Clinical Utilization Review Specialist
Bradford Health Services
Bradford Health Services seeks a skilled Utilization Review Specialist to ensure medical necessity and efficient resource use across our care network. You will evaluate patient records and treatment plans, collaborating with providers and insurers to secure appropriate approvals. The role emphasizes regulatory compliance, documentation accuracy, and cost containment while supporting high-quality patient care. A collaborative, mission-driven environment awaits. #J-18808-Ljbffr
- ...those working 20 hours or more per week. About The Role The Utilization Review Specialist plays a critical role in ensuring that healthcare... ...thorough evaluation of patient records, treatment plans, and clinical data to determine the appropriateness of care and resource...SuggestedPart time
- ...Job Summary The Scheduling Specialist is responsible for managing... ...to ensure efficient utilization of resources and high-quality... ...align patient appointments with clinical priorities and optimize provider... ...the Order Facilitator and reviews to make sure the orders are...SuggestedContract workWork at office
- ...Responsibilities:Coordinates and facilitates implementation in clinical improvement initiatives within medical divisions. Develops process... ...with clinical education, physicians, providers and staff to review, design, and coordinate the use of education materials. Drives...SuggestedFull timeWork at officeMonday to FridayDay shift
- ...Clinical Documentation SpecialistThe RN Clinical Documentation Specialist conducts clinically based concurrent and retrospective reviews of inpatient medical records to evaluate the clinical documentation of acute care services. He/she works with minimum supervision and...Suggested
- ...Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA Status: Non-Exempt Dental Account Receivable... ...managing accounts receivable, prioritizing account reviews and utilizing time management skills. Assists team members as needed with...SuggestedFull timeContract workTemporary workPart timeWork at officeRemote workFlexible hours
- ...duties include: Assisting DOT coordinators with assembling, reviewing, submitting, tracking, and communicating permit statuses to internal... ...questions or issues. Ensuring adherence to the ALDOT utility manual and permitting guidelines. Assisting with Oversized load...Full timeTemporary workWork at officeRelocation
$69.5k - $102.1k
...development opportunities. Execution inspection Visit and review accounts for compliance with CBBD's retail execution standards.... ...coordinate promotional activity in area of responsibility Utilize available marketing resources in order to maximize sales and...Minimum wageFull timeWork at officeRemote workShift work- ...causes and risks for use by company personnel and outside agencies. Utilizes Risk Assessments to develop systems and procedures that reduce... ...and severity of environmental incidents or non-conformances. Reviews and updates Environmental policies and procedures to be...Full timeWork at officeLocal areaImmediate startFlexible hours
- ...create a provider profile that highlights your specialties and clinical approach, ensuring the right clients find you. Admin Done... ...clinical measures during visits-encouraging completion, reviewing results, and, when needed, completing them live in session. This...Live inWork at officeRemote work
$15 - $17.5 per hour
...procedures. • Maintains photo equipment and utilizes store systems and technology to support... ...continuity during times when the Photo Specialist is not scheduled. • Follows company... ...role will remain open until filled. To review benefits, please click here jobs.walgreens...Hourly payWork experience placementSeasonal workFlexible hoursAfternoon shift- ...Veterinary Internal Medicine Specialist Full-Time opportunity in Birmingham, AL Why... ...ensure seamless continuity of care. Utilize advanced hospital resources including ultrasound... ...a collaborative and educational clinical environment. Pursue opportunities to...Full timeTemporary workRelocation package
$18 per hour
...MainStreet Support Team Specialist (Full-Time) – Birmingham, AL MainStreet Family Care operates nearly 70 clinics across Alabama, Florida, Georgia, and North Carolina. We are... ...balances. Every task will be accomplished by utilizing our internal ticketing portal to manage...Full timeWork at officeRelocationMonday to FridayShift workWeekend workWeekday work- ...Description Veterinary Internal Medicine Specialist Full-Time opportunity in Birmingham... ...ensure seamless continuity of care. • Utilize advanced hospital resources including... ...a collaborative and educational clinical environment. • Pursue opportunities to...Full timeTemporary workRelocation package
- ...seasons when required. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office... .... Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case‑by‑case basis...Full timeWork experience placementWork at officeMonday to Friday
