Clinical Utilization Review Specialist

Canopy-Children

Canopy Children’s Solutions in Jackson, MS is seeking a dedicated Utilization Review Coordinator to manage behavioral health services across programs. You will coordinate interdisciplinary treatment, ensure timely prior authorizations, and partner with PROs, Medicaid, and payers to support care transitions. The role requires a current mental health certification/licensure and 2+ years in behavioral health, including experience with children and adolescents. #J-18808-Ljbffr Canopy-Children

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Clinical Utilization Review Specialist in Jackson, MS vacancy

Utilization Review Coordinator
...Vacation Employee Wellness Program and Counseling Services The Utilization Review Coordinator acts as a liaison between the organization and... ...and discharge process in collaboration with the assigned clinical staff. Participates in the organization’s performance improvement...
Suggested
Full time
Canopy
Jackson, MS
14 hours ago
Utilization Review Coordinator
$18 - $20 per hour
...Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator PRIMARY PURPOSE : To assign utilization... ...in appropriate system(s); and to provide general support to clinical staff in a team environment. ARE YOU AN IDEAL CANDIDATE?...
Suggested
Work at office
Local area
Flexible hours
Sedgwick
Jackson, MS
2 days ago
Medical Claims Reviewer, 6 Month Contract (Remote)
...your trusted partner in innovation. Medical Review Nurse (Temporary Contract, Remote) Compensation... ...Nursing. Required Experience: Two years of clinical experience plus two years of experience with utilization/medical review, quality assurance or end stage...
Suggested
Contract work
Temporary work
For contractors
Live in
Work at office
Remote work
Work from home
Home office
Monday to Friday
Broadway Ventures
Jackson, MS
2 days ago
Specialist-Accounts Receivable Follow Up
...Accounts Receivable Follow Up Specialist The Accounts Receivable... ...understanding. Effectively utilizes payer websites as needed in the... ...recognize and communicate to clinical staff or designee when... ...companies require additional review because of NCCI, CCI, LMRP, Mutually...
Suggested
Work at office
Mississippi Baptist Health Systems
Jackson, MS
1 day ago
Remote Clinical Documentation Improvement Specialist
...You will be reviewing clinical documentation to ensure accuracy, completeness, and regulatory compliance Work directly with physicians and clinical staff to clarify documentation. Perform Primary Diagnosis (PDX) shifting when appropriate to accurately reflect patient...
Suggested
Contract work
Remote work
Shift work
Insight Global
Jackson, MS
14 hours ago
Health Information Specialist I
...Partner to Deliver End-to-End Clinical Record Retrieval and... ...healthcare. Health Information Specialist I 8102 Jackson, MS 39216 Full... ...computer proficiency. Comfortable utilizing phones, fax machine,... ...these requirements will be reviewed by Datavant Human Resources...
Full time
Work experience placement
Work at office
Monday to Friday
Datavant
Jackson, MS
4 days ago
Behavioral Health Utilization Coordinator
...Canopy Children’s Solutions in Mississippi seeks an Utilization Review Coordinator to oversee pre-certification, concurrent reviews, and discharge planning for behavioral health services. The role requires a current PCMHT/CMHT license within 30 days, a bachelor’s or master...
Canopy
Jackson, MS
14 hours ago
Clinical Scientist
...Clinical Scientist Kelly Science & Clinical FSP is seeking a Clinical Scientist for a long-term remote engagement supporting a global... ...reconciliation, and preparation of study meeting materials Review clinical study data and assist with identification and...
Remote work
Kelly Science, Engineering, Technology & Telecom
Jackson, MS
1 day ago
Clinical Scientist - Oncology
Clinical Scientist - Oncology Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate... ...to develop medical plans (Medical Management Plan, Medical Data Review Plan, and Eligibility Review Plan). Engages with outside experts...
Contract work
Flexible hours
Syneos Health/ inVentiv Health Commercial LLC
Jackson, MS
3 days ago
Specialist-Billing
...communication with patients, insurance companies and other BMG clinic or BMG Foundation personnel.Bills, collects and submits all insurance... ...to payer guidelines, and established procedures and workflows.Reviews and/or processes all credit balances from supplied reports....
