Utilization Review Coordinator - Behavioral Health - PRN
Universal Hospital Services
Utilization Review Coordinator Per Diem Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services to optimize reimbursement. Coastal Harbor Health System is comprised of a 114-bed hospital for children and adolescents, providing both short- and long-term inpatient care, and a 50-bed inpatient hospital serving men and women ages 18 and up. We offer compassionate patient care to those who need it the most, serving not only local patients, but also those located across the country. Our hospitals are conveniently located in beautiful, historic Savannah, GA in a quiet setting that provides unparalleled anonymity and privacy, enabling patients to concentrate on treatment. Job Duties/Responsibilities Perform the utilization and review process, for continued stay, in an appropriate and timely manner. Maintain appropriate records of the review process for the purpose of preparing and submitting appeals to third party payors. Respect the confidentiality of patient and employee information. Maintain appropriate records of the review process for the purpose of preparing and submitting appeals to third party payors. Supervise the reception of requests for information from medical records of patients in person, by mail or phone, from various sources from the community at large, and assures that authorizations are properly executed (according to HIPAA guidelines, federal, and state laws) for these requests for client information. Perform other duties related to the department as necessity dictates. Benefit Highlights Challenging and rewarding work environment Competitive compensation, Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(k) with company match and discounted stock plan About Universal Health Services Qualifications Possess a degree in nursing, psychology, or other appropriate/related field. Masters degree required; Licensed or Licensed eligible; One to Two years related experience and/or training preferred. Must have some management experience with a demonstrated leadership ability and skills to write reports and communicate effectively. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. #J-18808-Ljbffr
$20 - $30 per hour
...Overview Guidelight Health is a cutting-edge behavioral healthcare company dedicated... ...delivering exceptional care, utilizing state-of-the-art... ...Responsibilities Utilization Review on Behalf of the Clinics:... ...primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review...SuggestedRemote work- Empower. Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through... ...members and providers. Position Overview: The Behavioral Health Utilization Management (BH UM) Care Coordinator provides comprehensive service and support to...SuggestedWork at officeShift work
$32.8 per hour
...Job Summary The Utilization Review Coordinator is responsible for securing and maintaining payer authorizations for behavioral health services, ensuring medical necessity, appropriate level of care placement, and reimbursement optimization. This role serves as the liaison...SuggestedHourly payFull timeMonday to FridayFlexible hours- ...organization in Georgia is seeking a dedicated professional to ensure that admitted patients receive the appropriate level of behavioral health services. This role entails monitoring patient care to ensure they meet medical necessity standards and that payors have the necessary...Suggested
$17.44 per hour
The State-of-Oklahoma is looking for a Utilization Review Specialist I at the Tulsa Center for Behavioral Health. This full-time position involves reviewing clinical... ...ensuring appropriateness of admissions, and coordinating service authorizations. Ideal candidates will...SuggestedHourly payFull time- ...A healthcare provider in Savannah, GA is seeking a Per Diem Utilization Review Coordinator. The role involves coordinating Utilization Review functions, ensuring timely and appropriate processes, and maintaining confidentiality. Candidates must possess a Master's degree...Daily paid
$19 per hour
...The UM Coordinator assists and supports the clinical team (UM Nurses/... ...tasks related to processing Utilization Management prior authorization... ...faxes Enter UM authorizations review requests in UM platform using... ...Quarterly company-sponsored events Health and wellness programsCareer...Temporary workLocal areaRemote work$77.96k - $120.37k
Santa Barbara Cottage Hospital is seeking a Utilization Review Supervisor RN to direct operations within the department. This remote role requires a leader adept in managing a team, ensuring service quality, and handling human resources matters. The ideal candidate will...Remote job- ...Nurse Manager/Clinical Coordinator. The Registered Nurse... ...Service, Teamwork, Resource Utilization, And Staff And Self... ...In Performance Review. # Performs Other Duties... ...standards of professional behavior. Nursing practice is... .... Comprehensive health, dental, and vision insurance...Temporary workFlexible hours
- ...person achieve optimal health and well-being by... ...we do - always.Genesis Behavioral Health offers:Crisis Prevention... ...shiftVaried PRN shiftAll schedules available... ...and caring manner. Coordinates care planning with other... .../sheets daily2. Utilizes historic and current data...ReliefFull timeRelocation packageShift work
- ## RN PRN Night Shift Behavioral HealthApplylocations: LaGrange, KYtime type: Part timeposted on: Posted... ...: R25091503**Summary**RN Behavioral Health. Nights. PRN**Job Description:****RN,... ...and structured environment. The unit utilizes an interdisciplinary team approach to...ReliefWork experience placementLocal areaShift workNight shift
$36.29 - $39.29 per hour
