Utilization Review Jobs in Fremont, OH

Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 16 weekend hours. Monthly Required Hours: 32 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.&#xa0 More...

OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a More...

The Virtual Clinic Nurse Practitioner OR Physician Assistant will be responsible for providing direct patient care in Privias Virtual Clinic. Day-to-day this role will be treating patients virtually through a HIPAA-compliant telehealthplatform and will support efforts in developing cl More...

As a registered nurse with an Illinois nursing license you will work remotely to enhance the quality of member management maximize both satisfaction and cost effectiveness and assist in navigating the health care system as a collaborative health partner in their health care team. As a More...

Tri-City Volunteers (TCV) is seeking a mission-driven Program & Development Coordinator to join our small but mighty team execute our hunger relief programs in southern Alameda County and build our base of support. This role requires compassionate and respectful communication with More...

Available Hours: Shifts are on the weekend Fri-Sun. Timeframe - Between 1:00pm-9:00pm EST. Bi-Weekly Minimum of 10 weekend hours. Monthly Required Hours: 20 weekend HoursWe are actively recruiting for an After Hours Care Manager to join our rapidly growing Population Health team.&#xa0 More...

OverviewUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding a 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...

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...