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UTILIZATION MANAGEMENT SPECIALIST

Analyze electronic medical records. Focus on evaluating the utilization of healthcare services, treatments, and procedures. Utilize retrospective reviews and other UM tools to identify opportunities for improvement and optimize pa...

CompanyKaizen Clinical Partners, Inc.
AddressMcAllen, TX
CategoryHuman Resources
Salary$44.9K - $56.8K a year
Job typeFull-time
Date Posted 3 days ago See detail

Utilization Management Specialist

Kaizen Clinical Partners, Inc.

McAllen, TX

$44.9K - $56.8K a year

Analyze electronic medical records. Focus on evaluating the utilization of healthcare services, treatments, and procedures. Utilize retrospective reviews and other UM tools to identify opportunities for improvement and optimize pa...

3 days ago seen See more...

Utilization Management Specialist

Group Health Cooperative Of Eau Claire

Altoona, WI

$41.5K - $52.5K a year

Applies clinical experience, health plan benefit structure, health management policies and procedures, and claims payment knowledge to authorization reviews. Leverages clinical knowledge, business rules, regulatory guidelines and...

4 days ago seen See more...

Records and Information Management Specialist

Love's

Oklahoma City, OK

Serve as the subject matter expert in information and records management to facilitate company compliance with internal policies and provide guidance to employees on information governance standards and legal requirements. Exhibit...

4 days ago seen See more...

MC SENIOR UTILIZATION MANAGEMENT SPECIALIST I

University Of Maryland Medical System

Baltimore, MD

Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patients need for outpatient or inpa...

4 weeks ago seen See more...

Utilization Management Specialist

Group1001

Park Ridge, IL

Performs prospective, initial, concurrent, and retrospective reviews for all requested services to include but not limited to the following: inpatient admissions, concurrent reviews, discharges, durable medical equipment (DME), Pa...

2 months ago seen See more...

Utilization Management Specialist

Allmed Staffing Inc

Everett, WA

Initiate Referral Authorizations. Acquires and maintain a working knowledge of contracted health plans agreements and related insurance products. Gathers information from relevant sources for processing referrals and authorization...

2 months ago seen See more...

Business Information Management Specialist

Global Technical Talent

Mount Laurel, NJ

Contract Duration 12+ months. Pay rate up to $45 - $55/hr. The Business Information Management Specialist provides business technical leadership across a broad range of Information Management functions to support the various areas...

2 weeks ago seen See more...

Utilization Management & Review Specialist

Med-Metrix

Parsippany, NJ

Serve as point of contact for client operational staff members impacted by UM/UR Processes. Track and monitor solutions implemented for clients and operational staff. Identifies system needs to support short and long term product...

3 weeks ago seen See more...

Information Management and Protection Specialist

Oak Ridge National Laboratory

Oak Ridge, TN

Serve as the FFESD point of contact for Cyber Security, Information Security, and Document and Records Management through proactive engagement with staff across the directorate. Serve as the Division Cyber Security Officer for F...

3 weeks ago seen See more...

Utilization Review Specialist

Goat Solutions, Llc

Florida, United States

$55,000 - $65,000 a year

Minimum of 1 year experience in substance abuse or behavioral health Utilization Review. Experience in EMRs. Proficient with computer programs (Google Drive, Word, etc). Ability to manage an active caseload for clients at the deto...

2 days ago seen See more...

Information Management Specialist (Vacancy#:VAR002706A)

Library Of Congress

Washington, DC

$93k-115k (estimate)

Opening Date: April 16, 2024. Closing Date: May 7, 2024. OPM Control Number: 787428000. Vacancy Number: VAR002706. LC Organization Unit: Congressional Research Service. Grade: GS-09. Series: 1412. Minimum Salary: $68,405.00. Maxim...

4 weeks ago seen See more...

Health Information Management Specialist

Cook Inlet Tribal Council Inc

Anchorage, AK

Develops policy/procedures related to the maintenance, control and release of medical records while ensuring organization/government/regulatory/accreditation compliance requirements. Provides education/document distribution to all...

a month ago seen See more...

Association Management Specialist - HOA

Pmi Rgv

McAllen, TX

Local property management company is looking for an HOA specialist to joinour growing team!!! !If you are self-driven, and are looking to grow in the business, join us andgrow with us!! !An HOA specialist typically has a wide rang...

a month ago seen See more...

Biospecimen Management Specialist I

Biomarin Pharmaceutical Inc.

San Rafael, CA

Serve as BMS for one program (all studies) or select studies across multiple programs as necessary. Perform continuous tracking of clinical trial collected biospecimens and related logistics, issues and queries from the planning s...

a month ago seen See more...

1302 Biospecimen Management Specialist I

Harvest Technical Services, Inc.

San Rafael, CA

Serve as BMS for one program (all studies) or select studies across multiple programs as necessary. Perform continuous tracking of clinical trials collected biospecimens and related logistics, issues and queries from the planning...

a month ago seen See more...

