Digital Technology Utilization jobs in Juarez

Cambrian Homecare

From $41,604 /year

Overview Cambrian Homecare LLC is seeking detail-oriented individuals to join our **Utilization Team**. As a member of this team, you will build and maintain strong relationships with clients and providers by offering one-on-one support. Your primary responsibilities will include assisting with sche

Inland Respite, Inc.

$47,844 - $54,084 /year

*Now Hiring: Utilization Clerk (Bilingual – Spanish Required)** *Location:** Corona, California *Schedule:** Full-Time /Hybrid | Monday–Friday, 8 AM – 5 PM *Travel:** Occasional local travel for home visits and meetings *Department:** Care Coordination ### **Our Mission** At **Inland Respite**, we p

Now Hiring: Utilization Clerk (Bilingual - Spanish Required) Location: Corona, California Schedule: Full-Time /Hybrid | Monday-Friday, 8 AM - 5 PM Travel: Occasional local travel for home visits and meetings Department: Care Coordination Our Mission At Inland Respite, we provide high-quality, compas

This is a remote position. The Utilization Management (UM) Nurse is responsible for conducting clinical reviews and assessing the medical necessity, appropriateness, and efficiency of healthcare services requested by providers and members. This role supports the health plan’s utilization management

Job Description This is a remote position. The Utilization Management (UM) Nurse is responsible for conducting clinical reviews and assessing the medical necessity, appropriateness, and efficiency of healthcare services requested by providers and members. This role supports the health plan’s utiliza

SUMMARY Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being responsible for coordinating phone calls, clinical requests, upkeeps data entry, organizes denials and mailing/faxing appeals,

*SUMMARY** Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being responsible for coordinating phone calls, clinical requests, upkeeps data entry, organizes denials and mailing/faxing appea

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LanceSoft, Inc.

Experience: Current unrestricted RN licensure in CA 3-5 years' experience in utilization management, preferred. Self-directed, assertive and creative in problem solving, systems planning and patient care management in a high volume work environment. Demonstrates resourcefulness, effective written an