Senior Utilization Review Specialist
Telligen
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 perform medical management, engage in peer reviews, and document processes thoroughly. Telligen is an equal opportunity employer, ensuring a commitment to diversity and reasonable accommodations. #J-18808-Ljbffr
$20 - $30 per hour
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...Suggested$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...SuggestedWork at officeWeekend work$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...SuggestedHourly payFull timeWork at officeFlexible hoursWeekend work- ...- $26.64**Scheduled Weekly Hours:**40**Position Overview**# **Utilization Assistant**JOB CODE:50219FLSA Exemption Status:Non-Exempt## SUMMARY... ...denial and appeal correspondence to appropriate parties for review and response. Follows up for completion and maintains...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 work$105k
...Job Description Senior Specialist responsible for waste and chemical related technical and regulatory... ...$135,000.00 Responsibilities Maintain, review, and improve corporate procedures,... ...effectively manage waste and chemicals for utilities, manufacturing, pharmaceuticals or...SeniorWork experience placementWork at officeLocal areaFlexible hoursNight shift- ...has an excellent full-time employment opportunity for a Senior Docket Specialist to provide regional support to Hinshaw offices. We... ...as well as part of a team. Duties And Responsibilities Review documents and utilize CompuLaw to generate deadlines. Use internal and external...SeniorFull timeWork at officeRemote work
- ...Job Description Job Description REPORTS: Director of Utilization Review DEPARTMENT: Clinical LOCATION : George Rosenfield Center... ...Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-...Temporary workFlexible hours
$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$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$99.3k - $198.7k
...Senior Instrumentation And Analytical Specialist This Senior Instrumentation and Analytical Specialist position is... ...systems, and system integrations. Utilizing advanced expert-level technical knowledge... ...across instruments and modules Review and refine reagent plans and...SeniorRemote work$137.9k - $256.1k
## Senior Specialist Legal Editor, Practical Law AntitrustApplyremote type: Hybridlocations: United... ...needs, and business objectives.* Review and edit content written by others, whether... ...skills and the ability to effectively utilize various tools, including AI technologies...SeniorWork at officeLocal areaFlexible hoursShift work2 days per week3 days per week$119.7k - $222.3k
...Senior Specialist Legal Editor, Practical Law Antitrust Role Summary: We are seeking an experienced... ...needs, and business objectives. Review and edit content written by others, whether... ...skills and the ability to effectively utilize various tools, including AI technologies...SeniorLocal areaFlexible hoursShift work$125k - $150k
We invite you to review our current business services professionals openings to learn... ...the world’s major financial centers. Senior Specialist, Business Proposals (Transactional)... ...presentations and other products. Maximize utilization of the Firm's technology to prepare...SeniorWork at officeLocal areaRemote workShift work$98.2k - $151.36k
...supervision, the Sr Field Reimbursement Specialist will plan and engage with customers, leveraging... ...with reasonable latitude for un-reviewed action or decision, requiring minimum correction... ...Leverage reimbursement knowledge and utilize resources to aid accounts and...SeniorFull timeWork at officeLocal area- ...very detailed work that requires diligent review and notation working across a handful... ...rosters Job Profile Summary The Senior Specialist, Network Contracting is responsible for... ...optimization. ● With support from your leader, utilizes data and analytics of provider...SeniorFull timeContract workWork experience placementRemote work
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...you to join us! The Process Excellence Senior Specialist will be responsible to lead an... ...productivity, Accuracy, Quality and Resource Utilization by using LSS methodologies & DNA... ...teams in order to support identification, review, prioritization and execution of key opportunities...SeniorFull timeRemote work- ...marketing content, client-facing materials and messaging are reviewed as needed and fully aligned with company guidelines and applicable... ...trends, customer needs and competitive landscape. Utilize insights to inform product development and marketing strategies...SeniorFull time
$93.8k - $126.9k
...Opportunity Ulteig is seeking a PLS-CADD Senior Specialist to help elevate the quality and... ...of 7 years of experience or equivalent utilizing the PLS‑CADD software suite preferred.... ...laws. For further information, please review the Know Your Rights notice from the Department...SeniorWork at officeRemote workWork from homeFlexible hours$120.75k - $144.64k
...Job Summary The Substation Commissioning Senior Specialist is responsible for overseeing the full... ...industry standards. This role includes reviewing design documents, coordinating with... ...SCADA systems. Experience working with utility companies or large‑scale industrial electrical...SeniorTemporary workFor contractorsRemote workRelocation$110k - $120k
We invite you to review our current business services professionals openings to learn... ...centers.The OpportunityWe are seeking a Senior Specialist, Events to join our Firm. This position... ...of problems.Develops, maintains, and utilizes event websites such as CVENT and EMS to...SeniorWork at officeLocal areaRemote workShift work- ...WHERE YOU’LL FIT WITHIN THE TEAM As a Senior Specialist, Global Real Estate - Design, you’ll support... ...consultants and project partners Review architectural drawings and... ...developing workplace strategies and analyzing utilization data Excellent graphics, visualization...SeniorFull timeWork at officeLocal area2 days per week
$106.2k - $167.2k
Senior Specialist Quality AssuranceSkip to main content*This site uses cookies to provide you with... ..., this includes batch documentation review ensuring our clinical supplies are in compliance... ...field or a related area.* Experience utilizing AI Tools for routine tasks and project...SeniorFor contractorsLocal areaImmediate startWorldwideRelocationVisa sponsorshipFlexible hours- ...care, education, and research. Job Summary Reviews, accurately assigns, and abstracts... ...regulatory requirements and hospital targets. Utilize designated coding classification systems... ...Association (AHIMA), Certified Coding Specialist - American Health Information Management...SeniorRemote jobTemporary workWork experience placementReliefWork at office
$83.3k - $133.28k
...Your role and responsibilities: The Senior Project Specialist for ABB will provide technical... ...proposals for power delivery, power utilization and automation equipment and systems.... ...You will be mainly accountable for: Review and influence customer specifications...SeniorFull timeContract workTemporary workMonday to Friday$95.86k - $208.27k
...consider a career in Advisory. KPMG is currently seeking a Senior Specialist, MAST Application Penetration Tester to join our Managed... ...application business logic, and perform application architecture reviews Demonstrate application testing experience in real time via...SeniorFull timeH1bLocal area$17 - $25 per hour
...life orders and special‑order requests in order to maximize sales and inventory to meet customer’s needs. Act as primary resource, utilizing our selling model to support guests and other PCC partners regarding all aquatic education and care. Participate in the completion...SeniorHourly payMinimum wageLocal areaFlexible hoursNight shiftAfternoon shift$17 - $25 per hour
...life orders and special-order requests in order to maximize sales and inventory to meet customer's needs. Act as primary resource, utilizing our selling model to support guests and other PCC partners regarding all aquatic education and care. Participate in the completion...SeniorHourly payMinimum wageLocal areaFlexible hoursNight shiftAfternoon shift- ...healthcare staffing agency in New York is seeking a Clinical Utilization Specialist to oversee the authorization of services for geriatric... ...geriatrics and clinical utilization. Responsibilities include reviewing health services for medical necessity and collaborating with...
- Position: Case Review Specialist - Phone Intake & Documentation Location: Remote Remote Status: Remote Job Id: 1678 # of Openings: 1... ...degree. Minimum 2 years of experience in healthcare operations, utilization management, case management, intake, call center, or related...Work at officeLocal areaRemote workMonday to FridayShift work
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