Clinical Utilization Review Coordinator
Dallas Regional Medical Center
Dallas Regional Medical Center is seeking aIST Utilization Review/Case Management professional to coordinate clinical reviews of patient records and participate in UR/Case Management meetings. The role requires MPH or related health care training and medical or dental degrees with strong knowledge of pathophysiology and pharmacology. The ideal candidate will work closely with the Chief Medical Officer, educate departments, and manage chart reviews, payer data requests, and discharge referrals. #J-18808-Ljbffr Dallas Regional Medical Center
$65 per hour
...RN Case Manager / Utilization Review - Syracuse, NYLocation: Acute Care/Academic Medical Center... ...opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups... ...planning, and interdisciplinary coordination for high-acuity patients while ensuring...SuggestedPrivate practiceMonday to FridayDay shift- ...A leading healthcare staffing firm is seeking a Utilization Review RN in Syracuse, NY. The role involves conducting utilization management activities, certification reviews, and collaborating with healthcare providers. Candidates must have an RN License in NY and at least...SuggestedMonday to Friday
- ...Tuition Reimbursement. Position Summary The Clinic Office Coordinator is responsible for the clinic flow and... ...from various electronic systems to be utilized in business decisions, grant reporting... ...repairing machinery. ___ Required to review/inspect own assigned work, the work of...SuggestedWork at office
- EK Health Services Inc. is hiring for a Utilization Review healthcare professional in a remote, full-time capacity. The UR HCP applies clinical knowledge to assess the medical necessity of provider requests and uses evidence-based guidelines appropriate to the jurisdiction...SuggestedRemote jobFull time
- ...healthcare professionals in clinical and non-clinical positions with... ...Responsibilities: Conducts utilization management activities in... ...calls, conducts certification reviews, facilitates the discharge planning... ...and referral process and coordinates denials with physician...SuggestedHourly payCasual workPrivate practiceWork at officeImmediate startMonday to Friday
- Job TitleWith level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, utilization management or utilization review, and interfacing with health care payers/regulatory agencies.
- Overview The Coordinator of Clinical and Educational Services provides clinical supervision, oversight, and guidance for day-to-day operations... ...with interdisciplinary team members and school districts. Review monthly financials for all programs and clinical departments...
- CityDoc Urgent Care is looking for a Clinic Coordinator for their Inwood Village location. The Clinic Coordinator will function in a strategic... ...reports, preparing for and completing clinic audits/reviews/surveys, and maintaining all safety precautions. 3+ years of...Work at office
$25k
...caring community As a Clinical Manager at CenterWell Home Health... ...guiding clinical practice, coordinating patient services, and... ...working onsite in-office. Review referrals, determine admission... ...based on documentation review, utilization review findings, and...Full timeTemporary workApprenticeshipWork at office- The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of the Utilization Review / Case Management...Minimum wageFull timeWork at officeLocal areaFlexible hours
- ...: UTILI004408 Posted : October 13, 2026 Full-Time Locations Showing 1 location Description Position Summary The Utilization Management & Case Review Specialist is responsible for conducting utilization reviews, internal case record reviews, and quality assessments...Full timeFor contractorsWork at officeLocal areaNight shift
- CorVel is seeking a Utilization Review (UR) Intake Specialist to support the UR/Case Management team. This role handles precertification calls, verifies patient and provider data, and enters notes in CareMCsystem while maintaining professional communication with stakeholders...
