Utilization Review Specialist - SUD Care & Payer Liaison
Lighthouse Behavioral Health Solutions
Lighthouse Behavioral Health Solutions in Columbus, OH is seeking a Utilization Review Specialist responsible for ensuring that clients receiving substance use disorder treatment services meet clinical criteria. This role involves working with insurance companies, maintaining proper documentation, and collaborating with clinical teams. Ideal candidates have a Bachelor’s degree and knowledge of ASAM Criteria, with previous utilization review or clinical experience. We offer a comprehensive benefits package including medical, paid time off, and 401(k). #J-18808-Ljbffr
- ...a full continuum of care, including outpatient... ...communities. Position: Utilization Review Specialist Job Summary: The... ...use disorder (SUD) treatment services meet... ...supports compliance with payer requirements,... ...Serve as the primary liaison between the organization...SuggestedLocal area
$70k - $95k
...Overview Clinical Liaison ( RN / RRT ) Select Specialty... ...exceptional patient care A day in the life You... ...or post-surgical stay by utilizing your strong clinical background, payer knowledge, and problem-solving... ..., OT, etc., upon further review. Ability to complete...SuggestedFull timeMonday to Friday$19 - $22.26 per hour
...Prior Authorization Specialist! Southeastern,... ...intake, billing, and care coordination teams... ...continued stay reviews Coordinate with... ...coverage changes, payer transitions,... .... Serve as a liaison between clinical staff... ...initiatives Utilize databases and Electronic...SuggestedTemporary workWork at officeLocal area- ...Overview Connect Care. Guide Families. Make Every Day Count.... ...compassionate Hospice Clinical Liaison to join our team. In this role... ...eligibility for hospice services by reviewing medical records, conducting... ...all legal, clinical, and payer requirements are met Serve...SuggestedDaily paidFull timePart timeLocal areaShift work
- ...Overview Connect Care. Guide Families. Make Every Day Count. We... ...compassionate Hospice Clinical Liaison to join our team. In this role... ...eligibility for hospice services by reviewing medical records, conducting... ...all legal, clinical, and payer requirements are met Serve as...SuggestedDaily paidFull timePart timeLocal areaShift work
$104.8k - $144.1k
...Post‑acute Advanced Wound Care Specialist (Solventum) As a Post‑acute Advanced Wound Care Specialist... ...and maintain sales call data utilizing Salesforce.com Identify and solve customer... ...a pre‑hire motor vehicle record (MVR) review and maintain ongoing eligibility,...H1bWork at officeRemote workRelocation packageFlexible hoursNight shift$68k - $94k
...Registered Nurse (RN) Clinical Liaison for a nursing job in Columbus,... ...Overview: Connect Care. Guide Families. Make Every Day... ...eligibility for hospice services by reviewing medical records, conducting clinical... ...all legal, clinical, and payer requirements are met Serve...Daily paidFull timePart timeLocal areaShift work- ...Specialty Pharmacy Liaison (Patient Engagement Specialist) Full Time Ohio AndHealth is on a mission... ...goal of making world-class specialty care accessible and affordable to all.... ...with patients to reassess medication utilization, identify potential side effects,...Full timeTemporary workRemote workFlexible hours
$300k
...service team on the preparation and peer review of all client deliverables, which are reviewed... ..., open enrollment materials, annual utilization review, compliance notifications, wellness... ..., minimum coverage, preventive care, etc.)* Attains further education, coursework...- ...is to change the expectation of hospice care in your area by providing exceptional care... ...healthcare and marketing. The Community Liaison will require interactions with physicians... ...with current and potential referral and payer sources Build and monitor community, customer...
- A leading medical center in Columbus is seeking a Patient Care Resource Manager who facilitates patient care coordination from pre-admission to post-discharge. The ideal candidate should have a Bachelor's degree and RN licensure with five years of clinical experience....
