$89K - $116K/yr
... clinical volume, reviewing work of employees to assure accuracy and validity of submissions ... Non-citizens may only be appointed when it is not possible to recruit qualified citizens in ...
$89K - $116K/yr
... clinical volume, reviewing work of employees to assure accuracy and validity of submissions ... Non-citizens may only be appointed when it is not possible to recruit qualified citizens in ...
$89K - $116K/yr
... clinical volume, reviewing work of employees to assure accuracy and validity of submissions ... Non-citizens may only be appointed when it is not possible to recruit qualified citizens in ...
$125K/yr
Taxpayer Services - Accounts Management Headquarters REVIEW THE ADDITIONAL INFORMATION BELOW FOR ... utilization of personnel, equipment, and space, and to accomplish program objectives through ...
$125K/yr
Taxpayer Services - Accounts Management Headquarters REVIEW THE ADDITIONAL INFORMATION BELOW FOR ... utilization of personnel, equipment, and space, and to accomplish program objectives through ...
Bayamon, PR · On-site
$125K/yr
Taxpayer Services - Accounts Management Headquarters REVIEW THE ADDITIONAL INFORMATION BELOW FOR ... utilization of personnel, equipment, and space, and to accomplish program objectives through ...
Bayamon, PR · On-site
$125K/yr
Taxpayer Services - Accounts Management Headquarters REVIEW THE ADDITIONAL INFORMATION BELOW FOR ... utilization of personnel, equipment, and space, and to accomplish program objectives through ...
Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of ... Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that ...
Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of ... Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that ...
San Juan, PR · On-site
Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of ... Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that ...
San Juan, PR · On-site
Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of ... Non-Management Non-Exempt Workshift: Job Family: MED > Licensed Nurse Please be advised that ...
... office after review of the EDRP application. Former EDRP participants ineligible to apply ... Non-citizens may only be appointed when it is not possible to recruit qualified citizens in ...
... office after review of the EDRP application. Former EDRP participants ineligible to apply ... Non-citizens may only be appointed when it is not possible to recruit qualified citizens in ...
$38/hr
Strong experience in reviewing and approving deviations, critical utilities, and environmental ... Approving work orders, EMS/BMS alarms, non-conformance investigations, and CAPA records * Approving ...
Quick apply
$38/hr
Strong experience in reviewing and approving deviations, critical utilities, and environmental ... Approving work orders, EMS/BMS alarms, non-conformance investigations, and CAPA records * Approving ...
Experience in batch record review, audit trail reviews and GDP with focus on data integrity (ALCOA ... Available to work all shifts- non standard shifts- including weekends, 12hrs shifts, rotate, OT and ...
Quick apply
Experience in batch record review, audit trail reviews and GDP with focus on data integrity (ALCOA ... Available to work all shifts- non standard shifts- including weekends, 12hrs shifts, rotate, OT and ...
Caguas, PR · On-site
... clinical outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo ... utilization, connect with external training vendors, maintain audit compliance, and build ...
Caguas, PR · On-site
... clinical outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo ... utilization, connect with external training vendors, maintain audit compliance, and build ...
... clinical outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo ... utilization, connect with external training vendors, maintain audit compliance, and build ...
... clinical outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo ... utilization, connect with external training vendors, maintain audit compliance, and build ...
Caguas, PR · On-site
... clinical outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo ... utilization, connect with external training vendors, maintain audit compliance, and build ...
Caguas, PR · On-site
... clinical outcomes and improved quality of life for patients. TMC is part of Tokyo-based Terumo ... utilization, connect with external training vendors, maintain audit compliance, and build ...
PR · On-site
$16.75 - $21.75/hr
... clinical, clinical, and commercial start. We behave more like a cGMP incubator space with all ... Establish routine and non-routine cleaning schedules, procedures, and workflows for classified ...
Quick apply
PR · On-site
$16.75 - $21.75/hr
... clinical, clinical, and commercial start. We behave more like a cGMP incubator space with all ... Establish routine and non-routine cleaning schedules, procedures, and workflows for classified ...
... systems such as non-conformances, process validation, procedures, training, and new product ... Kelly Science & Clinical is your connection to premier scientific and clinical companies looking to ...
Quick apply
... systems such as non-conformances, process validation, procedures, training, and new product ... Kelly Science & Clinical is your connection to premier scientific and clinical companies looking to ...
