Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Advanced Utilization Review Specialist

Chesapeake Regional Healthcare

Chesapeake Regional Healthcare seeks a dedicated Utilization Review Specialist to support the organization’s utilization management program in Virginia. You will conduct admission, concurrent, and retrospective reviews following established criteria and document clinical information to support medical necessity determinations. Complex cases are referred to an RN Utilization Review for evaluation; you will assist with payer authorizations, maintain records, and participate in quality-improvement #J-18808-Ljbffr Chesapeake Regional Healthcare

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Advanced Utilization Review Specialist in Chesapeake, VA vacancy
  • Summary The Utilization Review Specialist supports the organization’s utilization management program by conducting routine admission, concurrent, and retrospective reviews utilizing established screening criteria and organizational guidelines. This position collects, reviews... 
    Suggested

    Chesapeake Regional Healthcare

    Chesapeake, VA
    1 day ago
  • $37 - $45 per hour

     ...to optimize performance. Familiar with reviewing Piping and Instrumentation Diagram (P&ID...  ...communication and interpersonal skills.Advanced mechanical skills and aptitude....  ...ability to work independently.Basic PC utilization skills required in Microsoft Office.Perform... 
    Suggested
    Hourly pay
    Full time
    Work at office
    Remote work

    Alfa Laval

    Chesapeake, VA
    1 day ago
  • $17 - $23 per hour

     ...Innovation/Utility Specialist Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our benefits, see below! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control and other services... 
    Suggested
    Hourly pay
    Full time
    Part time
    Local area
    Immediate start
    Monday to Friday

    Bug Out Service, LLC

    Chesapeake, VA
    4 days ago
  •  ...Immunization Specialist Territory: Covers Virginia Beach, Newport...  ...to contract execution and utilization, providing actionable feedback...  ...Participate in business reviews and team huddles to assess progress...  ...Key Skills/Competencies: Advanced business acumen and... 
    Suggested
    Contract work
    Seasonal work
    Work at office
    Local area
    Shift work
    Night shift

    GSK

    Norfolk, VA
    5 days ago
  • $17 - $18.15 per hour

     ...Comprehensive Benefits Career Advancement This position pays...  ...for the next Patient Access Specialist champion. This role is responsible...  ...physician orders, and utilizing an overlay tool while providing...  ...for future services. Reviews eligibility responses in insurance... 
    Suggested
    Work at office
    Local area
    Remote work

    Ensemble Health Partners

    Portsmouth, VA
    22 hours ago
  • $17 - $18.15 per hour

     ...Patient Access Specialist Ensemble is a leading provider of technology...  ...Benefits Career Advancement This position pays between...  ...processing physician orders, and utilizing an overlay tool while...  ...implemented for future services. Reviews eligibility responses in... 
    Work at office
    Local area
    Remote work

    Ensemble Health Partners

    Portsmouth, VA
    22 hours ago
  •  ...(Days)Overview:The Senior Compensation Specialist serves as a strategic and consultative partner...  ...leadership, responsible for delivering advanced compensation analysis and guidance...  ...job evaluations, and organizational pay reviews, providing expert recommendations on compensation... 
    Temporary work
    Remote work
    Shift work

    Sentara Healthcare

    Norfolk, VA
    23 hours ago
  •  ...Nights) Overview: Sentara Norfolk General Hospital is hiring an Advanced Imaging Tech for the heart hospital. This is a Full-time, 40...  ...3D software platforms and intraoperative navigational systems. Utilizes the radiology information system to complete department documentation... 
    Full time
    Temporary work
    Remote work
    Shift work
    Night shift

    Sentara Health Plans

    Norfolk, VA
    3 days ago
  •  ...a Senior Industrial Security Specialist, you will provide senior-level...  ...Office mission. Bring your advanced industrial security experience...  ...and support mission execution.Review security files, trackers,...  ...preferred.Active TS/SCI clearance utilized within the last two years... 
    Contract work
    For contractors
    Work at office
    Immediate start
    Monday to Friday

