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Utilization review nurse [h1.location_city]

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Utilization review nurse • west valley city ut

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Pharmacist - Data Review

Pharmacist - Data Review

A-Line Staffing SolutionsWest Jordan, UT, United States
[job_card.full_time]
A-Line Staffing is hiring a Full-Time Clinical Data Review Pharmacist (Onsite - Must Reside in the West Jordan, UT 84084 area!) Hiring ASAP! Schedule : Mon-Fri 6am-2p (five 8hr shifts) Sun-Wed 1pm-1...[show_more][last_updated.last_updated_variable_days]
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Pharmacist - Data Review (164172)

Pharmacist - Data Review (164172)

A-Line Staffing Solutions.West Jordan, Utah, United States
[job_card.full_time]
A-Line Staffing is hiring a Full-Time Clinical Data Review Pharmacist (Onsite - Must Reside in the West Jordan, UT 84084 area!) Hiring ASAP! Schedule : Mon-Fri 6am-2p (five 8hr shifts) Sun-Wed 1pm-1...[show_more][last_updated.last_updated_variable_days]
Utilization Review Nurse

Utilization Review Nurse

University of UtahSalt Lake City, Utah, United States
[job_card.full_time]
The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven c...[show_more][last_updated.last_updated_30]
  • [promoted]
Oncology Clinical Review Nurse

Oncology Clinical Review Nurse

EvolentSalt Lake City, UT, United States
[job_card.full_time]
Evolent is on a mission to partner with health plans and providers to enhance outcomes for individuals battling complex and high-cost health conditions. We aim to bridge the gaps in the healthcare s...[show_more][last_updated.last_updated_variable_days]
QC Review Specialist Remote (PT)

QC Review Specialist Remote (PT)

Radian GroupSalt Lake, Utah, USA
[filters.remote]
[job_card.part_time]
See yourself at Radian We see you here too.For the person you are and the potential you hold.Thats why weve embraced a new way of working that lets our people across the country be themselves be th...[show_more][last_updated.last_updated_variable_days]
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RN Utilization Management Care Review Clinician

RN Utilization Management Care Review Clinician

Molina HealthcareSalt Lake City, UT, United States
[job_card.full_time]
The RN Utilization Management Care Review Clinician plays a vital role in supporting clinical member services by assessing the necessity and appropriateness of care based on established guidelines ...[show_more][last_updated.last_updated_variable_days]
Physician / Not Specified / Utah / Locum Tenens / Remote 1099 Utilization Review Work for Physicians

Physician / Not Specified / Utah / Locum Tenens / Remote 1099 Utilization Review Work for Physicians

MRIoASalt Lake City, Salt Lake County, UT, US
[filters.remote]
[job_card.full_time]
Flexible Independent Contractor (1099) Opportunity ??? Work 20 to 40 Hours Per Week! An active, unrestricted California, Texas or Nebraska medical license are required. We are seeking Family Medicin...[show_more][last_updated.last_updated_30]
Design Review Coordinator

Design Review Coordinator

CCMCSouth Jordan, UT, United States
[job_card.full_time]
About The Community We’re CCMC, a community management company specializing in master-planned communities.Our vision of inspiring a resident-centric focus is brought to life by our core values : Int...[show_more][last_updated.last_updated_30]
Medical Claims Review work Supplement your Income

Medical Claims Review work Supplement your Income

Medical Review InstituteWest Valley City, UT, United States
[job_card.full_time]
Medical Review Institute of America (MRIoA) is looking for Physicians, who are licensed in Minnesota to join our industry-leading peer review panel to conduct Medical Claims Reviews and Prior Autho...[show_more][last_updated.last_updated_variable_days]
Document Review Attorney

Document Review Attorney

Beacon HillWest Valley, Utah
[job_card.full_time]
Beacon Hill Legal is registering US-licensed attorneys who have 6+ months of prior e-discovery experience in anticipation of upcoming document review projects. Please note candidates must be located...[show_more][last_updated.last_updated_30]
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Clinical Data Review Pharmacist

Clinical Data Review Pharmacist

A-Line Staffing Solutions LLCWest Jordan, UT, US
[job_card.full_time]
Clinical Data Review Pharmacist.Onsite in West Jordan UT 84084.Clinical Data Review Pharmacist.The Healthcare Services Pharmacist provides clinical and patient-centered pharmacy services, including...[show_more][last_updated.last_updated_1_day]
  • [promoted]
Senior Manager, Payment Integrity (Chart Review)