... review of the EDRP application. Former EDRP participants ineligible to apply Qualifications ... Non-citizens may only be appointed when it is not possible to recruit qualified citizens in ...
... review of the EDRP application. Former EDRP participants ineligible to apply Qualifications ... Non-citizens may only be appointed when it is not possible to recruit qualified citizens in ...
Anasco, PR · On-site
$81K - $112K/yr
Author or review SOPs, work instructions, and templates related to trending and post-market ... Collaborate with Medical Safety, Clinical, and Regulatory teams to evaluate patient safety and ...
Anasco, PR · On-site
$81K - $112K/yr
Author or review SOPs, work instructions, and templates related to trending and post-market ... Collaborate with Medical Safety, Clinical, and Regulatory teams to evaluate patient safety and ...
San Juan, PR · Hybrid
$47K - $62K/yr
... clinical teams as needed. * Review payments, contractual adjustments, denials, and patient ... non-payment. * Document claim status details and payer-provided information * Provide account ...
San Juan, PR · Hybrid
$47K - $62K/yr
... clinical teams as needed. * Review payments, contractual adjustments, denials, and patient ... non-payment. * Document claim status details and payer-provided information * Provide account ...
Arecibo, PR · On-site +1
$124K - $400K/yr
Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified ... Clinical Laboratory Medicine). * English Language Proficiency- Must be proficient in spoken and ...
Arecibo, PR · On-site +1
$124K - $400K/yr
Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified ... Clinical Laboratory Medicine). * English Language Proficiency- Must be proficient in spoken and ...
Juncos, PR · On-site
$101K - $139K/yr
Provide support, as needed, to clinical and commercial fill/finish manufacturing operations through ... non-conformance investigations and process changes/improvements. * Author and review guideline ...
Juncos, PR · On-site
$101K - $139K/yr
Provide support, as needed, to clinical and commercial fill/finish manufacturing operations through ... non-conformance investigations and process changes/improvements. * Author and review guideline ...
$124K - $400K/yr
... after review of the EDRP application. Former EDRP participants ineligible to apply. The ... Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified ...
$124K - $400K/yr
... after review of the EDRP application. Former EDRP participants ineligible to apply. The ... Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified ...
San Juan, PR · On-site
$74K/yr
... complete review of the EDRP application. Qualifications:Applicants pending the completion of ... Non-licensed applicants who otherwise meet the eligibility requirements may be given a temporary ...
San Juan, PR · On-site
$74K/yr
... complete review of the EDRP application. Qualifications:Applicants pending the completion of ... Non-licensed applicants who otherwise meet the eligibility requirements may be given a temporary ...
| Aspect | Non Clinical Utilization Review | Clinical Utilization Review |
|---|---|---|
| Credentials | Typically requires healthcare administration, insurance, or case management certifications | Requires clinical licenses such as RN, MD, or other healthcare provider credentials |
| Work Environment | Office-based, insurance companies, or healthcare organizations | Hospitals, clinics, or healthcare facilities |
| Employer & Industry Usage | Insurance companies, third-party administrators, healthcare organizations | Hospitals, clinics, healthcare providers |
| Search & Comparison Intent | Understanding administrative and insurance-focused review roles | Understanding clinical decision-making and patient care review roles |
Non Clinical Utilization Review involves assessing healthcare services from an administrative perspective, focusing on insurance policies and coverage. Clinical Utilization Review involves healthcare professionals evaluating patient care and clinical necessity. Both roles are essential in healthcare but differ mainly in credentials, work environment, and focus area.
For Non Clinical Utilization Review jobs in Puerto Rico, the most frequently searched job titles are:
The top searched job categories for Non Clinical Utilization Review jobs in Puerto Rico are:
Cities in Puerto Rico with the most Non Clinical Utilization Review job openings:
$89K - $116K/yr
Full-time
PTO
Posted 8 days ago
8.1
Based on 1,004 frontline employees who took The Breakroom Quiz
69th of 888 rated healthcare providers
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The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, serving millions of Veterans each year. Located in Phoenix, AZ, and many other parts of the US, the VHA operates under the Department of Veteran Affairs, as suggested by their official website va.gov. The VHA is dedicated to providing the highest level of comprehensive care to its veterans. The organization offers a broad spectrum of medical, surgical, and rehabilitative care, including mental health services, research, and pharmacy benefits.
Health care and social assistance
10,000+ Employees
Phoenix, AZ, US