Biospecimen Management Specialist I

Intelliswift Software Inc

San Rafael, CA

Hybrid role - 2 days onsite - Tuesdays manditory and second day is flexibleServe as Client for one program (all studies) or select studies across multiple programs as necessary.Perform continuous tracking of clinical trial collect...

a month ago seen See more...

Biospecimen Management Specialist I

Intelliswift

San Rafael, CA

Hybrid role - 2 days onsite - Tuesdays manditory and second day is flexibleServe as Client for one program (all studies) or select studies across multiple programs as necessary.Perform continuous tracking of clinical trial collect...

a month ago seen See more...

Biospecimen Management Specialist I

Talent Software Services, Inc.

San Rafael, CA

Serve as Client for one program (all studies) or select studies across multiple programs as necessary. Perform continuous tracking of clinical trial collected biospecimens and related logistics, issues and queries from the plannin...

a month ago seen See more...

Laboratory Utilization Management and Process Improvement Specialist

Labcorp

Portland, OR

$83K - $105K a year

Uses knowledge of Medical Laboratory Science in combination with IT skills to support customers in working through application to produce meaningful reports and data sets. Demonstrates knowledge of laboratory processes from the pr...

a month ago seen See more...

Health Information Management Specialist

Ensemble Health Partners

Albuquerque, NM

Completes analysis/reanalysis of all records accurately and timely. Completes accounts from EPIC Waiting for Documentation and Missing Document work queues when missing documentation is received. Follow-up with ancillary/nursing d...

a month ago seen See more...

Information Management Specialist

Us Library Of Congress

Washington, DC

$97k-120k (estimate)

Ability to organize information and maintain document repositories**. Ability to collect, describe, and present information and data**. Ability to solve problems and make decisions**. Ability to provide instructional services. Abi...

a month ago seen See more...

Medical Information Specialist: Senior Manager -HIV Prevention (PrEP) and COVID-19

Biospace

California, United States

Responds to unsolicited medical requests regarding Gilead products from HCPs, members of the public, and internal Gilead colleagues. Responses are provided promptly using approved standard documents, up-to-date literature support,...

4 weeks ago seen See more...

Maintenance Specialist (Electrician)- Facilities Management

Mercy Medical Center - Cedar Rapids

Cedar Rapids, IA

Complete and facilitate basic and complex work orders and Preventative Maintenance at the direction of Supervisor or Dispatcher using staff and contractor resources. Serve as a technical expert resource in a specific field of mech...

4 weeks ago seen See more...

TECHNICAL INFORMATION SPECIALIST (ELECTRONIC RESOURCES MANAGEMENT)

United States Fleet Forces Command

Mississippi, United States

Career transition (CTAP, ICTAP, RPL)Federal employees who meet the definition of a "surplus" or "displaced" employee. Federal employees - Competitive serviceCurrent or former competitive service federal employees. Land & base mana...

4 weeks ago seen See more...

Senior Manager (Application Specialist)

The Bank Of Nova Scotia

New York, NY

$40 per hour

Req'mnts: Bachelor's or foreign equiv in Applied CS, Computer Eng'g, Info. field & 10 yrs of progressively responsible exp in job offered or rel. occupation: using srvc-oriented architecture (SOA) to dvlp web srvcs interfaces for...

a month ago seen See more...

INFORMATION SECURITY SPECIALIST- SCIF MANAGER-JUNIOR

Chugach Government Solutions

Washington, DC

$72.4K - $91.7K a year

Applies practical knowledge of commonly applied INFORMATION SECURITY principles, concepts, and methodologies to resolve well-defined questions or conditions. Identifies information requiring protection, such as documents, material...

a month ago seen See more...

Homeless Management Information Systems Data Specialist

United Way

Greeley, CO

$41,000 - $50,000 a year

This role will work in coordination with community partners and the Northern Colorado Continuum of Care to align data efforts across Weld County through the Welds Way Home Strategic Plan to Prevent and End Homelessness in Weld Co...

2 months ago seen See more...

Management Information Systems Specialist

Nj Pinelands Commission

Pemberton, NJ

From $53,198 a year

The Commissions Information Systems office is seeking a full-time, qualified candidate for the position of MIS Specialist 4. Responsibilities include: ensuring a timely response to all user inquiries and escalating support ticket...

2 months ago seen See more...

CDI Specialist II Health Information Management

Facilitymemorial Medical Center

Las Cruces, NM

Health (Medical, Dental, Vision) and 401K Benefits for full-time employeesCompetitive Paid Time Off / Extended Illness Bank package for full-time employeesEmployee Assistance Program mental, physical, and financial wellness assi...

2 months ago seen See more...

Documentation Specialist - Health Information Management

Abington Hospital - Jefferson Health

Philadelphia, PA

Associate or Bachelor of Science in Nursing. Associate or Bachelor of Science in Health Information Management or related field. Three to five years experience in ICD-10-CM coding and DRG assignment, and/or. RN with 5 years acute...

2 months ago seen See more...

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