    Serco North America

    Norfolk, VA
    1 day ago
  • $68.04k - $90.15k

     ...Working Title of Vacant Position Forensic Specialist Supervisor Job Type Job Type Full Time...  ...storage of physical evidence; provides advanced technical guidance at crime scenes and...  ...assurance and quality control, including review of reports, case files, photographs, evidence... 
    Full time
    Temporary work
    Work at office
    Local area
    Monday to Friday

    City of Chesapeake Virginia

    Chesapeake, VA
    4 days ago
  •  ...inspection team led by a higher-graded specialist and assist in the planning of and/or conduct...  ...working conditions is predictable in advance. Researches and studies records and files...  ...employees, and employee representatives reviewing hazards or unsafe working conditions.... 

    Department of Labor

    Norfolk, VA
    2 days ago
  •  ...Contact Center Specialist Onsite | Norfolk, VA To apply, please go to Professionalism...  ...via phone and email. Receive and review data submitted by customers to confirm professional...  ...with Subject Matter Experts. Acquire advanced knowledge of U.S. Coast Guard... 
    Temporary work
    Work at office

    MediaCross

    Norfolk, VA
    2 hours ago
  • $128.06 per hour

     ...Job Description ~ The Disaster Program Delivery Specialist: • Collects, coordinates and/or reviews applicant data to determine eligibility and priority...  ...documents through FEMA’s Consolidated Resource Centers utilizing a web-based tool, schedules site inspections with... 
    Work experience placement
    H1b
    Immediate start
    Flexible hours

    CDM Smith

    Norfolk, VA
    4 days ago
  • $18 per hour

     ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing...  ...assigned store/multiple stores. They utilize tools to minimize loss to the Company, including...  ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the... 
    Local area

    Home Depot

    Norfolk, VA
    4 days ago
  • $60k - $130k

     ...people come first! Personnel Vetting (PV) Specialist In this role you will be part of a...  ...incomplete, or ambiguous application data. Utilize personnel vetting systems including e-QIP...  ...analytical skills, including the ability to review complex or ambiguous data and produce... 
    Hourly pay
    Contract work
    For contractors
    Work experience placement
    Work at office
    Local area

    Watermark Risk Management International, LLC

    Chesapeake, VA
    4 days ago
  • The Senior Compensation Specialist serves as a strategic and consultative partner to HR and...  ...leadership, responsible for delivering advanced compensation analysis and guidance across...  ...job evaluations, and organizational pay reviews, providing expert recommendations on compensation... 

    Sentara Healthcare Inc

    Norfolk, VA
    2 days ago
  •  ...LTL & Truckload Specialist Long Beach, CA, San Fransisco, CA, Dayton, NJ, Norfolk, VA...  ...underperformers, and bring repricing and carrier-utilization ideas to the Director. Protect the...  ...onboarding steps (W-9, FMCSA and safety review, system setup) cleanly. Cross-functional... 
    Daily paid
    Local area

    Cargomatic

    Norfolk, VA
    3 days ago
  •  ...fast‑growing company, there are new opportunities for growth and advancement around every corner. We seek out competent individuals that...  ...maintenance, gas cards, and toll coverage for technicians. Performance Review Period Seasonal review - the review period ends at the close... 
    Summer work
    Seasonal work
    Flexible hours

    Insight Pest Solutions LLC

    Norfolk, VA
    2 days ago
  • $72k - $77k

     ...individuals to help us grow in the rapidly expanding utility industry. Since 2003, we've led the way in advanced field services and solutions, empowering...  ...present and protecting the future.Summary:The Safety Specialist is responsible for supporting the development, implementation... 
    Contract work
    Work at office
    Local area
    Monday to Friday

    Hydromax-US

    Chesapeake, VA
    5 days ago
  • A healthcare staffing agency in Virginia is looking for an experienced MRI Technologist to operate advanced imaging equipment and ensure patient safety. The role involves following complex protocols, managing patient records, and providing quality care services. Ideal... 

