Utilizationreviewjobs.com

Clinical Pharmacist (Advanced Analytics)

Cheyenne, WY

Centene Corporation

…to identify potential cost‑savings opportunities based on guidelines, literature, utilization

Director, Care Management

Lansing, MI

Humana

…LTSS care management/coordination within Humana's population health strategy, education, utiliza

VP of Clinical Operations

St. Petersburg, FL

HCA Healthcare

…Chain COO and Clinical Resource Management Team to implement processes to review and optimize p

Physician Advisor

Wichita, KS

Ascension Health

…(Adult Medicine Hospitialist experience preferred), preferably with some Physician Advisory/ Uti

Medical Director, Behavioral Health (PST Zone)

NV

Molina Healthcare

…oversight and clinical leadership for health plan and/or market specific utilization management

Clinical Care Manager (RN) - Oakmont & Lower Burrell

Oakmont, PA

UPMC

…promotes healthy lifestyles, closes gaps in care, and reduces unnecessary ER utilization and ho

Case Manager PRN

Sugar Land, TX

Houston Methodist

…and federal programs + Comprehensive knowledge of discharge planning, utilization management, c

New York, NY

Mount Sinai Health System

…interprets the clients responses to the plan of care. + Performs a patient record review with t

Senior Director, Medical Staff Services

Rochester, NY

University of Rochester

…with the requirements of their contracts. **Practitioner Credentialing & Privileging Review and

VA

CVS Health

…performance excellence, and partners with cross-functional teams to support appropriate utilizat

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