- Sanford Health (SD)
- …Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to ... utilization and potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality of care for… more
- Geisinger (Danville, PA)
- …rewarding, lasting career with impact. Job Duties The RN Clinical Access Specialist performs initial, concurrent and retrospective medical record review to determine ... alternatives and assists in ensuring documentation integrity. + Enters utilization review data into database for tracking and trending...transition to next level of care or discharge to home . Work is typically performed in a clinical and… more
- Amity Foundation (Tucson, AZ)
- …individual is responsible for performing a variety of concurrent and retrospective utilization management -related reviews and functions and for ensuring that ... building. Remembrance, Resolution, Reconciliation, Restoration, Renewal Job Summary: As the Utilization Review Specialist , you will contribute to the… more
- Spectrum Billing Solutions (Skokie, IL)
- …cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR Specialist ... in a cohesive and rewarding environment. This is a remote or office/ home hybrid position. Responsibilities include: + Review patient admission and clinical… more
- Intermountain Health (Las Vegas, NV)
- …interacts with MG clinicians, Affiliate Network PCPs and Specialists in the community, utilization management , care management , claims, network management ... finance. As the Medical Director for Utilization Management , you are responsible, in partnership with MG Clinical... Initiatives here. Co-manage several on-going work groups with Specialist groups in Las Vegas to further the causes… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Behavioral Health Utilization Review Specialist ? At Parallon, you come first. HCA Healthcare has committed ... difference. We are looking for a dedicated Behavioral Health Utilization Review Specialist like you to be...behavioral health experience required + 1-3 years relevant case management / utilization review experience preferred +… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current employer? We ... Do you want to work as a Behavioral Health Utilization Review Specialist where your passion for...health experience required + 1- 3 years relevant case management / utilization review experience preferred +… more
- Catholic Health Initiatives (Omaha, NE)
- …healthcare delivery system. **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a rewarding opportunity to ... clinics, care sites and 137 hospital-based locations, in addition to its home -based services and virtual care offerings. CommonSpirit has more than 157,000… more
- State of Massachusetts (Boston, MA)
- *_Executive Office of Housing and Livable Communities (EOHLC) is seeking a Facilities Management Specialist in the Division of Public Housing & Rental ... residents and reducing and preventing homelessness. *_OVERVIEW:_* The Facilities Management Specialist (FMS) providestechnicalassistance,performance-basedmonitoringoversight,andserveasprimaryEOHLCpointof contact on maintenance… more
- Commonwealth of Pennsylvania (PA)
- Real Estate Specialist , Property Management Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4909439) Apply Real Estate Specialist , ... seeking a qualified candidate to fill a Real Estate Specialist vacancy! Our team's plans for the disposition for...vacancy! Our team's plans for the disposition for the utilization of departmental property lay the groundwork for PennDOT's… more