- 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
- 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
- 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
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a RN Admissions/ Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The salary range ... of psychiatric diagnostics. + Preferred: Third party reimbursement knowledge. + Preferred: Utilization Review experience, someone who can talk to providers.… more
- 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
- WellSpan Health (Chambersburg, PA)
- …and efficiently. + Identifies system/organizational processes which may affect effective utilization of resources, timely scheduling of tests, appropriate level of ... Thoroughly and accurately documents actions/communication surrounding discharge planning and/or utilization management in the medical record. + (BHU Only)… more
- UnityPoint Health (Cedar Rapids, IA)
- …ID: 174223 Overview This position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient ... clinical outcomes and patient and provider satisfaction. The UM Specialist provides the Utilization Management function for...State of Iowa Licensed RN + Two years of behavioral health work experience. + Professional communication - written… more
- CVS Health (Oklahoma City, OK)
- …and timely discharge, appropriate follow-up care, and next steps. + Coordinate with the Utilization Management team to review medical and payer records to ensure ... to identify and address patient needs (eg care team, social work, behavioral health, utilization management, Hard-to-Reach, Central Telehealth, etc.). +… more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to assure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management,… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …field of expertise. We are looking for an Instructor to teach in the Behavioral Health Support Specialist Program Certificate. This course will be offered in ... Communication Strategies in Behavioral Health Care Instructor - UCLA Extension Apply...quarterly Application Window Open date: December 5, 2025 Next review date: Monday, Dec 8, 2025 at 11:59pm (Pacific… more