Healthcare Utilization Review Specialist
$20 - $30 per hourGuidelight Health
A behavioral healthcare organization is seeking a Utilization Review Specialist to conduct clinical auditing and negotiate authorizations. The ideal candidate has a Bachelor's degree in Social Work or Nursing and 1-2 years of healthcare experience. Responsibilities include conducting live reviews, coordinating with clinical teams, and ensuring compliance with regulations. The position offers a pay range of $20 - $30 USD, along with comprehensive benefits including medical, dental, and professional development opportunities. #J-18808-Ljbffr Guidelight Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Healthcare Utilization Review Specialist in New York, NY vacancy
- ...Director of Utilization Review Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential...SuggestedTemporary workFlexible hours
Odyssey House
New York, NY5 days ago $50k
Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year... ...Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary...SuggestedRemote job- ...Weekly Hours:**40**Position Overview**# **Utilization Assistant**JOB CODE:50219FLSA Exemption... ...to appropriate parties for review and response. Follows up for completion... ...Plan* Flexible Spending Account (FSA)- Healthcare FSA- Dependent Care FSA* Retirement Savings...SuggestedFull timeTemporary workPart timeWork at officeFlexible hours
$75k
...Santa Barbara Cottage Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical necessity reviews and collaborating with clinical teams to make informed decisions. Candidates must hold an...SuggestedRemote workSanta Barbara Cottage Hospital
New York, NY4 days ago- ...Telligen is seeking a qualified individual for a role in Oklahoma to conduct utilization review and medical management, providing support and training to other team members. This position demands a nursing degree and several years of health experience. The candidate will...Suggested
Telligen
Brooklyn, NY1 day ago - Mindful Health is seeking a Utilization Review Specialist in Texas to ensure adherence to utilization review plans by evaluating the effectiveness and medical necessity of outpatient services. The ideal candidate will have strong communication skills, efficient time management...Work at office
$17.44 per hour
Utilization Review Specialist I Position is located at Tulsa Center for Behavioral Health - Utilization Review Department. The role involves reviewing clinical documentation for admission appropriateness, continued stay criteria, special studies, and coordinating authorizations...Hourly payFull timeWork at officeFlexible hoursWeekend work$17.44 per hour
Job Posting TitleUtilization Review Specialist IAgency452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV.Supervisory OrganizationTulsa Center Behavioral... ...Position:Tulsa Center for Behavioral Health is recruiting a Utilization Review Specialist. This position would, under general...Work at officeWeekend work- A healthcare staffing agency in New York is seeking a Clinical Utilization Specialist to oversee the authorization of services for geriatric populations. The ideal candidate... ...utilization. Responsibilities include reviewing health services for medical necessity and collaborating...
- A healthcare consulting firm is seeking an experienced Orthopedic Surgeon to conduct comprehensive reviews of clinical cases as an independent contractor. This telework opportunity allows for schedule flexibility, where you will review medical records, prepare clinical...Remote jobFor contractors
$35 - $36.71 per hour
...related Streaming Services. Standards & Practices Associates review high profile national advertising campaigns to ensure consistency... ..., claim support, and other documentation obtained and utilized in the clearance process is an integral part of this role. Responsibilities...Hourly payContract workFixed term contractWork at officeRemote work- Utilization Management Specialist MSH Case Management FT Days EOW This position is responsible for coordinating requests for clinical information... ..., and innovation as we work together to transform healthcare. We encourage all team members to actively participate...Full timeTraineeshipLocal area
$17 - $19.69 per hour
...data collaboration platform trusted for healthcare. Guided by our mission to make the world... ...Basic computer proficiency. ~ Comfortable utilizing phones, fax machine, printers, and other... ...from these requirements will be reviewed by Datavant Human Resources and determined...Hourly payWork experience placementWork at officeMonday to FridayDatavant
New York, NY4 days ago$32.85 - $35.71 per hour
Broadcast Standards & Practices Associate / Ad Review Specialist 2 days ago Be among the first 25 applicants Get AI-powered advice on this... ..., claim support, and other documentation obtained and utilized in the clearance process is an integral part of this role....Fixed term contract- ...data collaboration platform trusted for healthcare. Guided by our mission to make the world... ...Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other... ...exempted from these requirements will be reviewed by Datavant Human Resources and...Full timeWork experience placementWork at officeLocal area
Datavant
New York, NY4 days ago - Boston Medical Center is seeking an RN Appeal Administrator responsible for managing the pre-denial, denial, and appeal processes while ensuring compliance with medical necessity criteria. This role involves close collaboration with clinical teams and payers to secure necessary...
