Clinical Utilization Review Specialist
Alsana
Alsana is a national leader in eating disorder treatment, offering a holistic, soul-hearted approach to recovery for adults and adolescents of all genders.
As a Utilization Review Specialist, you will support utilization management, including medical necessity reviews, clinical documentation, and patient status determination, collaborating with clinical teams and leadership to ensure appropriate levels of care and regulator compliance.
#J-18808-Ljbffr$38 - $41 per hour
...Utilization Clinical Reviewer - Remote | WFH job at Get It - Healthcare. Los Angeles, CA. Job Summary As a Utilization Clinical Reviewer, you will use your expertise to assess medical records and ensure the appropriate use of psychiatric inpatient care. With your critical...SuggestedHourly payFull timeRemote workWork from homeFlexible hours- ...Utilization SpecialistKheir's mission is to increase and provide access to culturally... ...California.Assignment SummaryThe Utilization Specialist at Kheir Clinic plays a critical role in ensuring... ...all departments meet their targets.• Review scheduling reports and data analytics...SuggestedLocal area
$72.8k - $130k
.... Primary Responsibilities: Provides expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical... ...for improvement and successes Ensures effective utilization of Optum® CDI 3D Technology to document all clarification...SuggestedMinimum wageFull timeWork experience placementLocal area$60.2k - $107.4k
...Optum Clinical Documentation Improvement Specialist Optum is a global organization that delivers care, aided by... ...concurrent and retrospective chart reviews for improving the overall... ...CDI current trends Effectively utilizes ICD-10 and related materials to investigate...SuggestedRemote jobMinimum wageFull timeWork experience placementLocal area- UnitedHealth Group is seeking a CDI-focused professional to perform concurrent and retrospective chart reviews, ensuring complete and accurate clinical documentation and compliance with Medicare rules. You will guide documentation improvement and communicate findings to...SuggestedRemote job
$250k - $325k
...OB/GYN Pelvic Pain Specialist - HS Assistant, Associate or Clinical Professor Position overview: Position title: HS Assistant, Associate or Clinical... ...Application Window: Open date: April 7, 2026 Most recent review date: Thursday, May 7, 2026 at 11:59pm (Pacific Time)...Traineeship- ...Clinical Nurse Reviewer As one of the fastest growing Independent Physician Associations in Southern California, our organization offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people...Work experience placementFlexible hours
- ...are seeking dedicated and mission-driven Clinical Physician Assistants (PAs) to support... ...Quality Performance & Risk Adjustment Utilize evidence-based guidelines and MSO documentation... ...clinical documentation audits and chart reviews to improve diagnosis recapture and...Afternoon shift
$26 - $41.28 per hour
...Departmental Specific Summary The Project Specialist will provide both administrative and... ...and appropriate, while working with the clinic managers and Regional operations Director... ...regarding all IT Training and systems. Reviews and prioritizes all incoming correspondence...Hourly payFull timeFor contractorsWork experience placementLocal area- UnitedHealth Group seeks a Clinical Documentation Improvement Specialist to review inpatient records within 24-48 hours, identify documentation gaps, and coordinate with physicians to ensure accurate coding and severity reflection. The role involves ongoing provider education...
