Utilization Review Jobs in Las Vegas, NM

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...

Full-timeDescriptionPosition SummaryThe Program Coordinator supports the planning and execution of CORE programming transportation purchasing and events. This position helps streamline programming logistics to ensure the success of COREs afterschool program enrichment activities and S More...

Anticipated End Date:Position Title:Behavioral Health Medical Director-Psychiatrist AppealsJob Description:Behavioral Health Medical Director-Psychiatrist AppealsLocation: This role enables associates to work virtually full-time with the exception of required in-person training sessio 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...

The University of Nevada Las Vegas (UNLV) appreciates your interest in employment. We ask that you keep in mind the following when completing your application:Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available More...

The University of Nevada Las Vegas (UNLV) appreciates your interest in employment. We ask that you keep in mind the following when completing your application:Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available More...

Anticipated End Date:Position Title:Medical Director (US)Job Description:Medical DirectorPlease note that per our policy this role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This 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...

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...

Full-timeDescriptionAt Commence were the start of a new age of data-centric transformation elevating health outcomes and powering better more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers technology that advances performanc More...

Full-timeDescriptionAt Commence were the start of a new age of data-centric transformation elevating health outcomes and powering better more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers technology that advances performanc More...

Anticipated End Date:Position Title:Med Mgmt Clinician Sr (US)Job Description:This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports wo More...

Anticipated End Date:Position Title:Med Mgmt Clinician Sr (US)Job Description:This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports wo More...

Grant Position:Pre-KProgram CoordinatorPosition Overview:ThePre-KProgram Coordinator is a key position responsible formanaging the preschool program. This role requires a deep understanding ofearly childhoodeducation and development andNevada Ready programrequirements as well as excel More...

Become a part of our caring community and help us put health firstDevelops plans implements analyzes and organizes clinical operations for a specific location managed.Conducts/delegates the assessment and reassessment of patients including updating of care plans and interpreting patie More...

Position SummaryThe Case Manager Assistant - LPN assists with the coordination of the patients care and services. Promotes quality care using a collaborative process that coordinates monitors and evaluates services according to the needs of and interpersonal contact with patients. in 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...