Manager, Utilization Review - Roseburg

The Utilization Management Nurse evaluates clinical service requests to ensure medically necessary care for members. · Evaluates medical service requests to determine medical necessity. · Conducts prior authorization reviews. · ...

We're more than just a healthcare organization; we're a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our region. · ...

Umpqua Health is a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our region. · Must have LVN or LPN  · 3-5 years in healthcare prior authorization or utilization management.  · Must h ...

The Utilization Management Nurse promotes integrated high-quality care across settings by conducting prior authorization reviews facilitating care coordination and supporting transitions. This nurse evaluates clinical service requests to ensure medically necessary cost-effective ...

This position is responsible for prompt accurate and effective medical insurance claim submission with follow-up of claims to satisfactory resolution. · ...

The Senior Professional Civil Engineer for Municipal & Public Works leads planning design delivery public infrastructure projects. · Bachelor's degree in Civil Engineering or related field. · Professional Engineer (PE) license (State of Oregon or ability to obtain within a reason ...

We are seeking a Counselor in Training to join our team at Adapt Integrated Health Care. · ...

We are looking for merchandisers to work independently across various retail locations, · showcasing their organization and time management skills to display and maintain inventory levels of our celebrations product, · including greeting cards, · gift wrap accessories, · ,plush a ...

+We are looking for merchandisers to work independently across various retail locations, showcasing their organization and time management skills to display and maintain inventory levels of our celebrations product.+ · ++• Service stores on your assigned route,+• Communicate with ...

A-1 Auto Glass is on the lookout for mechanically minded individuals who take pride in their work and love serving customers. As an Auto Glass Technician (AGT), you'll play a hands-on role in high-quality auto glass installation, rock chip repairs, and more—all while learning the ...

The pharmacist is responsible for pharmacy management including full-service daily functions of the pharmacy ensuring proper preparation, review, verification, and dispensation of prescribed medication. · ...

The pharmacist is responsible for pharmacy management including full-service daily functions of the pharmacy ensuring proper preparation, review, verification, and dispensation of prescribed medication. · ...

The Personal Banker is responsible for delivering exceptional client experience by adhering to our Breakthrough Client Experience Standards. · Maintains direct contact with external and internal clients and consistently provides proactive solutions and problem resolutions in alig ...

The pharmacist is responsible for pharmacy management including full-service daily functions of the pharmacy ensuring proper preparation, review, verification and dispensation of prescribed medication. · The pharmacist provides a positive customer service experience in accordance ...

We are creating something new in health care by uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs helping patients access and navigate care anytime and anywhere. · Deliver cost-effect ...

The Vision Center Manager drives sales in the Vision Center by ensuring effective merchandise presentation and budgeting. They model customer service approaches and techniques to ensure customer needs are successfully resolved within company guidelines. · Drives sales in the Visi ...

The Food & Beverage Manager is responsible for the overall leadership, development, · & execution of food & beverage operations at Bar Run Golf.This role oversees kitchen and front-of-house · operations, ensuring consistent quality, · efficient execution, · & an elevated guest ex ...

This role is responsible for developing and implementing a comprehensive recruitment strategy to attract and retain qualified healthcare providers in a community health setting. The Senior Recruiter will work closely with leadership to manage the full-cycle recruitment process, i ...

We want you to join our hardworking traffic maintenance crewAs a highway maintenance coordinator you will respond to emergencies and patrol the area looking for potential hazards and damages. · Ensure maintenance activities are planned prioritized performed and completed in an ef ...

We are calling on Nurse Practitioners that are passionate about helping their local communities. We care dearly about those we serve and we need your help to make a difference in the lives of our members. · ...