- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review Specialist to our growing team. The Utilization ... admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** Utilization Review Specialist (Remote Option in Wisconsin) **Cost Center:** ... Description:** **_Remote work available for Wisconsin residents only_** **JOB SUMMARY** The Utilization Review Specialist , Revenue Cycle Provide quality… more
- Baylor Scott & White Health (Dallas, TX)
- …Note: Benefits may vary based on position type and/or level **Job Summary** Utilization Review Specialist conducts reviews and shares knowledge with ... staff. Works closely with Medical Director and Health Services leadership. Manages utilization and formulates policies. The role is integral in navigating healthcare… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure the effective and efficient ... an applicable health insurance plan. Primary Position Responsibilities 1. Performs utilization activities, using Milliman Care Guidelines under the guidance of the… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
- HonorHealth (AZ)
- …here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- Sutter Health (Berkeley, CA)
- …with hospital administration, medical staff, patient registration and representatives of review organizations and others to ensure effective utilization of ... to justify acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for concurrent … more
- Actalent (Sunrise, FL)
- …Health Utilization Review SpecialistJob Description The Behavioral Health Utilization Review Specialist conducts comprehensive utilization ... review with hospitals and mental health centers. The specialist is responsible for planning discharges and aftercare, and...LMHC). + Minimum of two years of experience in utilization review /case management. + At least one… more
- Catholic Health Initiatives (Omaha, NE)
- **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a rewarding opportunity to impact patient care and optimize ... patients. **This position offers the flexibility to work remotely with proven Utilization Review experience.** Medical Coding experience is a plus! As our … more
Recent Jobs
-
Associate Director, Clinical Supply Project Manager - Program (Hybrid)
- Merck & Co. (Rahway, NJ)
-
Associate Principal Scientist, Biology-Discovery
- Merck & Co. (Boston, MA)
-
Associate Director, Biologics Operations Upstream & Downstream, Biopharmaceutical Development
- Eisai, Inc (Exton, PA)
-
Scientist, Statistical Programming
- Merck & Co. (Rahway, NJ)
Related Job Searches:
Nurse Specialist Utilization Review,
Physician Utilization Review Specialist,
Review,
Review Specialist,
Specialist,
Utilization,
Utilization Review,
Utilization Review Specialist Behavioral,
Utilization Review Specialist RN,
Utilization Review Specialist Senior