Utilization Review Jobs in Reno, 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...

The University of Nevada Reno (UNR) appreciates your interest in employment at our growing institution. We want your application process to go smoothly and quickly. Final applications must be submitted prior to the close of the recruitment.If you need assistance or have questions rega More...

OverviewNaphCare is partnering with the Washoe County Sheriffs Office to hire a Program Coordinator/Research Assistant to join our THRIVE Jail Based Treatment Program (JBTP) that operates as a 30-bed adult specialized behavioral health unit at Washoe County Detention Facility in Reno More...

Job Summary:As a Utilization Management Nurse/Social Worker youll play a crucial role in our multidisciplinary team ensuring that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes youll maint More...

The University of Nevada Reno (UNR) appreciates your interest in employment at our growing institution. We want your application process to go smoothly and quickly. Final applications must be submitted prior to the close of the recruitment.If you need assistance or have questions rega 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...

Position InformationUnder direction plans and coordinates assigned county programs; and perform related duties as required.This is an Open Competitive/Countywide Promotional recruitment being conducted to fill a current fulltime vacancy in the Washoe County Managers Office. The list e More...

The University of Nevada Reno (UNR) appreciates your interest in employment at our growing institution. We want your application process to go smoothly and quickly. Final applications must be submitted prior to the close of the recruitment.If you need assistance or have questions rega More...

The University of Nevada Reno (UNR) appreciates your interest in employment at our growing institution. We want your application process to go smoothly and quickly. Final applications must be submitted prior to the close of the recruitment.If you need assistance or have questions rega 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...