Mississippi Baptist Health Systems
Jackson, MS
4 days ago
Child Life Specialist
...University of Mississippi Medical Center. Please review the following instructions prior to... ...Health Organization: Children's Clinical Support Services-Child Life Location/... ...Jackson Job Title: Child Life Specialist Job Summary: Helps reduce the...
Full time
Work experience placement
Internship
Shift work
University of Mississippi Medical Center
Jackson, MS
4 days ago
Compensation Specialist
$25 - $35 per hour
...inquiries, and helps ensure efficient, compliant HR operations. ~Review corporate compensation packages and plans for upgrades to align... .... ~Supports ASM recognition programs, as needed. ~Utilize problem-solving skills to quickly resolve potential conflicts and...
Contract work
Work experience placement
Work at office
ASM Research, An Accenture Federal Services Company
Jackson, MS
2 days ago
Construction Specialist 3
$136.24k
...researching labor, material and equipment costs for these take‐offs. Utilizes Timberline to prepare or assists in preparation of Opinions of... ...guidelines and precedence for future estimates. Receives, reviews and files pricings received from project managers or...
Contract work
Work experience placement
For subcontractor
H1b
CDM Smith
Jackson, MS
1 day ago
Learning Specialist
$55k
...A Day in the Life: The Learning Specialist delivers engaging learning experiences, primarily... .... Support learning projects, content reviews, pilot programs, process improvements,... ...applications and the ability to learn and utilize virtual learning technologies. ~...
Work at office
Worldwide
Flexible hours
Afternoon shift
Early shift
The Hertz Corporation
Jackson, MS
3 days ago
Sterile Processing Specialist
...University of Mississippi Medical Center. Please review the following instructions prior to... ...Job Title: Sterile Processing Specialist Job Summary: Inspects, assembles... ...instrumentation is available for OR and clinical areas. Puts in requests for missing instrument...
Hourly pay
Full time
Work experience placement
Casual work
Seasonal work
Flexible hours
Shift work
University of Mississippi Medical Center
Jackson, MS
1 day ago
Photo Specialist
$15 - $17.5 per hour
...procedures. Maintains photo equipment and utilizes store systems and technology to support... ...continuity during times when the Photo Specialist is not scheduled. Follows company... ...role will remain open until filled. To review benefits, please click here jobs.walgreens...
Hourly pay
Work experience placement
Seasonal work
Flexible hours
Afternoon shift
Walgreens
Richland, MS
2 days ago
Clinical Research Associate - Full-Service
Clinical Research Associate - Full-Service Syneos Health is a fully integrated biopharmaceutical... ...(CMP/SMP) and conduct source document review to verify required clinical data entered... ...to closure within agreed timelines. Utilize hardware and software to support effective...
Interim role
Local area
Immediate start
Remote work
Flexible hours
Syneos Health/ inVentiv Health Commercial LLC
Jackson, MS
1 day ago
Experienced Clinical Research Associate - Sponsor Dedicated
Experienced Clinical Research Associate - Sponsor Dedicated Syneos Health is a leading fully... ...processes. Conducts Source Document Review of appropriate site source documents and... ...resolution to closure within agreed timelines. Utilizes available hardware and software to...
Contract work
Interim role
Local area
Immediate start
Remote work
Flexible hours
Syneos Health/ inVentiv Health Commercial LLC
Jackson, MS
1 day ago
Multi-Specialty Portfolio Specialist (Jackson, MS)
$108k - $135k
...Multi-Specialty Portfolio Specialist Sumitomo Pharma Co., Ltd. is a global pharmaceutical... ...and active listening Effectively utilize patient type selling with approved messaging... ...in all aspects of selling, i.e., clinical expertise, selling skills, and an in-depth...
Local area
Flexible hours
Night shift
Sumitomo Pharma
Jackson, MS
3 days ago
Construction Inspection Specialist (Flex Staff)
$63 per hour
...as related civil structures (roads, dams, bridges, facilities, utilities, etc.) to verify compliance with approved design specifications... ...construction, required corrective actions and any needed sampling. • Review contractor submittals, RFIs, shop drawings, and material...
