Utilizationreviewjobs.com

Medical Director (Based in CA)

Riverside, CA

Molina Healthcare

…in preparation for national committee for quality assurance (NCQA) and utilization review acc

La Mesa, CA

Sharp HealthCare

…position requires the ability to combine clinical/quality considerations with regulatory/financia

Director - System Care Coordination

Wausau, WI

Aspirus Ironwood Hospital

…System Care Coordination is responsible for system-wide Care Coordination functions ( Utilization

Medical Director, Children's Behavioral Health

Rochester, NY

Excellus BlueCross BlueShield

… management, cost containment, and medical quality improvement activities. Performs medical revi

Remote Medical Director

Austin, TX

Centene Corporation

…management, cost containment, and medical quality improvement activities. + Performs medical rev

Arcadia, CA

University of Southern California

…from American Heart Association Preferred Experience: 3 years Clinical experience in Utilization

Health Plan Nurse Coordinator

Santa Barbara, CA

Actalent

…processes. Essential Skills + Active Registered Nurse (RN) license. + Experience in utilization

Senior Director Care Management - Everett

Edmonds, WA

Providence

…ministries. + Knowledge of regulatory standards impacting case management and utilization revi

Medical Director

Baton Rouge, LA

Blue Cross and Blue Shield of Louisiana

…judgement in consideration of an individual member's clinical needs to render a utilization re

Care Manager LPN

Naples, FL

Community Health Systems

…collaborative care planning. + Ensures accurate and timely documentation of utilization review

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