Utilization Review Jobs in Dover, DE
Utilization Review Jobs in Dover, DE
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The Manager Stars and Quality Improvement Programs plays a critical leadership role in advancing quality performance for the Medicare Advantage population with a specialized focus on medication-related quality measures. This includes driving improvements in Part D Star Ratings particu More...
The Manager Stars and Quality Improvement Programs plays a critical leadership role in advancing quality performance for the Medicare Advantage population with a specialized focus on medication-related quality measures. This includes driving improvements in Part D Star Ratings particu More...
Utilization Review PharmacistShape the drug benefit landscapeanalyze and optimize medication use.Key Responsibilities:Review prescribing trends and propose cost-saving alternatives.Maintain evidence-based formularies across multiple payers.Conduct retrospective DUR and prepare stakeho More...
Summary Statement A class incumbent is responsible for assisting inmate-clients assigned to Department of Corrections custody in securing employment within the community and motivating them towards resocialization. Essential FunctionsEssential functions are fundamental core func More...
Posting SummaryRutgers The State University of New Jersey is seeking a Program Coordinator for the Acute Children Department within Rutgers University Behavioral Health Care. The primary purpose of the Program Coordinator is to coordinate and supervise day-to-day operations of School More...
We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team. The primary role of the Care Manager will be to provide our patients with on-demand telephone-based care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). &# More...
Summary Statement The Office of the Child Advocate (OCA) is a state agency housed within the Judicial Branch charged with safeguarding the welfare of Delawares children. It accomplishes this mission through advocacy collaboration evaluation and education with a vision of safe and r More...
We are actively recruiting for an CAL RNs to join our rapidly growing Population Health team. The primary role of the Care Manager will be to provide our patients with ondemand telephonebased care management services through a 24/7 Nurse Advice Line (i.e. telephone triage). 
 More...
Summary Statement This level describes Clinical Behavioral Health Specialist work. A class incumbent delivers develops monitors evaluates and oversees the implementation of behavioral health programs services and supports for children and families in their homes school community an More...
Regional Manager Quality Review for ID/DDGeorgia remote@Orchard LLC is supporting a notforprofit corporation that partners with public and private sectors to create highquality safe and efficient delivery of health care and human services programs. Our client has multiple lines of bu More...
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