• Utilization & Disease…

    CenterWell (Carson City, NV)
    …healthcare industry. The UM Administration Coordinator - Phone Intake contributes to administration of utilization management . The UM Administration ... works on semi-routine assignments. Shift Hours - 8a - 5 The UM Administration Coordinator - Phone Intake provides non-clinical support for the policies and… more
    CenterWell (05/16/25)
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  • Adv Med Support Assistant

    Veterans Affairs, Veterans Health Administration (Reno, NV)
    …Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization Statistical Summary). ... a manner that only minimal supervision is required Other duties as assigned by management . Requirements Conditions of Employment You must be a US Citizen to apply… more
    Veterans Affairs, Veterans Health Administration (05/14/25)
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  • BCBA-D ABA UM Reviewer

    Humana (Carson City, NV)
    …the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Senior Utilization Management ... of our caring community and help us put health first** The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and… more
    Humana (05/07/25)
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  • Field Medical Director, Cardiology

    Evolent (Carson City, NV)
    …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (05/16/25)
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  • Case Manager, Registered Nurse - Oncology

    CVS Health (Carson City, NV)
    …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
    CVS Health (05/16/25)
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  • Registered Nurse, Case Manager - Oncology…

    CVS Health (Carson City, NV)
    …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
    CVS Health (05/16/25)
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  • Medical Director

    Highmark Health (Carson City, NV)
    …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
    Highmark Health (05/07/25)
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  • Director Surgical Services

    HCA Healthcare (Las Vegas, NV)
    …capital equipment requests + You will be responsible for the fiscal management of department; assures proper utilization of organization's financial resources ... + Bachelor's degree in nursing required + Master's degree in Nursing, Business Administration , Healthcare Administration or a related field preferred + 3+ years… more
    HCA Healthcare (02/16/25)
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  • Sales Specialist, Diagnostic Oncology

    Fujifilm (Carson City, NV)
    …Biomarkers sales through that community. As assigned interface with Senior Management teams from major IVD manufacturers. Maintain a comprehensive understanding of ... **Job Description** **Duties and responsibilities** + Must be able to demonstrate disease state competency and articulate a strong value proposition for the… more
    Fujifilm (05/15/25)
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