$725 per month
...manufacturer’s instructions for proper storage of supplies. Receives, reviews and obtains approval prior to ordering supplies. Sends invoices... ...connections in groups and 1:1 settings. Industry leader in clinical care. Nationwide company with 589 communities as of November 30...Hourly payFull timeTemporary workPart timeFlexible hoursShift workNight shiftAfternoon shift$16.61 - $26.96 per hour
...Specialist, Patient RegistrationWith the nation's largest home infusion provider, there is... ...conditions in all 50 states. Through our clinical leadership, expertise and national scale... ...pay increases, scheduling, performance reviews, discipline, etc.)Basic Education and/or...Flexible hours$16 - $18 per hour
...Revenue Cycle Specialist - On-Site in Birmingham, AL Are you ready to launch your career... ...an expanding network of urgent care clinics across Alabama, Georgia, Florida, and North... ...errors and work through rejections. Review and adjust denials Ensure the accuracy...Work at officeMonday to Friday$56k - $60k
...organisation, Behavioral Health Systems (BHS), in recruiting a Clinical Support Specialist. BHS operates one of the nation’s largest specialty... ..., detail-oriented work. Responsibilities: Claims Review and Processing Review and verify incoming claims...Full timePart timeWork at officeImmediate start- ...Overview At Fast Pace Health, Clinical Techs provide clinical and administrative support... ...responsibilities of the Patient Care Specialist position as detailed in the specific... ...equipment for treatment. Assist patients utilizing a Virtual Medicine Provider. Ensure...Seasonal workWork at office
- ...Pharmacy department. Demonstrates the ability to identify and utilize resource persons and departments for customer service and... ...perform pharmacotherapy, pharmacokinetics consultations and other clinical responsibilities if applicable at their site of practice e.g. TPN...Work at officeLocal areaFlexible hours
- ...Veterinary Internal Medicine Specialist Full-Time opportunity in Birmingham, AL Why... ...ensure seamless continuity of care. Utilize advanced hospital resources including ultrasound... ...a collaborative and educational clinical environment. Pursue opportunities to...Full timeTemporary workRelocation package
- ...direct and indirect supervision, the Intake Specialist is accountable for the management of the... ...communications to ensure complete clinical information is received, direct payor communications... ...proficiency with EMR applications utilized by the company. Communicates...Work from home
- ...Accounts Payable Specialist I Under general supervision, the Accounts Payable Specialist... ...branches and other corporate departments. Reviews and verifies vendor invoices and various... ...Processes various vouchers for payment utilizing multiple accounting systems. Verifies...
- ...Admissions Specialist Bradford Health Services is seeking an Admissions Specialist to add... ...procedures. By coordinating with clinical and administrative teams, the Admissions... ...Skills The Admissions Specialist utilizes behavioral health knowledge daily to understand...Part time
$15 - $18 per hour
...Looking for a Full Time Patient Intake Specialist Patient Intake Specialist Location... ...scheduling appointments with the right clinic for therapy or functional testing. You'll... ...(like FCEs) quickly and accurately. Review referrals and medical documentation to make...Full timePart timeReliefWork at officeRemote work- ...the journey.We are seeking a Billing Specialist to add to our dynamic team. The... ...critical role in the revenue cycle by reviewing patient accounts, resolving charge... ...Specialist will work collaboratively with clinical, operational, utilization review, and revenue cycle teams to...Part timeWork at office
- ...Job Summary The Billing Specialist II is responsible for managing complex... ...and claim resolution. Reviews and processes insurance claims... ...and payer billing guidelines, utilizing payer websites for claims follow... ...with management, clinic staff, and coding teams. Maintains...Local area
- ...Description The Clinical Aide is responsible for scheduling and transporting individuals to medical and dental appointments, assisting during examinations, and maintaining accurate documentation and communication with medical professionals. This role ensures a safe...Work at officeLong distance
- ...Clinical Assistant Job ID 2026-31957 # Positions 1 Job Location US-AL-Birmingham Telecommute Location-Specific Position FT/PT Full-Time Category Clinicians | Clinical Extenders Why Us? With a mantra...Full timeLocal areaRemote work
- ...following equivalent qualifications below: - Certified Nursing Assistant - Certified Medical Assistant AAMA - Certified Clinical Medical Assistant - Certified Medical Assistant ARMA - Certified Patient Care Technician - Certified Emergency Medical Technician...Part timeWeekend workDay shift
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