$200k
...Education Loan Repayment Services program office after review of the EDRP application. Former EDRP... ...At least 2 years of Mental Health experience (Clinic preferred - any MH encourage). Experience in patient coordination (case management, care coordinator, etc.). Familiarity...Permanent employmentTemporary workWork at officeImmediate start- ...Utilization Review Nurse Utilization Review RN Work Schedule: Thursday - Sunday; (4) 10-Hour... ...years experience to include 2 years of clinical experience and minimum of 3 years of... ...a resource person to physicians, care coordinators, physician offices and billing office...Full timeWork at officeLocal areaShift workNight shiftDay shift
- ...Education Loan Repayment Services program office after review of the EDRP application. Former EDRP... ...-At least 2 years of Mental Health experience (Clinic preferred - any MH encourage) -Experience in patient coordination (case management - care coordinator - etc.) -Familiarity...Permanent employmentTemporary workWork at officeImmediate startRemote workMonday to Friday
- ...Southwestern Medical Center in Dallas seeks an experienced Utilization Review RN for weekend PRN shifts. You will conduct medical necessity... ...Texas RN license and 5 years of experience including 2 years in clinical settings and 3 years in utilization review. #J-18808-Ljbffr...ReliefShift workWeekend work
$70k - $90k
...Program Implementation Manager, Clinical Studies. This position can... ...program goals. Oversee and coordinate the full site activation... ...established customers, routinely reviewing their data, consulting on... ...education and training materials, utilizing collected insights; this...Full timeWork at officeLocal areaWork from homeNight shift$19.5 - $26 per hour
...Price Rite - CGO/Scanning Coordinator (PRRC)Salary Range $19.50 - $26.00/hrLocation: Syracuse... ...communication with all departments. Utilize available technology and best practices... ...functions to include but not limited to:Review Order ListsReview LINK and Email (Daily...Temporary workSummer workLocal areaImmediate startFlexible hours- ...Sterile Processing Coordinator Position Summary The Sterile Processing... ...that contribute to positive clinical and financial outcomes.... ...tracking usage and reconciliation. Review and monitor the expiration... ...ensure accurate documentation. Utilize information systems (e.g.,...Work at office
- Customer Service Representative - Clinic - Full-Time Job Category : Clinics/Practice Mgmt Requisition Number : CUSTO036515 Posted : October... ...to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-18...Full timeWork at office
- Billee Technologies, Inc. is seeking a Utility Vendor Coordinator to oversee the enrollment and coordination of utility services for multifamily properties in Dallas, Texas. In this role, you'll submit and manage service applications with utility providers, ensuring timely...
$20 - $24 per hour
...Purpose: The Trailer Pool & Yard Operations Coordinator manages the daily movement,... ...This role coordinates spotter dispatch, reviews yard checks, identifies trailer and yard... ...releases, and swaps. Support trailer utilization and reduce avoidable detention, yard congestion...Work at officeRelocation packageShift workDay shift- ...organization that invests in you as a Coordinator Laboratory Section? At... ...the attendance policy), and utilizes time and material cost-... ...emergency rooms, outpatient clinics and diagnostic centers. Our... ...Talent Acquisition team is reviewing applications for our Coordinator...Temporary workFlexible hoursShift workNight shift
- ...Position Summary The PAS Intake Coordinator is an entry-level role focused on... ...the PAS are finalized, enabling the clinical team to provide final approval more... ...insurance details prior to clinical review. Technology Integration: Utilize AI-assisted tools (such as...ReliefWork at officeRemote workHome officeShift workNight shiftWeekend workDay shiftAfternoon shiftWeekday work
- Results Physiotherapy in Dallas, TX is seeking a Patient Care Coordinator to support daily clinic operations and patient intake processes. The PCC-I collaborates with the Clinic Director to ensure efficient procedures and a welcoming environment for patients. The role emphasizes...Full time
$55k - $75k
When a client goes live on Billee, someone has to make sure the utility accounts are actually enrolled, the right providers are... ...is clean. That work falls to this role. As a Utility Vendor Coordinator, you'll own the utility enrollment and vendor coordination layer...Flexible hours- PURPOSE AND SCOPE: Explores, recommends, and coordinates insurance and potential financial... ...regularly with dialysis patients at the clinic(s) in the assigned region to educate and... ...terminations and re-in statements. Educate and review insurance options for annual open...Work at officeLocal area
$23 - $25 per hour
...range: $23.00 - $25.00 The Treatment Coordinator is a key member of our healthcare team,... ...administrative support, and collaboration with clinical staff to deliver excellent patient care... ..., ensuring optimal appointment utilization Monitor schedules for patient cancellations...Work at office- 512Financial is seeking a Utility Services Coordinator in Dallas, TX to own the utility process from onboarding new accounts to resident and vendor coordination. You’ll be the go-to problem solver, keeping the utilities database accurate and ensuring smooth daily operations...Local area
- ...oriented Surgical Insurance Coordinator . The Surgical Insurance Coordinator... ...submission of required clinical documentation and follow‑up... ..., appeals, and peer‑to‑peer reviews with providers and payers as... ...(eCW) Experience utilizing electronic medical record (EMR...Work at office
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