Utilization Review Jobs in Grand Rapids, MI

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...

Sub-Acute Rehab Utilization Review ManagerSummary The Sub-Acute Rehab Utilization Review Manager ensures high-quality financially sound care delivery by overseeing regulatory compliance in billing coding and collaboration with the Administrator Therapy Manager and MDS Coordinator th More...

Job Title: Program Coordinator of the Nagel InstituteDepartment: Nagel Institute for the Study of World ChristianityReports to: Director of the Nagel InstituteStatus: Part-time Non-exempt.SUMMARYThe Program Coordinator operationalizes the vision plans and research directives from the More...

About the Medication Care Coordination Department:The Corewell Health Medication Care Coordination (MCC) department is a central pharmacy department consisting of clinical pharmacy specialists and pharmacy technicians working to support inpatient and outpatient infusion clinics along 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...

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). &#xa More...

Job SummaryClinical Pharmacy Specialists within Primary Care will work closely with providers under a Collaborative Practice Agreement (CPA) to evaluate and optimize medication regimens for mutual patients. Provide guideline and evidence based Chronic Disease and Medication Therapy Ma More...

Job SummaryThe Infectious Diseases (ID) Clinical Pharmacist Specialist is responsible for providing professional infectious diseases pharmaceutical care. This service will focus on continuous growth maintenance and documentation of the antimicrobial stewardship program (ASP). This wil More...

PFS Representative InpatientDay Shift (United States of America)Job Title: PFS Inpatient RepresentativeJob Code: 1228Department: Inpatient AccessFLSA Class: Hourly/NonExemptReporting Relationship: Front End Revenue Cycle SupervisorMary Free Bed Summary We have the great privilege of More...

Title: Program Coordinator Empower UReports to: Building Administrator Empower U Kent ISDTerms of Employment: Full time 200 day yearround position 8 hours per day Professional Contract BROAD STATEMENT OF RESPONSIBILITIES:Under the direction of the building administrator or 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...

At Amazon we believe that every day is still day one. We are working to be the most customercentric company on earth. To get there we need exceptionally talented bright and driven people. If youd like to help the Disability Leave Services (DLS) team build a bestinclass professional s More...

The Utilization Review Case Manager requires effective communication and coordination with the Director of Utilization Review insurance companies and treatment team to obtain the maximum benefits for our clients.  The Utilization Review Case Manager will submit accurate utilizati More...