- SUNY Upstate Medical University (Syracuse, NY)
- …including PC, Windows, Microsoft applications, Zoom/WebEx platforms, etc. Preferred Qualifications: Utilization management or utilization review experience, ... Job Summary: The UR-CR Specialist I is primarily responsible for ensuring that...reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria… more
- MyFlorida (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST - 60046106 Date: Jan 6, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 867714 Agency: Children and Families Working Title: OPERATIONS REVIEW SPECIALIST - 60046106 Pay Plan: Career Service Position Number:… more
- UPMC (Bridgeville, PA)
- UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and ... provides customer service to Rx Partners Skilled nursing and Hospice clients. The clinical review specialist at Rx Partners works hand in hand with a licensed… more
- Commonwealth of Pennsylvania (PA)
- …calls, personal visits, and review of treatment progress reports; conduct utilization review . Orient clients to the program, policies, procedures, and ... Drug & Alcohol Case Management Specialist (Local Government) - Delaware County D&A Print...clients or discharge planning via telephone, personal visits, or review of treatment progress reports; conducting utilization … more
- SSM Health (Jefferson City, MO)
- …pharmaceutical care in their specialty practice area which may include: review and evaluation of patient drug/medical history, providing drug therapy recommendations ... evaluating medical literature, rounding with other healthcare providers, drug utilization reviews, patient counseling and order entry/verification/dispensing. + Plans,… more
- Battelle Memorial Institute (Norfolk, VA)
- …business line is seeking a highly motivated, full-time **Senior Strength and Conditioning Specialist ** to join our team in support of our government customer, US ... support for those who serve. As a Senior Strength and Conditioning Specialist , you will contribute to impactful research and analytics that drive evidence-based… more
- HCA Healthcare (Dallas, TX)
- …this opportunity compelling, we encourage you to apply for our Clinical Pharmacist Specialist BMT opening. We promptly review all applications. Highly qualified ... **Description** **Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating...in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement… more
- New York State Civil Service (Albany, NY)
- …adolescents with mental illness in a clinical capacity, as well as experience with utilization management and/or utilization review . ? The ideal candidate(s) ... Agency Mental Health, Office of Title Mental Health Program Specialist 2, Central Office; Occupational Category Other Professional Careers...will have direct care and utilization management experience, including familiarity with the … more
- HCA Healthcare (Nashville, TN)
- …treatment is reimbursed by contacting managed care organizations and completing initial utilization review . Documents in Midas as required. Involves mobile ... any other healthcare provider. We are seeking a(an) Assessment Specialist PRN to join our healthcare family. **Benefits** TriStar...patients in regard to managed care organizations + Conducts utilization review for managed care cases in… more
- TECO Energy (Mulberry, FL)
- **Title:** Maint Specialist II or III- Controls **Company:** Tampa Electric Company **State and City:** Florida - Mulberry **Shift:** 9 Hr. Day-Off 2nd Fri. ... **POSITION CONCEPT** In this position, the technician or specialist reports to the engineering manager, Solar and Energy...at regular intervals. This would include the spare parts review and common everyday DCS and PLC parts repair… more
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