Contract work
For contractors
Work experience placement
H1b
Immediate start
Overseas
Flexible hours
CDM Smith
Jackson, MS
3 days ago
Asset Protection Specialist
Asset Protection Specialist | Home DepotPosition Purpose:The Asset Protection Specialist is... ...their assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...
Home Depot
Jackson, MS
5 days ago
Capital Projects Procurement Specialist II-Sr Staff
Job Title: Capital Projects Procurement Specialist II-Sr StaffPS Job Title: Cap Proj Procur... ...Purpose The Project Procurement Specialist utilizes advanced supply chain and capital... ...****@*****.*** to schedule a time to review the affirmative action plan during...
Contract work
Work at office
Local area
Relocation
Entergy
Jackson, MS
5 days ago
Pharmacist-Clinical Staff
...Pharmacist Provides age-specific pharmaceutical care and basic clinical services for assigned patient care areas. Contributes to goals, programs, QA, PI and other activities for their unit/department/hospital. Performs other duties as assigned. Responsibilities:...
Baptist Memorial Healthcare Corporation
Jackson, MS
2 days ago
Coordinator, UM Intake (Fax Admin)
$18 per hour
...Intake at Evolent provides support to the Utilization Management Team. The coordinator will... ...operations by ensuring the efficient intake, review and processing of documents. The general... ...works with our prior authorization and clinical review teams. Opportunities to work...
Full time
Immediate start
Remote work
Work from home
Evolent
Jackson, MS
1 day ago
Orthodontic Clinical Assistant and Admin Desk Hybrid
...Description Job Title: Orthodontic Assistant/Hybrid Front Desk (2 Clinic Days, 2 Admin Days) Mondays and Fridays Role: Clinical... ...learn more about our practice, our website is We look forward to reviewing your application and considering you for this exciting opportunity...
Hourly pay
Work at office
Local area
Monday to Friday
Engel Orthodontics
Madison, MS
28 days ago
Licensed Independent Clinical Social Worker (LICSW) (No Associates) - Remote
$80 per hour
...availability at any time. Best-fit client referrals: We’ll help you craft a provider profile that highlights your specialities and clinical approach, making it easier for the right clients to find you. Rula fills your calendar with consistent client referrals and never...
Hourly pay
For contractors
Private practice
Work at office
Remote work
Rula Health
Jackson, MS
3 days ago
BSA/AML Specialist
$20k
...BSA/AML Specialist x 2 – Contract – Remote – $28.00 - $32.0/hr. The final salary or hourly wage, as applicable, paid to each... ...-Money Laundering (AML) compliance processes - Experience reviewing financial transactions for reportability - Ability to identify...
Hourly pay
Contract work
Local area
Remote work
Work from home
Visa sponsorship
Hays CPA LLC
Jackson, MS
4 days ago
Capital Projects Procurement Specialist Sr- Sr Staff
...alert: Capital Projects Procurement Specialist Sr- Sr Staff Location: The Woodlands... ...Purpose The Project Procurement Specialist utilizes advanced supply chain and capital... ...****@*****.*** to schedule a time to review the affirmative action plan during...
Contract work
Work at office
Local area
Relocation
Visa sponsorship
Work visa
Jobleads-US
Jackson, MS
2 days ago
Clinical Research Associate/Senior Clinical Research Associate- FSP
...therapy experience is strongly preferred. Job Purpose: The Clinical Research Associate (CRA) has local responsibility for the... ...may include Site Qualification Visits, collection, preparation, review and tracking of documents for the application process; submission...
Local area
Remote work
Flexible hours
Shift work
PAREXEL
Jackson, MS
2 days ago
Program Specialist
...Job Title Program Specialist Duties Help Duties include, but are not limited to: Serves as primary contact and advocate for TMS. Links education... ..., and universities. Performs program analysis, development, review, research, design, and contact work as possible with various...
Permanent employment
Local area
Relocation package
Monday to Friday
US Department of Veterans Affairs
Jackson, MS
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Utilization Review Specialist. Be the first to apply!