Utilization Review Coordinator - Behavioral Health - PRN
Coastalharbor
Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct utilization review functions, monitoring the utilization and continuum of services to optimize reimbursement. Coastal Harbor Health System is comprised of a 114‑bed hospital for children and adolescents, providing both short‑ and long‑term inpatient care, and a 50‑bed inpatient hospital serving men and women, ages 18 and up. We offer compassionate patient care to those who need it the most, serving not only local patients, but also those located across the country. Our hospitals are conveniently located in beautiful, historic Savannah, GA in a quiet setting that provides unparalleled anonymity and privacy, enabling patients to concentrate on treatment. Job Duties / Responsibilities Perform the utilization and review process, for continued stay, in an appropriate and timely manner. Maintain appropriate records of the review process for the purpose of preparing and submitting appeals to third‑party payors. Respect the confidentiality of patient and employee information. Supervise the reception of requests for information from medical records of patients in person, by mail or phone, from various sources from the community at large, and assure that authorizations are properly executed (according to HIPAA guidelines, federal, and state laws) for these requests for client information. Perform other duties related to the department as necessity dictates. Benefit Highlights Challenging and rewarding work environment Competitive compensation, Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(k) with company match and discounted stock plan About Universal Health Services Qualifications Possess a degree in nursing, psychology, or other appropriate/related field. Masters degree required; Licensed or Licensed eligible. One to Two years related experience and/or training preferred. Must have some management experience with a demonstrated leadership ability and skills to write reports and communicate effectively. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. #J-18808-Ljbffr
- ...Utilization Review Coordinator Per Diem Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct Utilization... ...subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory...ReliefDaily paidTemporary workLocal area
$20 - $30 per hour
...Overview Guidelight Health is a cutting-edge behavioral healthcare company dedicated... ...delivering exceptional care, utilizing state-of-the-art... ...Responsibilities Utilization Review on Behalf of the Clinics:... ...primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review...SuggestedRemote work- ...care and meet medical necessity for the behavioral health services. This role monitors that the... ...Required Previous experience in Utilization Management and/or Appeals Required Previous... ...authorization process Required Utilization Review or Care Management experience...ReliefWork experience placement
$24 - $28 per hour
...including cardiovascular health services, behavioral health, allergy testing and... ...seeking a Behavioral Health Coordinator to join our team! This... ...through a structured care plan. Utilize standardized assessment... ...services and resources Review care plans/charts and coordinate...SuggestedTemporary workRemote work- ...organization in Georgia is seeking a dedicated professional to ensure that admitted patients receive the appropriate level of behavioral health services. This role entails monitoring patient care to ensure they meet medical necessity standards and that payors have the necessary...Suggested
- ...admission, continued stay and discharge reviews on all managed care clients. Maintain... ...required; Bachelor of Science in Behavioral Health. Intermediate knowledge of computer skills... ...Intermediate level. 3-5 years' experience in Utilization Review or related position in a...Work at officeLocal area
$28.37 - $36 per hour
...Acentra Health, LLC is seeking a Clinical Reviewer - RN - PRN (Remote U.S.) to interpret patient records, ensuring medical necessity and appropriateness of care. Ideal candidates will possess an RN license and relevant clinical experience. This position offers flexible...ReliefRemote workFlexible hours- ...A healthcare provider in Savannah, GA is seeking a Per Diem Utilization Review Coordinator. The role involves coordinating Utilization Review functions, ensuring timely and appropriate processes, and maintaining confidentiality. Candidates must possess a Master's degree...Daily paid
$19 per hour
...The UM Coordinator assists and supports the clinical team (UM Nurses/... ...tasks related to processing Utilization Management prior authorization... ...faxes Enter UM authorizations review requests in UM platform using... ...Quarterly company-sponsored events Health and wellness programsCareer...Temporary workLocal areaRemote work- ...physically disabled individuals with mental health and/or chemical addiction issues. BFL... ...applicants to join our team. The Behavioral Health Coordinator will report to the Director of Social... ...tenants ability to pay rent and utility bills to ensure housing stability. Participate...Hourly payFull timeContract workWork at officeImmediate startRemote workMonday to Friday
- ...Campus 1870 Schieffilin Pl Bronx, NY 10466, USA The I/DD Coordinator of Behavioral Health will be pivotal in advancing our mission and ensuring the... ...programs with higher levels of need Chair Critical Behavior Reviews for Long Island and the City bi-weekly Work to develop...Temporary workFlexible hoursShift work
- ...Nurse Manager/Clinical Coordinator. The Registered Nurse... ...Service, Teamwork, Resource Utilization, And Staff And Self... ...In Performance Review. # Performs Other Duties... ...standards of professional behavior. Nursing practice is... .... Comprehensive health, dental, and vision insurance...Temporary workFlexible hours
