Utilization Review Jobs in Henderson, NV

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...

Formulary Strategy & 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 retrospectiv More...

Required EducationDoctor of Medicine is required. Required SkillsDemonstrated management and financial skills in dealing with all phases of business operations. Minimum Work ExperienceProvides a positive and professional representation of the organization.Promotes culture of safety fo More...

Utilization Management CoordinatorSeven Hills Hospital brings a world of compassion hope and best practice medical care to the people who need it the most. We are a growing private 94-bed psychiatric hospital that is dedicated to providing high-quality care for adults geriatrics and a 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...

OverviewDignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hosp More...

OverviewHello humankindnessAs the communitys only not-for-profit faith-based healthcare system; Dignity Health Nevada has been guided by the vision and core values of the Adrian Dominican Sisters for more than 70 years. As the Henderson and Las Vegas communities grow Dignity Health-St 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...

Required EducationAn associates degree in nursing is required.A bachelors degree in nursing is preferred.Licenses/CertificationsCurrent/active North Carolina or compact RN license required.Basic Life Support (BLS) certification through the American Heart Association is required.Case M More...

Registered Nurse (RN)Job Type: PartTime DaysYour experience mattersAt Maria Parham Hospital we are driven by a profound commitment to prioritize your wellbeing so you can provide exceptional care to others. Here youre not just valued as an employee but as a person. As a registered nur More...

Registered Nurse (RN) Case ManagerJob Type: PRNYour experience mattersAt Maria Parham Hospital we are driven by a profound commitment to prioritize your wellbeing so you can provide exceptional care to others. Here youre not just valued as an employee but as a person. As a Registered 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...

DescriptionPay: $25 per hourWork schedule: Fulltime Monday FridayBenefit package includes:Medical Vision Dental and Prescription Drug BenefitsLife Accidental Death and Dismemberment Insurance (AD&D)ShortTerm and LongTerm Disability Benefits401(k) Retirement PlanEmployee Assistanc More...

Registered Nurse (RN) Case ManagerUp to $20000 Commitment BonusJob Type: Full Time Weekend 10hour Shifts Schedule Requirement: FridayMondayYour Experience Matters at Maria Parham Hospital; we are driven by a profound commitment to prioritize your wellbeing so that you can provide exce More...

People. Passion. Purpose.At P3 Health Partners our promise is to guide our communities to better health unburden clinicians align incentives and engage patients.We are a physicianled organization relentless in our mission to overcome all obstacles by positively disrupting the business 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...