Utilization Management Specialist in Los Angeles, CA for UCLA

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Clinical Research Coordinator - Cardiology

Columbia University

New York, New York

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Cook

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Clinical Research Coordinator - Cardiology

Columbia University

New York, New York

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Clinical Pharmacy Specialist - Critical Care/Emergency Medicine

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Gainesville, Florida

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Hazardous Materials Specialist

University of Michigan - Ann Arbor

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Regional Radiation Safety Officer - Radiology Admin

CHRISTUS Health

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Lead Study Coordinator

The University of North Carolina at Chapel Hill

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Intern - Laboratory Analyst

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Education Manager

The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina

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Cytogenetics Analyst - US Remote

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Multi Modality Technologist - Imaging CAT Scan

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Manager, Lab Support Services

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Cytogenetics Analyst - US Remote

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Senior Clinical Research Coordinator - Department of Medicine - Office of Research Administration

UCLA

Los Angeles, California

Health Technician

Veterans Affairs, Veterans Health Administration

Northport, New York

Analyst-Compensation

Columbia University

New York, New York

Pharmacy Technician PRN

Cardinal Health

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Study Administrator

University of California San Francisco

San Francisco, California

Supervisory Speech Language Pathologist - Service Chief

Veterans Affairs, Veterans Health Administration

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Part Time Warehouse Associate, Forklift

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Veterans Affairs, Veterans Health Administration

Murfreesboro, Tennessee

Clinical Research Coord Inter

University of Michigan - Ann Arbor

Ann Arbor, Michigan

Clinical Research Coordinator - Surgery / Center for Clinical Research Management

The Ohio State University

Utilization Management Specialist

DescriptionUnder the direction and supervision of the Utilization Management Manager, the Utilization Management Specialist is responsible for overseeing the research, resolution and workflow development of out-of-network (OON) referral requests. This role reviews OON referral requests from members and providers, acting as a key liaison to facilitate timely, accurate, and efficient processing. In addition, the UM Specialist will:Ensure compliance with organizational guidelines and regulatory standards, promoting quality care access for members while optimizing network utilization and reducing unnecessary out-of-network expenses

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