• Utilization Review Specialist

    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
    Sutter Health (10/22/25)
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  • Behavioral Health Utilization

    Common Ground (Flint, MI)
    Exciting Career Opportunity! The Behavioral Health Utilization Management (UM) Specialist is responsible for reviewing and evaluating mental health and ... Disabilities Professional (QIDP) defined by the State of Michigan + Certified Utilization Review Professional (URAC), CCM, or similar preferred. Active Michigan… more
    Common Ground (10/17/25)
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  • Temporary Behavioral Health…

    CDPHP (Latham, NY)
    …these values and invites you to be a part of that experience. The BH Utilization Specialist is responsible for coordination of care for CDPHP members across the ... and focused on helping members who are hospitalized with behavioral health needs. This includes members admitted to psychiatric...an acute or subacute level of care. The BH Utilization Specialist will conduct telephonic care coordination… more
    CDPHP (10/16/25)
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  • ABA Utilization Review (UR)…

    Spectrum Billing Solutions (Skokie, IL)
    …billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management ... | UR Specialist | Revenue Cycle Utilization Review Specialist | ABA...Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist more
    Spectrum Billing Solutions (09/01/25)
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  • Utilization Review Specialist

    Devereux Advanced Behavioral Health (Malvern, PA)
    …YES, then consider joining our Devereux Advanced Behavioral Health team! Being a Utilization Review Specialist at Devereux has its Advantages! You will ... Children Behavioral Health Center (DCBHC) is currently seeking a Utilization Review Specialist to work at their acute psychiatric inpatient hospital… more
    Devereux Advanced Behavioral Health (10/21/25)
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  • Utilization Review Specialist

    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
    BriteLife Recovery (10/04/25)
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  • Utilization Review Specialist

    Westborough Behavioral Healthcare Hospital (Westborough, MA)
    …for a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the ... Who Are We: Westborough Behavioral Healthcare Hospital (WBHH) provides psychiatric stabilization and...hospital's utilization review plan to ensure the effective… more
    Westborough Behavioral Healthcare Hospital (10/14/25)
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  • Utilization Management Specialist

    CareFirst (Baltimore, MD)
    …Qualifications** **PURPOSE:** Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent ... and benefit coverage. Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist , will analyze clinical information,… more
    CareFirst (10/22/25)
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  • Behavioral Health Specialist - Part…

    Stony Brook University (Stony Brook, NY)
    Behavioral Health Specialist - Part Time **Position Summary** At Stony Brook Medicine, our ** Behavioral Health Specialist ** : + Orients patients to ... position responsibilities and in accordance with state agency regulations. **Duties of a Behavioral Health Specialist may include the following but are not… more
    Stony Brook University (10/10/25)
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  • Behavioral Health Specialist

    Granville Health System (Oxford, NC)
    …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; developing, ... level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients who… more
    Granville Health System (10/13/25)
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