Utilization Review Jobs in Las Vegas, NM

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...

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...

Position SummaryThe Care 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...

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...

Job SummaryAlto Pharmacists work cross-functionally across operations engineering and design teams to build a better more intuitive community pharmacy from the ground up. We focus on challenges that patients providers and payers face and find solutions that optimize experience transpa 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...

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...