$18.92 - $23.46 per hour
...Recognized as a “Best Place to Work Modern Healthcare” – Join a team where people come first.... ...matters. Proven knowledge and skill in utilizing MS Office suite of software and pharmacy... ...applications. Duties/Responsibilities Review patient files for completeness and accuracy...Full timeContract workTemporary workLocal areaRemote workFlexible hoursVital Care Infusion Services, LLC
New York, NY3 days ago- ...provides the highest quality healthcare services to residents of... ...000 primary care providers, specialists and participating clinics. For... ...CMA worker is unavailable. Utilize personal lived experience with... ...Treatment/Recovery Plans will be reviewed and signed by Team Leader...Work at officeLocal areaTrial period
MetroPlusHealth
New York, NY2 days ago - ...National Dentex - a leading healthcare organization specializing in... ...including this Shipping & Receiving Specialist opportunity at NDX Albensi... ...shipping Responsible for utilizing UPS and FedEx software and... ...further information, please review the Know Your Rights notice...Full timeWork at officeLocal areaMonday to Friday
National Dentex Laboratories (NDX)
New York, NY1 day ago - ...Life Safety Code Specialist (LSCS) Location: Remotely – Home Office... ...leads the transformation of healthcare facilities management by incorporating... ..., DNV, and others. The LSCS reviews each facility’s Life Safety... .... Document all observations utilizing applicable Medxcel FM...Local areaRemote workHome officeFlexible hoursNight shift
Medxcel
New York, NY3 days ago - ...3 USA is at the forefront of healthcare innovation, offering digital... ...growth, fueled by our mission to utilize the internet for a healthier... ...seeking a Campaign Delivery Specialist at MDLinx. This is a remote... ...program kick‑off and concept review meetings; take notes and circulate...Remote jobLocal areaFlexible hoursShift work
$18.92 - $23.46 per hour
Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first.... ...applications. Duties/Responsibilities Review patient files for completeness and... ...documentation. Proven knowledge and skill in utilizing the MS Office suite of software and...Full timeContract workTemporary workLocal areaRemote workFlexible hours- ...The Behavioral Health Admissions Call Specialist coordinates admission functions, provides... ...respected providers of hospital and healthcare services, Universal Health Services,... ...insurance coverage via Business Office and Utilization Review. Completes the admissions process by...ReliefWork at officeLocal areaAll shiftsMonday to FridayFlexible hoursDay shift
$23.1 per hour
...Health Care Specialist (HCS) YAI is a network of agencies offering people with intellectual... ...direct care staff. Conducts timely reviews of anecdotals and presents questions to... ...Basic computer skills including email, utilizing Workday and related systems (DA, etc.) to...Full time- ...Title Responsible for the review and coding of inpatient and/... ...ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or... ...applicable) Name: Certified Coding Specialist (CCS) Issuing Agency:... ...work together to transform healthcare. We encourage all team...Remote jobFull timeTraineeshipWork at officeLocal areaShift work
$18.65 - $19.9 per hour
...hospitals healthy. We recognize that healthcare requires a human touch, and... ...Financial Counseling Specialist performs the task of benefit... .... This includes face to face review of inpatient benefits, authorization... ...Inpatient Collections will utilize face to face communication...Local areaRemote workNight shiftWeekend work- Position: Case Review Specialist - Phone Intake & Documentation Location: Remote Remote Status... ...’s degree preferred, especially in Healthcare Administration, Health Information Management... ...experience in healthcare operations, utilization management, case management, intake,...Work at officeLocal areaRemote workMonday to FridayShift work
$70k - $180k
...maintain customer engagement by successfully utilizing existing and ever-changing digital tools... ...and/or Account Management Relevant Healthcare/Scientific roles (e.g., RN, Pharmacist,... ...public disclosure. Subject to further legal review and statutory or regulatory...Remote jobPermanent employmentFull timeWork at officeLocal areaRelocation packageNight shift$29 - $34.25 per hour
Overview Cotiviti Healthcare is a leading provider of payment accuracy... ...team as a Payment Accuracy Specialist 2. This role is a member of... ...configures custom claim reviews to investigate untapped billing... ...and client applications. Utilizes healthcare experience to perform...Hourly payContract workWork at office$24.72 - $30.21 per hour
Overview Disengagement and Discharge Specialist Join a Healthcare Force for Good! $24.72-$30.21 per hour... ...months of service provision. The DDS reviews the client’s discharge plan, closes... ...the client at the time of discharge. Utilizes the Electronic Health/Medical Record,...Hourly payWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Utilization Review Specialist. Be the first to apply!
Related searches
- esports specialist New York, NY
- delivery assurance specialist New York, NY
- demo specialist New York, NY
- instructional technology specialist New York, NY
- hospitality specialist New York, NY
- fixed income specialist New York, NY
- threading specialist New York, NY
- coffee specialist New York, NY
- ecommerce specialist New York, NY
- community outreach specialist New York, NY