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Keywords: Utilization Management Reviewer, Location: USA

Page: 7

Manufacturing Technology Engineer - Elastomers

and/or be a technical reviewer for manufacturing process changes; expertise with management of change (MOC) work process. Engineering... troubleshooting and improve operating discipline. Assist with and/or lead root cause analysis of asset utilization losses in the...

Company: DuPont
Location: Hemlock, MI
Posted Date: 18 Dec 2025

RN, Registered Nurse- Pre-Certification Pharmacy Review

and utilization management reviews for specialty medications, to include site of care assessments, for enrollees of Quantum Health... documentation, and other clinical resources to achieve proper decisions in utilization management reviews. The Pre-Certification...

Company: Quantum Health
Location: Dublin, OH
Posted Date: 18 Dec 2025

Discharge Planner

coordination of the various activities of the Case Management Department including utilization management, social services... Discharge Plan. Qualifications: EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management...

Posted Date: 17 Dec 2025

Board Certified-(M.D, D.O) Oklahoma City Cardiology Advisor-Certified for IME

expertise strengthening your medical practice with medical necessity and utilization review/management expertise Expanded...Job Description: As Physician Reviewer/Advisor you will utilize clinical expertise and reviews insurance appeals...

Company: Sane Street
Location: Oklahoma City, OK
Posted Date: 17 Dec 2025

Discharge Planner

including utilization management, social services and performance improvement. Assists with development of discharge plans..., TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions...

Company: Prime Healthcare
Location: Joliet, IL
Posted Date: 17 Dec 2025

Department Manager II

operations of a department including staff training, development, and performance review, utilization of equipment and facilities... Certification: Certification or licensure in field of expertise. Terracon Authorized Project Reviewer status preferred...

Company: Terracon
Location: Tulsa, OK
Posted Date: 17 Dec 2025

Group Manager

operations of a due diligence group including staff training, development, and performance review, utilization of equipment... Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 34391BR Employment Type Regular...

Company: Terracon
Location: Savannah, GA
Posted Date: 14 Dec 2025

Clinical Neuropsychology - Texas Contra-Affidavit

. Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management... Neuropsychology is required. Requirements: As Physician Reviewer/Advisor supporting Dane Street Legal Services IMEs, the physician...

Company: Sane Street
Location: Dallas, TX
Posted Date: 13 Dec 2025

Neurological Surgery - Texas Contra-Affidavit

. Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management... Surgery is required. Requirements: As Physician Reviewer/Advisor supporting Dane Street Legal Services IMEs, the physician...

Company: Sane Street
Location: San Antonio, TX
Posted Date: 13 Dec 2025

Department Manager I

operations of a department including staff training, development, and performance review, utilization of equipment and facilities... Certification: Certification or licensure in field of expertise. Terracon Authorized Project Reviewer status preferred...

Company: Terracon
Location: Sarasota, FL
Posted Date: 13 Dec 2025

Group Manager

the daily operations of a department including staff training, development, and performance review, utilization.... Terracon Authorized Project Reviewer status preferred. Exemption Exempt Requisition ID 34349BR Employment...

Company: Terracon
Posted Date: 12 Dec 2025

Discharge Planner

various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist... with development and implementations of discharge plans. Assists with case management referrals and authorizations. Maintains...

Location: Dover, NJ
Posted Date: 12 Dec 2025

Discharge Planner

and Work Experience * Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions... Apply before 1/31/2026 Responsible for the coordination of the various activities of the Case Management Department under the...

Location: Boonton, NJ
Posted Date: 12 Dec 2025

Quality Professional - Full Time - Days

and Utilization Management requirements and methodologies; including data abstraction and analysis Licensure/Certification... and other acute care services that functions as a reviewer, data abstracts, supports Medical Staff committees and various departments...

Posted Date: 11 Dec 2025
Salary: $73000 - 110000 per year

Discharge Planner

Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care... of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker...

Company: Prime Healthcare
Location: Boonton, NJ
Posted Date: 11 Dec 2025

Discharge Planner

. Qualifications Education and Work Experience * Knowledge of Discharge Planning/ Utilization Management / Case Management...Responsibilities Responsible for the coordination of the various activities of the Case Management Department...

Company: Prime Healthcare
Location: Dover, NJ
Posted Date: 11 Dec 2025

Department Manager I

Service Line Office Management/Administration Office Name College Station Job Description General... review, utilization of equipment and facilities, safety oversight, quality of services and work product, timely delivery...

Company: Terracon
Posted Date: 10 Dec 2025

Board Certified-(M.D, D.O) Oklahoma Immunology Advisor, Certified for IME

your medical practice with medical necessity and utilization review/management expertise Expanded credentials as an expert...Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical...

Company: Sane Street
Location: Kingfisher, OK
Posted Date: 07 Dec 2025

Board Certified-(M.D, D.O) Ohio Chiropractic Advisor, Certified for IME

your medical practice with medical necessity and utilization review/management expertise Expanded credentials as an expert...Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical...

Company: Sane Street
Location: Delaware, OH
Posted Date: 07 Dec 2025

Board Certified-(M.D, D.O) Grand Rapids Optometry Advisor, Certified for IME

your medical practice with medical necessity and utilization review/management expertise Expanded credentials as an expert...Job Description: As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical...

Company: Sane Street
Location: Grand Rapids, MI
Posted Date: 07 Dec 2025