Care Authorization & Utilization Specialist
WestCare Inc
WestCare Inc is seeking a Clinical Information Advocate in Henderson, NV. The role involves collecting clinical information and liaising with managed care organizations to ensure patients receive appropriate care levels in compliance with regulations. Ideal candidates have an LPN or RN with utilization review experience. This position offers a full-time commitment with essential functions including communication with insurance companies and maintaining detailed documentation of patient accounts. #J-18808-Ljbffr WestCare Inc
- ...psychiatric hospital that is dedicated to providing high-quality care for adults, geriatrics, and adolescents (ages 5-17) who are... ...behavioral healthcare services throughout the US. Proactively monitor utilization of services for patients to optimize reimbursement for the...SuggestedWork at officeLocal area
- ...order to advocate for the highest level of care that is supported by the clients acuity... ...and communicate level of care and authorizations and properly enter information into the... ...or Masters level CADC/LADC with 2 years utilization review experience, preferred experience...SuggestedWork at office
- OverviewPURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. ResponsibilitiesESSENTIAL FUNCTIONS: Act as liaison between managed care organizations and the facility professional clinical staff. Conduct...SuggestedWork at officeLocal area
- The Lead Utilization Review & Utilization Management Specialist at WESTCARE NEVADA INC leads the UR/UM team, providing... ...ensuring regulatory compliance across care levels. This senior role... ...verifies insurance, submits pre-authorizations, and negotiates with managed care...Suggested
- ...will resonate with purpose as you contribute to vital patient care. With every ultrasound you conduct, you will play a crucial role... ...dynamic team dedicated to providing exceptional imaging care. Utilizing cutting-edge ultrasound technology, you will perform various diagnostic...SuggestedLocal areaFlexible hoursWeekend work
$48k - $50k
...Nurses to home medication visits - moving all care that doesn’t need a hospital to the home.... ...and patients. The Role As an Intake Specialist, you’ll play a key role in our operations... ...will rely on you everyday. What you’ll do Utilize the Float Health platform and supporting...Full timeRemote workMonday to FridayFlexible hoursShift work- ...Position Overview We are on the lookout for a talented and caring Sonography / Ultrasound Technologist ready to join our progressive imaging team committed to delivering top-notch care. Utilizing cutting-edge ultrasound equipment, you will perform vital diagnostic...Local areaFlexible hoursDay shiftAfternoon shift
- Red Lobster, Inc. in Henderson, Nevada is looking for a Dishwasher/Utility who will be responsible for cleaning and maintaining all areas of the restaurant. Candidates should have culinary experience, be able to lift up to 50 pounds, and remain standing for long shifts....Weekly payFlexible hoursShift work
- ...Sonography / Ultrasound Technician eager to join a forward-thinking imaging team dedicated to delivering exceptional patient care. Utilizing cutting-edge ultrasound technology, you will conduct a range of diagnostic procedures, collaborate with a team of talented clinicians...Local areaFlexible hoursWeekend workDay shiftAfternoon shift
- A leading utility services provider based in Henderson, Colorado, seeks dedicated locators for underground utilities. This full-time position requires outdoor work in all weather and involves ensuring accurate markings of underground utilities. Ideal candidates should be...Full time
- ...Acadia Healthcare is seeking a Clinical Liaison for Seven Hills Hospital in Henderson, NV. The role focuses on improving patient care by coordinating between managed care organizations and clinical staff. Essential functions include monitoring patient stay, conducting...