- Advantage Behavioral Health Systems is looking for a part-time Program Associate to perform various clerical and administrative tasks in a... ...answering phones, scheduling appointments, and data entry, utilizing strong customer service and multitasking abilities. The ideal...Part timeWork at office
- ...presentations to community Mental Health organizations to secure new referrals for Behavioral Health Service programs Build... ...community events and utilize targeted digital outreachto grow... ..., detailed record-keeping, and coordination with various stakeholders to ensure...Local areaFlexible hours
$44 per hour
...Job Description Job Description RN Behavioral Health Nurse Louisville,KY AMS Healthcare Staffing... ...facility in Louisville, KY Full time and prn nights available 12-hour shifts 7p-7a and... ...changes in patient’s behavior and health Review patients’ charts Transcribe orders from...ReliefFull timeNight shift- ...BlueCross BlueShield of South Carolina is seeking a Utilization Management Coordinator I to perform medical reviews and manage services within the LPN/LBSW scope.... ...offers a comprehensive benefits package including health plans, retirement savings, and education...Remote work
$78.4k - $85k
...About Judi Health Judi Health is an enterprise... ...training and coaching of utilization management pharmacy... ...process and regularly review performance of direct... ...addressing performance and behavioral issues when needed.... ...prescribers, referral coordinators, andappropriate staffto...Work at officeLocal areaRemote workFlexible hoursShift work- ...A community support organization in New York, NY, is seeking a Behavioral Health Coordinator to assist tenants in a supportive housing program. Responsibilities include managing a caseload, conducting assessments, and providing individual counseling and crisis intervention...
$20 - $24 per hour
...At LifeStance Health, we strive to help individuals... ...processes. Working in coordination with the team Lead, the... ..., and policies* Utilize all available job aids... ...system access, payor behavior, account work-flow inconsistencies... ...as they will not be reviewed or responded to.** To...Hourly payFull timeTemporary workWork at officeLocal areaRemote work- ...A healthcare organization is seeking a Behavioral Health Coordinator to support patient wellness through care coordination and engagement. This role involves monitoring medication compliance and facilitating partnerships among patients and providers in a supportive team...Remote work
- ...Page Mechanical Group, Inc. is seeking a full-time Behavioral Health Coordinator in New York to manage caseloads and provide supportive counseling services to tenants at Barrier Free Living Apartments. The ideal candidate should have a Master's Degree in a related field...Full timeRemote work
$4,000 per month
...Utilization Review Coordinator New York City Children's Center Bronx Campus is recruiting for a Utilization Review Coordinator to analyze and evaluate... ...field and 3 years of utilization review experience in a health care facility regulated by Centers for Medicare and...Permanent employmentWork at office- ...River Valley Behavioral Health is hiring a Float Nurse in Owensboro, KY. This position requires an Associate's degree in nursing and involves assisting with various client services, maintaining medication records, and providing patient education. The ideal candidate will...Relief
$36.29 - $39.29 per hour
Behavioral Health Therapist Department: FQHC Therapy Employment Type: Full Time Location: Sullivan... ...and collaborate on integrated care Utilize DSM-5 criteria for diagnosis and treatment... ...) Option for additional income through PRN roles or supervision stipends Schedule...ReliefFull timeWork experience placementMonday to FridayShift workNight shift$132.02k - $156.77k
...Description NYU Langone Health is a fully integrated... ...team as a Transplant Coordinator RN- Kidney Transplant.... ...outpatient clinic. Reviews testing,... .... Considers needs and behaviors of specific patient age... ...appropriate clinical resource utilization per protocols, pathways...- ...RHA Health Services, LLC in Georgia is seeking a Facility Based Crisis Licensed Practical Nurse (PRN) to perform nursing assessments, manage medication, and ensure compliance with... ...supervising staff and reporting on client behavior. The ideal candidate holds an active LPN...Relief
- ...Memorial Physician Practices is seeking a Licensed Practical Nurse (LPN) for the Behavioral Health Unit in New York. The role involves administering nursing care, medications, and assisting physicians while adhering to comprehensive benefits including medical, dental,...ReliefShift work
- ...A leading behavioral healthcare facility in Georgia is seeking PRN Registered Nurses for 12-hour shifts and rotating weekends. The role involves ensuring patient care, collaborating with medical staff, and promoting a supportive environment. Ideal candidates will have...ReliefShift workRotating shiftWeekend work
- ...act as a resource person to manage and utilize personnel in an effective and appropriate... ...cultural organization. Qualifications Skills Behaviors Motivations Education Experience... ...employment laws.For further information, please review the Know Your Rights notice from the...ReliefLocal area
- ...Multitasking? Then the PTC RN Coordinator Role is for you! This... ...and continued stay, utilizing standard criteria.... ...referral patterns, health related community events... ...educational workshops, reviewing professional... ...demonstrating our core and leader behaviors each day. After...Temporary workPart timeWork experience placementWork at officeLocal areaImmediate startFlexible hoursAfternoon shift
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