• Social Worker (Program Coordinator- Whole Health)

    Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
    …component. Responsible for submitting reports to the Whole Health Clinical Director , Medical Center supervisors/managers, and the Executive Leadership Team ... the Whole Health System with other programs within the Jonathan M. Wainwright VA Medical Center catchment area and in conjunction with other sites through the VISN… more
    Veterans Affairs, Veterans Health Administration (11/05/25)
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  • Clinical Pharmacist Specialist AMP Quality

    HCA Healthcare (Overland Park, KS)
    …as a Clinical Pharmacist Specialist AMP Quality today with Overland Park Regional Medical Center. **Benefits** Overland Park Regional Medical Center offers a ... 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… more
    HCA Healthcare (10/13/25)
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  • Social Work Case Manager

    AdventHealth (Hinsdale, IL)
    …education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning ... limited to the following: Home Health, Infusion Services, Durable Medical Equipment, Palliative Care, Hospice, Outpatient Services, Transitions of...(as permitted by the patient) as well as a review of the current and past inpatient and outpatient… more
    AdventHealth (11/06/25)
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  • RN Registered Nurse Care Manager

    AdventHealth (Winter Park, FL)
    …education to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning ... under the general supervision of the Care Managment Supervisor or Manager or Director of Nursing and is responsible for patient evaluations of post-hospital needs;… more
    AdventHealth (10/27/25)
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  • Nurse (Assistant Nurse Manager)

    Veterans Affairs, Veterans Health Administration (Lebanon, PA)
    Summary The Revenue Utilization Review (RUR) Assistant Nurse Manager (ANM) is accountable to the CPAC Director and RUR Nurse Manager, manages RUR Nurses and ... Functions as a competent consultant in clinical practice and revenue utilization review . *Systematically evaluating current practice, and formulating outcomes… more
    Veterans Affairs, Veterans Health Administration (11/04/25)
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  • Provider Relations Senior Manager, Medicaid-Must…

    CVS Health (Chicago, IL)
    …policies. Review departmental policies and submit for approval. Assist Director with State/NCQA Audits gathering details for submissions. Conducts regular work ... and external solutions to achieve provider satisfaction, cost targets, utilization /performance, network growth, and efficiency targets. Manages and oversees… more
    CVS Health (11/01/25)
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  • Underwriting Specialist-Leisure

    AON (Fort Wayne, IN)
    …+ Prepare renewal account files by obtaining information needed for underwriters to review . + Compile and summarize pertinent data to assist underwriters in their ... review and evaluation of submissions. + Complete a variety...to enhance the overall performance of the team through utilization of the systems and guidelines as provided. +… more
    AON (10/16/25)
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  • Compliance Officer

    University of Utah (Salt Lake City, UT)
    …demonstrated human relations and effective communication skills also required. Knowledge of utilization review and quality assurance procedures is preferred. An ... demonstrated human relations and effective communication skills also required. Knowledge of utilization review and quality assurance procedures is preferred. An… more
    University of Utah (09/13/25)
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  • Research Assistant Professor in the College…

    University of Utah (Salt Lake City, UT)
    …in evaluating and reporting on market sensitivity, financial analysis, space utilization review , staff performance evaluation, etc. + Ensures customer/patient ... of Research Assistant Professor to serve as the Center Director , VSWT Services. The director would have...the state's flagship university, it boasts Utah's only academic medical center. The University is located in Salt Lake… more
    University of Utah (10/15/25)
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