- Physical Therapist (Pelvic Floor Specialist) Company/Brand: Kelly Hawkins Physical Therapy... ...the scenes, we’re all about personalized care, smart clinical insight, and making every... ...plans based on assessments and goals, utilizing various therapeutic techniques and modalities...Relief
$125k - $150k
...service small animal hospital providing comprehensive veterinary care with a focus on exceptional patient outcomes and client service... ...clinical experience Preferred Experience utilizing digital radiography, dental radiography, and in-house diagnostics...Full timePart timeCurrently hiringLocal areaRelocation packageFlexible hours- ...Alterations Specialist From Aisle to Algorithm and for All Life's Moments, at David's Bridal, we empower our customers and our employees... ...in their category 1 out of 3 being sold by them and taking care of them with one of the highest customer service scores in retail...Part time
- Learning Care Group in Henderson, Nevada is seeking a Child Care Cook, Food Specialist responsible for preparing nutritious meals for enrolled children. The role requires adherence to health regulations and flexibility in hours. You will create meal plans, maintain inventory...Flexible hours
- ...is seeking a travel nurse RN in Labor and Delivery for a 13-week contract in Henderson, Nevada. The nurse will provide independent care for high-risk labor and delivery patients, including circulating C-section patients. A current RN license and BLS/ACLS certifications...Contract workNight shift
- ...adaptable, and goal-driven professional for the ADA Learning Specialist position within the Office of Academic Services and Institutional... ...Complete Accessibility Information Management (AIM) training. Utilize AIM to update, manage, and communicate ADA-related information...Permanent employmentFull timeWork at officeFlexible hoursAfternoon shift
$44.85 per hour
...positive experience for patients through direct interaction. This position requires successful completion of an accredited training program, valid certification, and skills in safety compliance and patient care. The pay rate is $44.85 per hour. #J-18808-Ljbffr Dignity HealthHourly pay$18 per hour
...Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused... ...program compliance in their assigned store/multiple stores. They utilize tools to minimize loss to the Company, including but not...Local area$54.29k
...University invites applications for the position of Student Success Specialist. The Student Success Specialist will support the Academic... ...underrepresented in higher education.Primary Responsibilities:Utilize a developmental, coaching approach to academic advising/...Work at officeTrial periodVisa sponsorshipWork visaMonday to FridayFlexible hoursWeekend workAfternoon shift- ...opportunity to join a mission-driven team that is reshaping access to care. We treat patients with a combination of pharmaceutical... ...Urology, Family Medicine, or Hormone Therapy DEA license with authority to prescribe Schedule III medications Strong communication...Remote job
- ...Asset Protection Specialist | Home Depot The Asset Protection Specialist is primarily responsible for preventing financial loss caused... ...compliance in their assigned store/multiple stores. They utilize tools to minimize loss to the Company, including but not limited...
- ...Receiving Specialist The Receiving Specialist is responsible for maintaining inventory control in store receiving area, works with... ...experience preferred ~ Demonstrated ability to effectively utilize Microsoft applications, intermediate excel skills preferred....
$100 per hour
...If the answer is "yes," we want you on our team at Massage Envy St. Rose. Massage Envy is the leader in accessible massage and skin care. As a sales and customer service associate at our franchised location you have a meaningful role to play as you: Help clients understand...Hourly payFull timePart timeWork from homeFlexible hours- ...driven Business Development professional. This role will focus on executing digital lead generation and customer interaction while utilizing CRM tools daily. Experience in retail automotive is not necessary, but candidates with a background as Sales Consultant or Finance...
$16.15 - $28.8 per hour
...Associate Patient Care Coordinator Optum is a global organization that delivers care, aided by technology to help millions of... ...demographic verification, insurance verification, complete pre-authorizations and/or precertification of procedures, and copy required documents...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaMonday to Friday$16.15 - $28.8 per hour
...Associate Patient Care Coordinator Optum is a global organization that delivers care, aided by technology to help millions of... ...demographic verification, insurance verification, complete pre-authorizations and/or precertification of procedures and copy required documents...Hourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to FridayFlexible hours$21.5 per hour
...Loyalty Specialist I (Collection Call Center Role) | 100% In Office (Henderson, NV) General Summary The Collection Specialist... ...Process and Procedure Be familiar with and effectively utilize all collection remedies (cancelation dates, One-time ACH, auto...Full timeWork at office- ...detail-oriented Release of Information Specialist to support health information operations... ...related documentation while verifying authorization, identity, and release criteria before... ...disclosure. • Review patient information carefully to ensure all released records meet...Long term contractWork at office
- ...preferred but open to part-time Our team rotates weekends when needed Cases Our practice focuses on providing comprehensive care for dogs and cats. Routine wellness to involved medical cases and surgery Who do we look for People obsessed with pets and...Full timePart timeRelocation packageMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Care Authorization & Utilization Specialist. Be the first to apply!
- plant health care specialist Henderson, NV
- part time weekend caregiver Henderson, NV
- private caregiver jobs Henderson, NV
- caregiver assisted living Henderson, NV
- on call caregiver Henderson, NV
- direct care specialist Henderson, NV
- weekend live in caregiver Henderson, NV
- managed care specialist Henderson, NV
- caregiver home care Henderson, NV
- caregiver cna-paid training Henderson, NV