...Behavioral Health Therapist Department: FQHC Therapy Employment Type: Full Time Location: Sullivan... ...meetings and collaborate on integrated care Utilize DSM-5 criteria for diagnosis and... ...training) Option for additional income through PRN roles or supervision stipends Schedule...ReliefFull timeWork experience placementMonday to FridayShift workNight shift- PRN, Day Shift Your experience matters At Highland Springs,... ...this position also offers: Health (Medical, Dental, Vision) and... ...team including physicians, utilization review and nursing staff members Demonstrates... ...skills Assists care coordination department as requested...ReliefFull timeLocal areaDay shift
- Job Title PRN External Licensure Supervisor... ...counseling utilizing his/her experience... ...understanding of mental health and to enhance... ...Provides and/or coordinates a comprehensive follow... ...responsible. Regularly review and monitor... ...mission to evolve the behavioral health industry to...ReliefFull timeLocal areaShift work
$12.77 - $14.63 per hour
Monitor Technician | Behav. Health Unit Schedule: Evenings | 3 pm... ...Performs continual surveillance of behavioral health unit monitors and... ...‑harm. Reports incidents, utilizes nursing staff for concerns, discusses... ...options for part‑time and PRN employees, and more....ReliefHourly payTemporary workPart timeLocal areaAfternoon shift- ...act as a resource person to manage and utilize personnel in an effective and appropriate... ...cultural organization. Qualifications Skills Behaviors Motivations Education Experience... ...employment laws.For further information, please review the Know Your Rights notice from the...ReliefLocal area
$174.07k - $374.92k
...We’re building a world of health around every individual — shaping... ...The Physician Supervisor, Utilization Management is responsible for... ...This role involves managing the review of medical necessity, appropriateness of care, and the coordination of healthcare services. The...Hourly payFull timeTemporary workLocal areaFlexible hours- ...Mother And Child Health Coordinator Community Healthcare Network (CHN... ...New Yorkers with primary and behavioral healthcare, dental,... ...concrete needs and education reviewed with the patients. # Track... ...Program Coordinators, must utilize the UniteUs and Go Beyond platforms...
$56.82k
...Coordinator Job Category: Clerical Support Requisition... ...patients through the health care system by acting... ...management of disease and behavior modification... ...Evaluates clinical care, utilization of resources, and development... ...information, please review the Know Your Rights...Full timeWork at office- ...Performance Improvement Coordinator - Quality Management -... ...id: JR109779Capital Health is the region's leader... ...trending of data through review of reported events,... ...committees and staff.* Utilizes PI methodology and PI... ...computer skills.* **Mental, Behavioral and Emotional...Full timeTemporary workPart timeFlexible hours
- ...hospital database, and verifying insurance benefits. The ideal candidate will have a bachelor’s degree and preferred experience in behavioral health. The hospital offers a rewarding work environment, excellent benefits including competitive compensation, medical plans, and...
$20 - $24 per hour
At LifeStance Health, we strive to help individuals... ...processes. Working in coordination with the team Lead, the... ..., and policies* Utilize all available job aids... ...system access, payor behavior, account work-flow inconsistencies... ...as they will not be reviewed or responded to.** To...Hourly payFull timeTemporary workWork at officeLocal areaRemote work- Penn State University is seeking a Lab Coordinator in Hershey, PA, to oversee daily lab operations for the Attention and Behavior Clinic. Responsibilities include coordinating EEG... ...should have experience in behavioral health research, a Bachelor's degree with relevant...Full time
- A community support organization in New York, NY, is seeking a Behavioral Health Coordinator to assist tenants in a supportive housing program. Responsibilities include managing a caseload, conducting assessments, and providing individual counseling and crisis intervention...
- Introduction To heal, to teach, to discover and to advance the health of the communities we serve. To learn more about the “Montefiore... ...associates, please click here. As staff to the quality management, peer review, and performance improvement processes within a designated Care...Work at officeShift work
- Company Description St. Luke’s Health System is Idaho’s only Idaho-based, not-for-profit health system, committed to the mission... ...collaboration, integrity, and high standards. Role Description The Peer Review Coordinator is a full-time, on-site role based in Idaho, United States....Full timeWork at office
$5,000 per month
We are hiring for: Registered Nurse / RN / Behavioral Health Facility Based Crisis / Part Time and PRN/ Full Time $5,000 Sign on bonus / Day Shift Type: Regular... ...a.m. PRN shifts available Job Responsibilities Utilize your skills and expertise, current nursing...ReliefHourly payFull timeContract workPart timeRelocation packageShift workNight shiftWeekend workDay shift$30.92 per hour
...disabled individuals with mental health and/or chemical addiction... ...our team. Behavioural Health Coordinator will report to the Director of... ...medical, psychosocial and behavioral health status. Provide crisis... ...' ability to pay rent and utility bills to ensure housing stability...Hourly payFull timeContract workRemote workMonday to Friday$18 - $20 per hour
Utilization Review Coordinator Primary Purpose: To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide... ...life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits....Work at officeLocal areaFlexible hours- Baptist Health is seeking a skilled Registered Nurse for its new 11-bed inpatient behavioral health unit in LaGrange, KY. This PRN Night Shift role from 7p-7a involves working within a dedicated team to provide care for adults requiring hospitalization for behavioral health...ReliefNight shift
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