- Henry Ford Health System (Warren, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution ... well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social,… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the ... the Utilization Review Nurse and Utilization Review Specialist Nurse job...of complex problems and issues. Serves as an escalation support for novice staff. Implements and leads to initiatives… 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
- Trinity Health (Maywood, IL)
- …is Loyola campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …answered YES, then consider joining our Devereux Advanced Behavioral Health team! Being a Utilization Review Specialist at Devereux has its Advantages! You ... Children Behavioral Health Center (DCBHC) is currently seeking a Utilization Review Specialist to work...the broad child welfare system, juvenile probation and other support systems + Opportunities for professional development + ASCEND-… more
- Vanderbilt University Medical Center (Tullahoma, TN)
- …moderate difficulty. + Clinical Applications Systems (Novice): Possesses fundamental proficiency in utilization review systems, clinical support systems and ... business support applications as needed + Utilization Review (Intermediate): Demonstrates expertise of utilization review in practical applications… more
- Trinity Health (Fresno, CA)
- …**Description:** Summary: This position is responsible for coordinating administrative/clerical support to department staff to ensure smooth and efficient ... departmental operations. Requirements: 1. High school diploma or equivalent is required. 2. Two (2) years secretarial/administrative experience in a medical setting is required. 3. Knowledge of medical terminology, excellent organizational skills, ability to… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
- Commonwealth Care Alliance (Boston, MA)
- … Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... Knowledge, Skills & Abilities (must have): * Expertise in managing utilization review processes including prior authorization, concurrent and retrospective… more
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