$21.49 per hour
...in South Pasadena, CA is seeking a Pre-Authorization Specialist I for a 3-month contract with a potential direct offer. The role pays $21.49/hour and involves reviewing authorization requests, performing utilization management, and supporting providers in efficient service...Contract work- ...Company, highly skilled and knowledgeable Constructability Review Specialist to provide advanced field oversight and quality assurance for... ...service influenced by modern technology to positively impact the utilities, telecom, and construction industries. Think Power Solutions...Full timeTemporary workInterim roleRemote work
- ...Clinical Documentation Specialist The Clinical Documentation Specialist works independently and is responsible... ...for performing clinical chart reviews and pre-charting on risk adjustable... ...reflects the true acuity of the patient. Utilizes HCC analytics information to target...Work at office
- Certified Coding Specialist- AZ- Clinic Finance Job Category : Staff Requisition Number : CERTI004157 Apply now Posted : August 29, 2025 Full... ...of Patient Accounts. Essential Duties and Responsibilities: Reviews coding used for Multispecialty Clinics and Eye Institute to...Full timeTemporary workLocal areaFlexible hours
- ...Summary and Responsibilities As our Clinical Lab Scientist, you will be a critical... ...Performs approved laboratory procedures utilizing a diverse variety of laboratory techniques... ...information and instrument systems, Documentation review and compliance checking, Compliance with...Internship
$55 - $68 per hour
...Clinical Laboratory Scientist (CLS) Kaiser Permanente | Harbor City Medical Center |... ...team of healthcare professionals while utilizing advanced instrumentation to support a diverse... ..., you acknowledge and agree that your application may be reviewed using AI tools....Hourly payContract workTemporary workShift work- ...Clinical Laboratory Scientist Per Diem Night ShiftThe Clinical Laboratory Scientist is responsible... ...and procedures and documents their review.Ensure all daily Quality controls (QC) (... ...:Treats everyone as their customer; utilizes scripting and other tools to ensure consistency...Daily paidShift workNight shift
$22.88 - $38.9 per hour
...surgeries as appropriate in the assigned unit/clinic. He/She closely monitors patients... ...arrangements for any special equipment as needed. Reviews and codes charge slips for patient care... ...duties as assigned. Essential Duties Utilizes courtesy, compassion, kindness and...Hourly payFull timeWork experience placementWork at officeLocal area- ...this culturally diverse city.Job Summary:Reviews, evaluates and assesses medical records... ...the overall quality and completeness of clinical documentation of the patient medical record... ...:Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement...Work experience placementWork at officeLocal area
- ...Job Summary This associate clinical social worker will provide mental health... ...Facilitates and participates in chart reviews and audits of behavioral health clinicians... ...facilitates outreach initiatives Proactively utilize clinical supervision and/or peer consultation...Temporary workWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shift
$23 - $25 per hour
...process. Behavior Intervention Specialist Full time Los Angeles, CA, US... ...Specialist (BIS) utilize a behavior analysis method to... ...conducting functional assessments. Review, document and review progress... ...timeliness and organizational skills. Clinical expertise in crisis...Hourly payFull timeInternship- ...testing of all complexities as defined by Clinical Laboratory Improvement Act/Amendment (... ...laboratory department, without immediate review by the director, consultant, or... ...methodologies used, appropriateness of test utilization and interpretation of patient results. Instructs...Daily paidLocal areaImmediate startShift workNight shiftWeekend work
$132.8k - $185.93k
...year-over-year revenue growth, the opportunities to make your mark are limitless!We are currently hiring for a Constructability Review Specialist located in the Los Angeles, CA area. This opportunity will have you working within our education project construction sector....Full timeInterim roleCurrently hiringLocal area$47.97 - $104.75 per hour
...more at UCLA Health. You will become a member of our highly successful Clinical Documentation Integrity and Denial Management team, including all modalities. This role involves daily review of high-acuity patient records to identify potential and active payer denials...Hourly payMonday to Friday$84.37k - $130k
The Senior Analyst of Clinical Operations Business Intelligence (COBI) leads knowledge management... ...implementations. Lead, mentor, and review team deliverables to ensure high-quality... ...and/or entry processes. Recommends, utilizes and enhances methods and procedures for...Full timeWork experience placementWork at officeLocal area1 day per week$191k - $210k
...Constructability Review Specialist (General) Cordoba Corporation is a leading engineering and design firm based in California. We are seeking a Constructability Review Specialist (General) to join our Facilities Sector. The ideal candidate will review, comment, and...Full timeContract workInterim roleFlexible hours- ...Constructability Review Specialist The Greenridge Group is a prime contractor and consulting firm specializing in Project and Construction Management for major public-sector agencies. We are seeking an experienced Constructability Review Specialist to support LAUSD...For contractorsInterim role
$20.51 - $28.85 per hour
...support students by providing a thorough review of program and expectations throughout... ...~ Addresses student concerns by utilizing interpersonal and problem solving skills... ...partner relationships. ~ Facilitates clinical affiliation agreements and other types of...Work at officeWorldwideFlexible hoursAfternoon shift- ...psychologist, and other allied specialists to implement positive... ...community visits with caregivers to review program effectiveness.... ...progress. Provide coaching and clinical support. Review data and reports... ...Prevention/CPI training, utilize all aspects of this training...Part timeWork at officeFlexible hoursDay shiftAfternoon shift
- Title of Position: Clinical Quality Analyst -DMH Inpatient Programs Location: Gateways... ...Clinical Quality Analyst is responsible for reviewing, analyzing, and interpreting... ...Review, analyze, and interpret clinical, utilization, and safety data (e.g., patient records...
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