks for appropriateness. Works with Specialty Fulfillment ... team to ensure complete and timely receipt of medications and compliance with drug therapy. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the… more
    Ochsner Health (12/17/25)
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