- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review ( UR ) Specialist to our growing team. ... The UR Specialist will utilize his or her knowledge and skills...clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and… more
- Emory Healthcare/Emory University (Duluth, GA)
- …+ Ongoing mentorship, _development,_ and leadership programs + And more **Description** The Utilization Review ( UR ) Specialist is responsible for ... the attending physician and/or physician advisor. + The UR Specialist will perform utilization review by completing a timely and comprehensive review… more
- Parkview Health (Fort Wayne, IN)
- …installing systems to obtain precertification and recertification for payment and utilization review . Attends treatment planning to advise regarding ... assurance experience preferred. Other Qualifications Application of and use of review criteria related to clinical evaluation of appropriate levels of psychiatric… more
- Community Health Systems (Franklin, TN)
- …to secure timely authorizations and reduce potential denials, utilizing input from the Utilization Review Clinical Specialist . + Monitors and updates case ... **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical ... level of care, length of stay, authorizations and denials for patients. The UR Specialist is responsible for contacting external case managers/managed care… more
- HonorHealth (Scottsdale, 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
- University of Rochester (Rochester, NY)
- …any investigations and corrective action plans as it relates to HazD handling and utilization within the health system. Documents the review of the quality ... 40 Department: 100124 Environmental Health & Safety Work Shift: UR - Day (United States of America) Range: ...UR - Day (United States of America) Range: UR URG 111 Compensation Range: $63,815.00 - $95,723.00 _The… more