- BayCare Health System (Tampa, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions ... necessity of outpatient observation and inpatient stays and the utilization of ancillary services + Perform other duties as...Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years in Case… more
- Community Health Systems (Franklin, TN)
- …secure timely authorizations and reduce potential denials, utilizing input from the Utilization Review Clinical Specialist . + Monitors and updates case ... **Job Summary** The Utilization Review Coordinator ensures efficient and effective management... Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals activities. This… more
- Truman Medical Centers (Kansas City, MO)
- …7:00AM - 3:30PM **Hours Per Week** 40 **Job Description** The Oral Surgery Utilization Specialist is responsible for correctly and efficiently facilitates the ... to search for positions and apply.** OMFS Prior Authorization Specialist 101 Truman Medical Center **Job Location** University Health 4… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Quality Reporting and Auditing Specialist I Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, ... support the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Quality Reporting and Auditing Specialist I is responsible… more
- St. Luke's University Health Network (Sellersville, PA)
- …partners with participants to facilitate their recovery and community integration through utilization of the Specialist 's personal life experience and first-hand ... ability to pay for health care. The Certified Peer Specialist (CPS) has the lived experience of a mental...educational courses and self-help groups. + Identify and promote utilization of natural community resources that support peers' goals… more
- Deloitte (Los Angeles, CA)
- …registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review, informatics RN, Quality, DRG Validation ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of… more
- Breaking Ground (New York, NY)
- …homelessness history, services needed, and appropriate placement options. The Community Health Specialist ensures the utilization of Harm Reduction and Housing ... Director, Programs, Safe Options Support t he Community Health Specialist , Safe Options Support (SOS) provides on-site and...the highest quality care for clients. The Community Health Specialist carries a caseload and is responsible for ensuring… more
- Teleflex (Morrisville, NC)
- …role bridges marketing, sales, and operations, focusing on process optimization, technology utilization , and administrative accuracy. The Specialist plays a key ... Comercial Marketing Operations Specialist (Raleigh-Durham) **Date:** Nov 21, 2025 **Location:** Morrisville, NC, US **Company:** Teleflex **Expected Travel** : Up to… more
- AdventHealth (Orlando, FL)
- …in the verification process. Obtains pre-authorization and provides information to the Utilization Review Specialist , Utilization Review Case Manager and ... to the transfer and placement of all patients. Proactively initiates steps, including utilization of the hospital and physician chain of command, to prevent EMTALA… more
- Terumo Medical Corporation (Somerset, NJ)
- …field inventory-based modes, to include loaners, consignment, trunk stock. Field Inventory Specialist will ensure effective utilization of assets and compliance ... Field Inventory Specialist Date: Nov 21, 2025 Req ID: 4839...inventory polices to ensure compliance as well as effective utilization and tracking of Company assets. **Job Responsibilities (continued)**… more