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
$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- Utilization Review Specialist Mindful Health is a healthcare provider in Texas that offers a high‑end client experience through both in‑person and virtual services. Job Summary Utilization Review Specialist: responsible for ensuring adherence to Mindful Health’s utilization...SuggestedTemporary workWork at officeLocal areaMonday to Friday
- ...Job Description REPORTS: Director of Utilization Review DEPARTMENT: Clinical LOCATION :... ...the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care... ...authorizations for clients receiving behavioral healthcare services from Odyssey House’s Part 820...SuggestedTemporary workFlexible hours
- Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care entities. The role covers pre-certification, concurrent reviews, and appeals with a...SuggestedRemote job
$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 accuracy... .... Proven knowledge and skill in utilizing the MS Office suite of software and pharmacy...SuggestedFull timeContract workTemporary workLocal areaRemote workFlexible hours- ...Position: Case Review Specialist – Phone Intake & Documentation Location: Remote Remote Status... ...bachelor’s degree preferred, especially in Healthcare Administration, Health Information... ...experience in healthcare operations, utilization management, case management, intake, call...Work at officeLocal areaRemote workMonday to FridayShift work
$126.4k - $173.8k
...Sterilization & Monitoring Specialist (Solventum) 3M Health Care is... ...enable better, smarter, safer healthcare to improve lives. As a new... ...and maintain sales call data utilizing Salesforce.com Support... ...motor vehicle record (MVR) review and maintain ongoing eligibility...Contract workH1bWork at officeRemote workRelocation packageFlexible hoursNight shift$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- ...deeply values those who contribute to its healthcare ecosystem. If you are a dedicated... ...experience. Your Key Responsibilities Utilize radiographic and CT techniques to... ...quality diagnostic images for physician review Collaborate seamlessly with radiologists...Flexible hoursWeekend work
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote... ...experience in clinical practice and knowledge of Utilization Review Guidelines. The position offers a...Remote work
- ...seeking a qualified candidate to fill our AR Specialist position to assist with all financial... ..., dedicated to delivering quality healthcare directly to patients in care facilities... ...patient insurance for assigned regions utilizing the specific software and reports. Answer...Full timeWork at officeMonday to FridayFlexible hours
- ...Job Description Job Description Healthcare Claims Specialist with EXCEL (Hybrid) Hybrid Schedule: Onsite Monday–Thursday | Remote Friday... ...experience who enjoys working with patients, managing data, and utilizing advanced Excel skills. Responsibilities: Provide...Immediate startRemote workMonday to Friday
$15.92 - $19.44 per hour
...data collaboration platform trusted for healthcare. Guided by our mission to make the... ...of Information (ROI) Health Information Specialist to support a medical facility in Lynchburg... ...from these requirements will be reviewed by Datavant Human Resources and determined...Hourly payFull timeMonday to Friday$180 per hour
...Position: Medical Expert Type: Contract Compensation: $130–$180/hour Location: Remote Duration: Ongoing, reviewed monthly Commitment: 20+ hours/week Role Responsibilities Design clinically realistic prompts and scenarios from your specialty...Remote jobWeekly payContract workSummer workWork at office$100 per day
...various states and managing thousands of daily stops that keep healthcare running. Total Miles: 35 miles Rate: $100 Sign-On Bonus: $150... ...Vehicle model year 2016 or newer preferred; older vehicles are reviewed on a case-by-case basis Tech A smartphone (iOS 13+ or Android...Contract workFor contractorsSelf employmentFreelanceImmediate startRelocation package$18 - $22 per hour
...We're on a path to better healthcare. Join us Compensation Information: $18 - $22 / hour Department... ...How you make a difference The Recovery Specialist at Treasure Coast Forensic Treatment... ...Collaborate with the treatment team to review individual resident progress in...$22.25 - $25.77 per hour
...collaborates with various community partners and healthcare agencies throughout Manhattan. The... ...Summary: The Housing Outreach Specialist works creatively and effectively in the... ...living on the street through outreach by utilizing a harm reduction approach. The position...Hourly payPermanent employmentLocal areaMonday to FridayNight shiftWeekend workAfternoon shift$24.08 - $24.62 per hour
...About Us We’re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients each year through the system’s 3... ...entering patient data into computer and transmitting reports, utilizing computer systems effectively as they pertain to job responsibilities...Local area$50k - $55k
...accountability, and clinical excellence to healthcare. As such, we are a leading authority in... ..., Cost Outlier and Readmission reviews. Under the direction of the Appeals Department... ...work within the department. The Appeals Specialist level II performs research, investigation...Remote work- ...-30341 Overview Title: Injury Prevention Specialist Location: Nottingham, PA Status: Full Time ATI is a multi-service healthcare company that specializes in MSK health across... ...supports workplace organizations in utilities, food service, heavy manufacturing, aviation...Full timeTemporary workWork at officeLocal areaFlexible hours
- A leading company in the digital space is seeking a Promotional Review Editor in New Jersey. The role involves conducting editorial reviews of promotional and internal materials, ensuring regulatory compliance, and facilitating discussions with regulatory advisors. Ideal...