    Medical Staffing Solutions, USA

    Portsmouth, VA
    2 days ago
  •  ...Collection CoordinatorThe Department of Utilities is seeking qualified candidates for a Collection...  .../or payment arrangements.Prepares and reviews various reports to complete balance...  ...awarded upon satisfactory completion of advanced study or training. Two years experience... 
    Monday to Friday
    Night shift

    City of Norfolk, VA

    Norfolk, VA
    3 days ago
  • $17 - $25 per hour

     .... Maintains a safe shopping environment. Maintains exit areas. Reviews member receipts. Acknowledges the member and identifies member...  ...opportunities Training, leadership programs, and clear paths to advance That's just the beginning. We offer more perks specificto your... 
    Hourly pay
    Minimum wage
    Full time
    Temporary work
    Part time
    Work at office

    Disabledperson, Inc

    Chesapeake, VA
    2 days ago
  •  ...imaging experts committed to delivering unparalleled care. You will utilize cutting-edge ultrasound technology to conduct diagnostic...  ...within the electronic medical system Keep abreast of the latest advancements in ultrasound imaging technologies and methodologies... 
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    MLee Medical Employment

    Norfolk, VA
    3 days ago
  • $28.85 - $38.46 per hour

     ...construction, our capabilities include advanced ship repair, conversion, and maintenance...  ...skills. Demonstrated knowledge and utilization of Production processes, Methods and Technology...  ...# PRINCIPAL RESPONSIBILITIES Review the work items to determine what tests... 
    Contract work
    For contractors
    Casual work
    Work at office
    Local area
    Remote work
    Trial period
    Flexible hours
    Shift work
    Afternoon shift

    General Dynamics Land Systems

    Norfolk, VA
    1 day ago
  • $103.7k - $162.1k

     ...(NPL) Markets using data analytic tools.Advanced in report building and Cash flow Model Development...  ...-solving skills using data analysis and utilizing excel or other statistical packages....  ....Present valuation at a technical review and able to defend valuation decisions with... 
    Full time
    Work experience placement
    Local area
    Work visa

    PRA Group

    Norfolk, VA
    4 days ago
  •  ...construction, our capabilities include advanced ship repair, conversion, and maintenance...  ...ship repair.• Demonstrated knowledge and utilization of production processes, methods, quality...  ...skill set and maximize performance.• Reviews schedule for planning work and communicate... 
    Local area
    All shifts
    Shift work

    NASSCO

    Norfolk, VA
    17 hours ago
  •  ...dedicated and skilled Sonographic Imaging Technologist to join our expanding team committed to providing exceptional care. Utilizing advanced ultrasound technology, you will perform vital diagnostic procedures, collaborate with a compassionate team of healthcare professionals... 
    Work at office
    Local area
    Flexible hours
    Weekend work
    Day shift
    Afternoon shift

    MLee Medical Employment

    Norfolk, VA
    2 days ago
  •  ...supportive words during challenging times, your role is vital and well-valued here. Your Responsibilities Will Include Utilize advanced radiographic and CT methods to secure precise diagnostic images for physician assessment Collaborate closely with... 
    Flexible hours
    Weekend work
    Afternoon shift

    MLee Medical Employment

    Norfolk, VA
    2 days ago
  •  ...accredited program Encouragement for ongoing education and advanced certifications Licenses and Certifications Current Occupational...  ...Access to mentorship and career enhancement resources Utilization of cutting-edge tools, facilities, and documentation systems... 
    Full time
    Local area
    Flexible hours
    Weekend work

    MLee Medical Employment

    Chesapeake, VA
    3 days ago
  •  ...About the Role:Leidos is seeking an Active Directory/Exchange Specialist Mid to support efforts for the NMCI/SMIT program to perform network...  ...Excellent verbal and written communication skills are a must.•Utilize internal systems to report incidents to leadership.•Take... 
    Full time
    Shift work

    Leidos

    Norfolk, VA
    22 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Advanced Utilization Review Specialist. Be the first to apply!