• Clinical Psychologist BCBA-D - Aetna Behavioral…

    CVS Health (Phoenix, AZ)
    …of the Lead Director , Service Operations, this position will focus on utilization , quality and fraud waste and abuse review for individual cases for ... the greater Phoenix area. Expectations/Responsibilities: + Reviews and prepares cases for medical necessity review of Applied Behavior Analysis (ABA). + Provide… more
    CVS Health (11/05/25)
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  • Social Worker - Home Based Primary Care Program…

    Veterans Affairs, Veterans Health Administration (Salisbury, NC)
    …HBPC policies and procedures to include performance improvement, patient safety, utilization review , emergency preparedness, staff safety, and implementation of ... the HBPC program including: selecting qualified staff in collaboration with the HBPC Medical Director , orienting and mentoring the staff, and promoting staff… more
    Veterans Affairs, Veterans Health Administration (11/05/25)
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  • Vice President Clinical Operations

    HCA Healthcare (Las Vegas, NV)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...procedures. The VPDCO will collaborate with the Supply Chain Director and Clinical Resource Management Team to ensure data… more
    HCA Healthcare (09/30/25)
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  • Care Manager RN - Emergency Department

    Swedish Health Services (Seattle, WA)
    …appropriate for secondary review to Case Management Department leadership, the Medical Director , or Physician Advisor. *Resource Management; Assures prudent ... and external to the organization, to improve patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to… more
    Swedish Health Services (10/02/25)
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  • Outpatient LPN Supervisor, Pediatrics

    OhioHealth (Marion, OH)
    …LPN Supervisor will support a multidisciplinary team that includes LPNs, Medical Assistants, and six Pediatric Providers. Primary responsibilities include overseeing ... health care to patients. Under the direction of the Director or the Assistant Director of Nursing,...the ordering, receiving and storage of supplies/equipment. 4. Write, review and update policies and procedures on a regular… more
    OhioHealth (10/08/25)
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  • Social Worker II

    Ellis Medicine (Schenectady, NY)
    …plan, implement and evaluate individual healthcare needs. Integrate Discharge Planning, Utilization Review and Performance Improvement activities at the patient, ... levels. Efficiently and effectively anticipates, identifies and resolves issues through utilization review and discharge planning processes. Collaborates with… more
    Ellis Medicine (09/23/25)
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  • Clinical Pharmacist Specialist BMT

    HCA Healthcare (Dallas, TX)
    …is recognized. Submit your application for our Clinical Pharmacist Specialist BMT opening with Medical City Dallas today and find out what it truly means to be a ... part of the HCA Healthcare team. **Benefits** Medical City Dallas, offers a total rewards package that...in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement… more
    HCA Healthcare (10/12/25)
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  • Manager, Case Management, MD

    Carnival Cruise Line (Miami, FL)
    medical cases. + Lead investigations into complaints or concerns regarding crew medical issues. + Conduct utilization reviews to assess medical necessity ... return-to-work planning. The Manager also escalates high-risk cases, conducts utilization reviews, and represents the company in arbitration when needed.… more
    Carnival Cruise Line (08/29/25)
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  • Senior Specialist | PI - Quality/Safety | Sharp…

    Sharp HealthCare (Chula Vista, CA)
    **Facility:** Chula Vista Medical Center **City** Chula Vista **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** ... improve clinical outcomes including responsibilities relating to leading teams in the utilization of Change Acceleration Process and PI tools and providing feedback… more
    Sharp HealthCare (11/08/25)
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  • Art Therapist

    SUNY Upstate Medical University (Syracuse, NY)
    …patients, maintaining accurate attendance and therapy records. Interfaces with nursing, medical staff, utilization review social services, discharge ... progress through written and verbal reports and through documentation in the medical record. Plan and schedule patient therapy based on individual needs. Schedules… more
    SUNY Upstate Medical University (11/07/25)
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