Portland, OR · On-site
$61.75 - $74.25/hr
... and assist with developing treatment plans Provide medication therapy management (MTM) services ... utilization review Additional Information Are you an experienced Pharmacist looking for a new ...
Portland, OR · On-site
$61.75 - $74.25/hr
... and assist with developing treatment plans Provide medication therapy management (MTM) services ... utilization review Additional Information Are you an experienced Pharmacist looking for a new ...
$62 - $66/hr
... assist with developing treatment plans * Provide medication therapy management (MTM) services ... utilization review Additional Information
$62 - $66/hr
... assist with developing treatment plans * Provide medication therapy management (MTM) services ... utilization review Additional Information
Registered Nurse / RN - Utilization Management I ----- The Registered Nurse - Utilization ... reviews. * Function as a CareOregon representative in administrative hearings. * Assist with the ...
Registered Nurse / RN - Utilization Management I ----- The Registered Nurse - Utilization ... reviews. * Function as a CareOregon representative in administrative hearings. * Assist with the ...
Registered Nurse / RN - Utilization Management I The Registered Nurse - Utilization Management I is ... reviews. * Function as a CareOregon representative in administrative hearings. * Assist with the ...
Registered Nurse / RN - Utilization Management I The Registered Nurse - Utilization Management I is ... reviews. * Function as a CareOregon representative in administrative hearings. * Assist with the ...
Direct patient care coordination experience ( Utilization Review only will not be considered ... Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing ...
Direct patient care coordination experience ( Utilization Review only will not be considered ... Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing ...
Portland, OR · On-site
Manage utilization review, care coordination, and discharge planning. * Float to Adult Inpatient ... Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing ...
Portland, OR · On-site
Manage utilization review, care coordination, and discharge planning. * Float to Adult Inpatient ... Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing ...
Perform utilization review and ensure appropriate level of care. * Coordinate post-acute services ... Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing ...
Perform utilization review and ensure appropriate level of care. * Coordinate post-acute services ... Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing ...
Woodland, WA · On-site
$37 - $53/hr
... utilization review, quality assurance, resident care conferences, admissions, department head ... Qualifications/Licenses: • Must hold a degree in Physical Therapy, Physical Therapist Assistant ...
Woodland, WA · On-site
$37 - $53/hr
... utilization review, quality assurance, resident care conferences, admissions, department head ... Qualifications/Licenses: • Must hold a degree in Physical Therapy, Physical Therapist Assistant ...
Scappoose, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Qualifications/Licenses: • Must hold a degree in Physical Therapy, Physical Therapist Assistant ...
New
Scappoose, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Qualifications/Licenses: • Must hold a degree in Physical Therapy, Physical Therapist Assistant ...
New
Portland, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy ...
Portland, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy ...
Scappoose, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy ...
Scappoose, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy ...
Woodland, WA · On-site
$37 - $53/hr
... utilization review, quality assurance, resident care conferences, admissions, department head ... Therapist Assistant, Occupational Therapy, Occupational Therapy Assistant or Speech-Language ...
Woodland, WA · On-site
$37 - $53/hr
... utilization review, quality assurance, resident care conferences, admissions, department head ... Therapist Assistant, Occupational Therapy, Occupational Therapy Assistant or Speech-Language ...
Woodland, WA · On-site
$37 - $53/hr
... utilization review, quality assurance, resident care conferences, admissions, department head ... Therapist Assistant, Occupational Therapy, Occupational Therapy Assistant or Speech-Language ...
Woodland, WA · On-site
$37 - $53/hr
... utilization review, quality assurance, resident care conferences, admissions, department head ... Therapist Assistant, Occupational Therapy, Occupational Therapy Assistant or Speech-Language ...
... utilization review, quality assurance, resident care conferences, admissions, department head ... Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy ...
... utilization review, quality assurance, resident care conferences, admissions, department head ... Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy ...
Scappoose, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Therapist Assistant, Occupational Therapy, Occupational Therapy Assistant or Speech-Language ...
New
Scappoose, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Therapist Assistant, Occupational Therapy, Occupational Therapy Assistant or Speech-Language ...
New
Portland, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Therapist Assistant, Occupational Therapy, Occupational Therapy Assistant or Speech-Language ...
Portland, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Therapist Assistant, Occupational Therapy, Occupational Therapy Assistant or Speech-Language ...
Portland, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Qualifications/Licenses: • Must hold a degree in Physical Therapy, Physical Therapist Assistant ...
Portland, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Qualifications/Licenses: • Must hold a degree in Physical Therapy, Physical Therapist Assistant ...
Woodland, WA · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy ...
Woodland, WA · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy ...
$37 - $53/hr
... utilization review, quality assurance, resident care conferences, admissions, department head ... Qualifications/Licenses: • Must hold a degree in Physical Therapy, Physical Therapist Assistant ...
$37 - $53/hr
... utilization review, quality assurance, resident care conferences, admissions, department head ... Qualifications/Licenses: • Must hold a degree in Physical Therapy, Physical Therapist Assistant ...
Portland, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapy ...
Portland, OR · On-site
... utilization review, quality assurance, resident care conferences, admissions, department head ... Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapy ...
$10.56 - $15.36
14% of jobs
$17.82 is the 25th percentile. Wages below this are outliers.
$15.36 - $20.17
22% of jobs
$20.17 - $24.97
13% of jobs
The median wage is $25.52 / hr.
$24.97 - $29.77
14% of jobs
$29.77 - $34.57
11% of jobs
$35.77 is the 75th percentile. Wages above this are outliers.
$34.57 - $39.37
9% of jobs
$39.37 - $44.17
7% of jobs
$44.17 - $48.98
4% of jobs
$48.98 - $53.78
3% of jobs
$53.78 - $58.58
2% of jobs
$58.58 - $63.38
1% of jobs
$10
$30
$63
A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.
To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.
A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.
$61.75 - $74.25/hr
Contractor
Re-posted 17 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Key Responsibilities:(Company Job Description)
Develop and conduct quality improvement programs related to the pharmacy program
Develop and implement clinical educational programs to improve drug utilization and quality
Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives
Critically evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing treatment plans
Provide medication therapy management (MTM) services
Monitor MTM objectives and high risk population outcomes in partnership with the pharmacy benefit coordinator to provide oversight
Develop and conduct retrospective drug use reviews
Review medication prior authorization requests and appeals as they may pertain to MTM objectives
Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others.
Assess, review and respond to federal and state regulatory requirements/audits of the pharmacy benefit
Consult with clinicians and pharmacists to resolve pharmacy benefit issues
Graduate of an accredited pharmacy program,
Must have a Clear/Active Oregon Pharmacist License (NO Disciplines!)
PharmD (Doctorate of Pharmacy)
Practical experience as a clinical pharmacist in pharmaceutical care management
Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization
4-5 years of experience with prior authorizations, medication therapy management and drug utilization review
Are you an experienced Pharmacist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career as a PHARMACIST by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the Pharmacist position for you!
If you are interested, PLEASE CONTACT Jon 407-478-0332 ext 128
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003
