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UtilizationReviewJobs.com |
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Mental Health Clinical Care Reviewer/Coordina HealthSystems of Mississippi, or coordinating care a plus. HealthSystems of Mississippi, the Medicaid Utilization Review Organization for Mississippi is looking for the following talented... 7 Days 14 Hours 16 Minutes ago Assistant Chief Financial Officer HMA - Various Facilities/Locations, Management, Information Systems, and Utilization Review/Case Management. The training program period is... Information Systems and Utilization Job Requirements... 27 Days ago Program Director/Clinical Manager - Geropsychiatric Telecare Corporation, NM - Rio Rancho oversight and assurance of a comprehensive Quality Assurance and Utilization Review program and process... Responsible for fiscal management of program... 12 Days ago Nurse Clinical Informatics Specialist (CIS) Saddlebrook Associates, NM - Albuquerque adopt, support, promote utilization and the further... serve as a resource for policies and procedures review for departmental impact. - Promote and contribute... 7 Days 23 Hours 28 Minutes ago NURSE AUDITOR-HCC-PHP Presbyterian Health Services, NM - Albuquerque claims review to include prospective and retrospective review, office and hospital audits). . One to three years experience required in medical claims review... 4 Days 4 Hours 15 Minutes ago CLINICAL PHARM SPEC-PHP Presbyterian Health Services, NM - Albuquerque clinics to discuss/review polypharmacy, disease states and/or pharmacy benefits. . Review pharmacy... Conducts drug utilization reviews and identify areas... 4 Days 4 Hours 15 Minutes ago Hospital Contract Analyst Owens & Minor, NM - Albuquerque compliance, supply utilization and standardization... agreement and hospital negotiated agreement. 10. Review invoices and contract tier levels to ensure the... 25 Days 20 Minutes ago Rebate Accounting Specialist NM - Albuquerque but are not limited to, review of claims level detail... guidelines. · Review claim level audit reports for unlikely units and utilization to correct invoices... 7 Days 21 Hours 55 Minutes ago Meat Cutting Professionals / Needed in GA, FL, SC, NC Food Lion/Delhaize, service and minimizing shrink through proper utilization of Standard Practices. Responsible for providing... and procedures. Continually review current Standard... 18 Days 21 Hours 10 Minutes ago Utilization Review Specialist Lovelace Health Plan, NM - Albuquerque Plan has an Utilization Review Specialist - RN. Responsible for applying professional clinical skills and expertise in the utilization review of health care... 5 Days 23 Minutes ago
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