- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital… more
- Spectrum Billing Solutions (Skokie, IL)
- …to add a Utilization Review ( UR ) Specialist to our growing team. The UR Specialist will utilize his or her knowledge and skills to review clinical ... office/home hybrid position. Responsibilities include: + Review patient admission and clinical information to ensure medical necessity and compliance of utilization… more
- Baylor Scott & White Health (Dallas, TX)
- …and/or level **Job Summary** The Utilization Review ( UR ) Support Specialist performs administrative duties to support clinical operations. Timely processing ... all hospitals. + Reviews and triages payor correspondence for approval, denials, clinical requests, and peer-to-peers. Escalates other payor requests for clinical… more
- BriteLife Recovery (Englewood, NJ)
- … clinical information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical ... What you will be doing? The Utilization Review ( UR ) Specialist is a critical member...for the organization. Success in this role requires strong clinical judgment, documentation skills, familiarity with ASAM criteria, and… more
- University of Rochester (Rochester, NY)
- …AND ABILITIES** + Demonstrated proficiency and competent performance of required tasks of Clinical Nutrition Specialist I **LICENSES AND CERTIFICATIONS** + RD - ... Hours: 20 Department: 500061 Nutritional Support Services Work Shift: UR - Day (United States of America) Range: ...residents, NP's, and Fellows on requested topics. Demonstrates advanced clinical skills and knowledge in area of expertise related… more
- University of Rochester (Rochester, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States of America) Range: UR URC 217 Compensation ... and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: Provisions comprehensive clinical pharmacy services related to their area of practice to… more
- University of Rochester (Rochester, NY)
- …Part time Scheduled Weekly Hours: 20 Department: 500061 Nutritional Support Services Work Shift: UR - Day (United States of America) Range: UR URCB 212 ... and Fellows on Parenteral and Enteral Nutrition. Demonstrates advanced clinical skills and knowledge base and mentors Clinical... clinical skills and knowledge base and mentors Clinical Dietitians. Serves as clinical preceptor to… more
- University of Rochester (Rochester, NY)
- …to the UR Support Operations Department. Band Three: Operations Support Specialist Lead- In addition to the responsibilities of an Operations Support ... Diem Scheduled Weekly Hours: As Scheduled Department: 100108 Support Operations-Fac & Svcs Work Shift: UR - Day (United States of America) Range: UR URG 102 H… more
- University of Rochester (Rochester, NY)
- …Part time Scheduled Weekly Hours: 20 Department: 400058 Medicine M&D-Nephrology Div Work Shift: UR - Day (United States of America) Range: UR URG 108 ... of Rochester is seeking a part-time (20 hours/week) Human Subject Research Specialist , Level II, to coordinate human subject research activities. The division of… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …level of care, length of stay, authorizations and denials for patients. The UR Specialist is responsible for contacting external case managers/managed care ... insurance company's requirements for continued stay and discharge planning. The UR Specialist is responsible for having a thorough understanding of the patient's… more