Senior Manager, Payment Integrity (Chart Review)

Oscar HealthSalt Lake City, UT, US
[job_card.full_time]
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insuran...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Nurse for Utilization Management

Nurse for Utilization Management

CenterWellSalt Lake City, UT, United States
[job_card.full_time]
Join our compassionate team and champion health care for all!.At Conviva, a subsidiary of Humana, Inc.We are dedicated to creating an environment where our team members can thrive personally and pr...[show_more][last_updated.last_updated_1_day]
  • [promoted]
Nurse for Utilization Management Appeals

Nurse for Utilization Management Appeals

HumanaSalt Lake City, UT, United States
[job_card.full_time]
Join Our Caring Community and Prioritize Health!.The Nurse for Utilization Management Appeals plays a critical role in the coordination, documentation, and communication of medical services and ben...[show_more][last_updated.last_updated_variable_days]
Behavioral Health Utilization Management Specialist

Behavioral Health Utilization Management Specialist

Row PartnersSandy, UT, US
[job_card.full_time]
Behavioral Health Utilization Management Specialist.Utah (Hybrid & Remote Options Available).Behavioral Health / Utilization Management. We believe that compassionate, accessible, and high-quali...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
  • [new]
Document Review Specialist

Document Review Specialist

ApTaskSandy, UT, US
[job_card.full_time]
This position is in Account Services Operations, which primarily consists of supporting the new account opening process (both paper and online), stock plan activation, and account maintenance.Revie...[show_more][last_updated.last_updated_variable_hours]
  • [promoted]
Institutional Review Board Adm

Institutional Review Board Adm

Utah StaffingSalt Lake City, UT, US
[job_card.full_time]
Coordinates and oversees all technical, operational and regulatory issues associated with human research protections and compliance for the Institutional Review Board (IRB).Provides direct consulta...[show_more][last_updated.last_updated_variable_days]
Design Review Coordinator

Design Review Coordinator

Capital Consultants Management CorporationSouth Jordan, UT, United States
[job_card.full_time]
Careers at Capital Consultants Management Corporation.Current job opportunities are posted here as they become available. We’re CCMC, a community management company specializing in master-planned co...[show_more][last_updated.last_updated_30]
  • [promoted]
Senior Analyst, Risk Management - Credit Review

Senior Analyst, Risk Management - Credit Review

NYC StaffingSandy, UT, US
[job_card.full_time]
At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleague...[show_more][last_updated.last_updated_variable_days]
Pharmacist - Data Review

Pharmacist - Data Review

A-Line Staffing SolutionsWest Jordan, UT, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

A-Line Staffing is hiring a Full-Time Clinical Data Review Pharmacist (Onsite - Must Reside in the West Jordan, UT 84084 area!) Hiring ASAP!

Schedule :

Mon-Fri 6am-2p (five 8hr shifts)

Sun-Wed 1pm-11pm (four 10hr shifts)

Sun-Thurs 3pm-11pm (five 8hr shifts)

Mon-Fri 3pm-11pm (five 8hr shifts)

Pay Rate : $65 / hr

Position Summary :

We're seeking a licensed

Clinical Data Review Pharmacist Pharmacist

to join our team. This is a non-retail, centralized pharmacy role focused on

prescription order processing

clinical verification

, and

patient / provider consultation

from a remote processing location (onsite, not patient-facing).

You'll support critical pharmacy programs aimed at improving patient health outcomes, medication adherence, and prescription accuracy.

Key Responsibilities :

Process prescription orders from a centralized, non-retail setting

Conduct

clinical consultations with patients and providers

regarding prescription therapy

Review

drug histories and patient profiles

to ensure safe and appropriate drug therapy

Participate in

Medication Therapy Management (MTM)

, immunization programs, and other clinical initiatives

Ensure

regulatory and compliance standards

are met across all pharmacy operations

Contribute to

pharmacy financial performance

through effective program execution

Support and mentor pharmacy team members

Maintain accurate documentation and follow all HIPAA and company confidentiality standards

Stay updated on pharmacy industry trends and compliance regulations

Required Qualifications :

BS in Pharmacy

or

Doctor of Pharmacy (PharmD)

Active Pharmacist License (RPh)

Minimum

1 year of experience in a pharmacy environment