$22.93 - $29.95 per hour
...Registered Veterinary Technician- Clinical Liaison Veterinary Medicine | Spectrum of Care The Ohio State University College of Veterinary Medicine -... ...memos and client communications. The Clinical Liaison reviews all incoming requests, assesses urgency, and prioritizes...Full timeMonday to FridayShift workDay shift- ...The Hematology/ Oncology Medical Science Liaison/Senior Medical Science Liaison functions... ...Cell Lymphoma (CTCL) who engages health care professionals and leaders in clinical, scientific... ...practitioner, formulary member or payer. Provide medical support, clinical input...Local areaNight shift
- ...effective systems aimed to safeguard patient rights and quality of care, while ensuring compliance with federal, state, and... ...regulatory requirements. Participates in audits, surveys, and compliance reviews as needed. Collaborates with behavioral health leadership and hospital...Work at officeFlexible hours
- Sharecare is seeking a Care Advisor to assist with CareLinx’s Payer Operations. This role involves guiding families during caregiver searches and ensuring satisfaction post-hire. The ideal candidate should excel in communication and customer service, preferably with healthcare...Remote job
$15.9 - $17 per hour
...is complex, and we’re here to make it easier. We help deliver care beyond traditional settings, making essential products and services... ...hundreds of local branch offices across the country by reviewing new patients orders and documentation submitted by referral sources...Hourly payTemporary workWork at officeLocal areaImmediate startRemote workHome officeFlexible hours- ...Amgen is seeking a Patient Access Liaison (PAL) in Columbus, Ohio. This field-based role focuses on supporting patients, caregivers, and healthcare providers in navigating insurance coverage and reimbursement pathways for Amgen therapies. The PAL is integral in ensuring...Remote work
- ...residential treatment, and treatment foster care programs throughout our locations in... ...and training program. The Village Network utilizes Collaborative Problem Solving along... .... Job Title: Behavioral Management Specialist Schedule: PRN - As needed Reports...Permanent employmentReliefWork at officeAll shiftsShift work
- ...Registered Nurse (RN) Hospital Liaison Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development... ...patients and determines home care eligibility Reviews patient insurances and medical documentation...Monday to FridayWeekend work
$20.16 per hour
...Description Summary: Performs basic supportive and trauma-informed care to specified patients and families under the direction and... ...communication and education. Provides trauma-informed care, utilizes positive reinforcement and operates within a therapeutic...Flexible hoursShift workWeekend workDay shift- ...while submitting an application, please review these frequently asked questions. Current... ...Nurse Educator - College of Nursing Liaison Department: Nursing | College Administration... ..., mutual respect, and expert nursing care. This position also provides academic...Full timeWork at officeRelocationShift workDay shift
- ...passionate about removing barriers to care and transforming lives... ....The Operations Templating Specialist is the technical backbone and... ...operating model.Consistency checks: Review requested changes for... ...CollaborationContact Center Liaison: Partner closely with the Call...Live outImmediate start
- Veterans in Healthcare is seeking a Nurse Liaison Home Infusion in Columbus, Ohio. In this role, you will be responsible for assessing... ...patients for the Home Infusion program and coordinating care while utilizing your clinical expertise. Strong communication skills and a...Full time
- ...SpecialistApplyremote type: Hybridlocations: Outpatient Care/Ambulatorytime type: Full timeposted on:... ...while submitting an application, please review these frequently asked questions.**... ....## Job Title:Athletic Conditioning Specialist## Department:Ambulatory Services | Sports...Rotating shift
- ...Mission, Core Values and Vision; the Nurse Liaison Home Infusion will be a Registered Nurse... ...established guidelines, and coordinating care with applicable agencies and the Mount... ...Carmel Infusion Services. Provides and utilizes clinical expertise and skills to assist referral...Full timeLocal areaRelocation packageShift workDay shift
$45k
...services referred to as ViaQuest's Circle of Care, our skilled, dedicated employees ensure... ...individual's basic needs such as rent, utilities, etc. are paid consistently and timely.... ...bill pay for individuals, as applicable. Review monthly finance packets and complete...Full time$140.47k - $190.04k
...Senior Oncology Specialist Territory covers: Columbus, OH Relocation... ...vital role you will be the liaison to our customers by providing... ...exist. Amgen's supportive care treatments help patients combat... ...achieve territory sales by utilizing their Oncology background and...Local areaRemote workRelocationFlexible hours- ...generations, and provide for the people, causes and communities they care about. We focus on exceeding expectations, simplifying lives,... ...to individual and company success. We are committed to fully utilizing the abilities of all our employees and expect each of our...Permanent employmentTemporary workWork at officeFlexible hours
$23 per hour
...Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services... ...an individual basis. Conduct report review sessions with providers. Detect and... ...computer equipment that is to be utilized to fulfil the duties of your role. New hires...Contract workCurrently hiringRemote workWork from homeHome officeMonday to FridayShift work- Eocene Environmental Group, based in Columbus, Ohio, is seeking a Consulting Utility Forester. This role entails managing vegetation to ensure safe and sustainable practices while interacting with utility clients, property owners, and contractors. Join a committed, employee...For contractors
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