$20.98 per hour
...Eligibility Specialist Department: FQHC Eligibility Assistance Employment Type: Full Time... ...helping individuals and families access the healthcare coverage they deserve. As an... ...for case processing Educate patients on utilization of their health insurance coverage, including...Full time$150k - $300k
...Description Thrive Pet Healthcare is looking to add an Internal Medicine Specialist to Saint Francis Veterinary Center of New Jersey. Join our community of veterinary... ...laboratory Digital radiography with radiologist review CT scanning available State-of-the-art surgical...Flexible hours3 days per week- ...alternative application process. Intake Specialist Regular Full-Time New York City, NY, US... ...seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are... ...managed care funding source. May need to review financial information as needed to determine...Full timeLocal area
$17 - $20 per hour
Based in San Francisco, Arine is a rapidly growing healthcare technology and clinical services company with a mission to ensure individuals... ...Care team at Arine! As a valued team member, you will utilize Arine’s software platform to optimize patient outcomes, enhance...Hourly payTemporary workLive inRemote workMonday to FridayRotating shift- ...that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported... .... What does a Crisis Intervention Specialist do? A Crisis Intervention Specialist... ...: Applications will be accepted and reviewed on a rolling basis. Please note that...Full timeLocal areaImmediate startAfternoon shift
- We are seeking a Healthcare IT & Operations Specialist to join our team. Newly graduated college and graduate students are encouraged to apply--there... ...for leadership. Administer key business applications utilizing PACS, CRM, DocuSign, and scheduling software....Work at officeLocal areaRemote work
- ...growing healthtech company transforming how healthcare organizations deliver care through AI-... .... We are seeking a Prior Authorization Specialist (Contract) to support high-volume... ...eligibility and benefits prior to submission Review provider documentation to confirm...Contract workRemote work
$50k - $60k
Full-Time Community Outreach Specialist Reports To: Director of Marketing and Community Relations 131-72 40th Road Queens, New... ...community-focused initiatives to increase awareness, access, and utilization of healthcare services. This role focuses on understanding and...Full timeFlexible hoursWeekend workAfternoon shift$47k - $50k
...housing. Position: Housing Specialist Reports To: Sup II (Clinical... ...such matters as education, healthcare, housing, social services,... ...etc.) and local landlords. Review all approved housing... ...and all payments to landlord/utilities are up-to-date with apartment...Permanent employmentFull timeTemporary workLive inLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Utilization Review Specialist. Be the first to apply!
- amazon specialist New York, NY
- specialist New York, NY
- correctional behavioral specialist New York, NY
- entry level safety specialist New York, NY
- disclosure specialist New York, NY
- erp specialist New York, NY
- infection control specialist New York, NY
- cash reconciliation specialist New York, NY
- writing specialist New York, NY
- process specialist New York, NY


