- Omaha Children's Hospital (Omaha, NE)
- …opportunity employer including veterans and people with disabilities. **A Brief Overview** Utilization Management (UM) is a specialty area of Nursing Case Management ... Guides admitting physician in protocols for conducting physician to physician review with third-party payers. o Appropriately documents all relevant communications… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …If you answered YES, then consider joining our Devereux Advanced Behavioral Health team! Being a Utilization Review Specialist at Devereux has ... helping individuals in need. Devereux's Children Behavioral Health Center (DCBHC) is currently seeking a Utilization... Health Center (DCBHC) is currently seeking a Utilization Review Specialist to work at their… more
- Spectrum Billing Solutions (Skokie, IL)
- …(Word, Excel, billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization ... Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist #UtilizationReviewSpecialist | #UtilizationManagementSpecialist… more
- Molina Healthcare (Sacramento, CA)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review , and/or other utilization management… more
- BriteLife Recovery (Englewood, NJ)
- …in utilization review , case management, or insurance coordination in a behavioral health or substance use treatment setting. + Knowledge of ASAM criteria ... What you will be doing? The Utilization Review (UR) Specialist is a...and a working knowledge of insurance guidelines specific to behavioral health What tasks are required? +… more
- State of Indiana (Evansville, IN)
- Utilization Review Coordinator-LPN Date Posted: Oct 1, 2025 Requisition ID: 466513 Location: Evansville, IN, US, 47714 Work for Indiana Begin a fulfilling career ... a Psychiatric Medicare/Medicaid Hospital. Role Overview: This position serves as the Utilization Review Coordinator within a psychiatric hospital setting. They… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …for a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the hospital's ... Who Are We: Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization and... utilization review plan to ensure the effective… more
- UnityPoint Health (Cedar Rapids, IA)
- …regarding managed care implications - precertifications and utilization review procedures. + Provides consultation regarding Behavioral Health ... + Area of Interest: Behavioral Health Services + FTE/Hours per pay period: 0.9 + Department: General Behavioral /2E + Shift: 36 Hours Per Week - 0700-1930 +… more
- PeaceHealth (Eugene, OR)
- **Description** PeaceHealth is seeking a RN Admissions Coordinator/ Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable position. The ... collective bargaining agreement, seniority, etc. Responsible for identifying potential behavioral health inpatient unit candidates, pre-screening referrals, and… more
- CVS Health (Columbus, OH)
- …The Behavioral Health UM Clinician position is designed to clinically review of behavioral health prior authorized services for assigned members. ... the utilization /benefit management function **Required Qualifications** + Licensed independent Behavioral Health clinician (LISW, LPCC, LMFT) or a Registered… more