Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Utilization Review Coordinator

Virtual Vocations Inc

The full-time remote Florida Licensed Utilization Review Coordinator will manage insurance authorizations for behavioral health and substance use disorder treatment, ensuring timely communication with payers and clinical teams while tracking active cases closely. Key responsibilities Conduct daily phone contacts with insurance companies to secure treatment authorizations Manage a caseload of active authorizations, monitoring timelines that impact patient care Apply knowledge of behavioral health levels of care and ASAM criteria to support authorization requests Required qualifications High school diploma or equivalent; associate's or bachelor's degree preferred Less than one year of relevant experience; training provided for the right candidate Experience in utilization review, insurance authorization, or behavioral health billing preferred Familiarity with SUD/behavioral health levels of care is a strong plus Knowledge of ASAM criteria and medical necessity standards is a plus

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Utilization Review Coordinator in United States vacancy
  •  ...Utilization Review Coordinator The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, hospital staff, and clinical specialists to secure... 
    Suggested
    Work experience placement
    Work at office

    Community Health Systems

    Franklin, TN
    23 hours ago
  •  ...to teach young patients to moderate their behavior, manage emotions and improve social functioning. Website: Job Title Utilization Review Coordinator (Per-Diem) Job Description The Utilization Review Coordinator is responsible for bridging communication between the... 
    Suggested
    Daily paid
    Work at office
    Local area
    Flexible hours

    Universal Hospital Services

    Liberty Hill, TX
    4 days ago
  •  ...you\'ll do: Perform prospective, concurrent or retrospective utilization review/medical management for all services including...  ...cases that fail to meet screening criteria to peer reviewer. Coordinate and participate in peer-to-peer review as warranted. With prior... 
    Suggested
    Contract work
    Local area
    Night shift

    Telligen

    West Des Moines, IA
    4 days ago
  •  ...awareness, education and recovery groups. Position Overview The Utilization Management Coordinator role is focused on ensuring clients receive the...  ...documentation requirements. The position combines utilization review, care coordination, insurance authorization management,... 
    Suggested
    Flexible hours

    River Edge Behavioral Health Center

    Macon, GA
    4 days ago
  •  ...Oakland Community Health Network is seeking an experienced Utilization Review Analyst in Troy, MI, to conduct prospective, concurrent, and retrospective reviews for behavioral health services. The role emphasizes medical necessity determinations, authorizations, and cross... 
    Suggested

    Oakland Community Health Network

    Troy, MI
    4 days ago
  • $20 - $30 per hour

     ...industry by delivering exceptional care, utilizing state-of-the-art facilities, and...  ...Requirement: None Responsibilities Utilization Review on Behalf of the Clinics: Prescreen referrals...  ...with the primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation... 
    Remote work

    Guidelight Health

    New York, NY
    3 days ago
  •  ...STATEMENT Provide administrative support to the Utilization department. ESSENTIAL FUNCTIONS Perform...  ...of gathered data and case notes. Coordinate discharge planning with clinical team, maintain...  ...payers to (?). Assist in admissions review, concurrent reviews and discharge... 

    ACADIA

    Magee, MS
    4 days ago
  •  ...Through our aftercare program, we are able to extend lasting support to our alumni community. We are seeking a Utilization Review Coordinator to add to our dynamic team. The Utilization Review Coordinator plays a critical role in ensuring that healthcare... 
    Part time
    Remote work
    Monday to Friday

    ADDICTION AND MENTAL

    United States
    1 day ago
  •  ...Full-time Utilization Review Coordinator The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in Illinois since 1989. Located in Champaign, Illinois, we provide a secure, nurturing environment... 
    Full time
    Local area

    Alan B. Miller Medical Center

    Champaign, IL
    2 days ago
  • $23.08 - $24.04 per hour

     ...relationships that motivate us all every day. Join us today, and experience a career well lived. Program Administration Utilization Review Coordinator $23.08-24.04 hourly Monday-Friday - Remote Based in Eastern timezone Do you have experience in Title XIX... 
    Hourly pay
    Full time
    Work at office
    Remote work
    Monday to Friday

    Sevita

    United States
    2 days ago
  •  ...admission through discharge. Serves as liaison to on-site external reviewers. Uses Midas for recording reviews and tracking denials....  ...applicable field of study required Six months psychiatric utilization review either for hospital or external review organization... 
    Local area
    Flexible hours

    Universal Health Services

    Washington DC
    3 days ago
  •  ...precertification and verification of benefits for incoming patients. Coordinates the utilization management functions of a patient caseload through...  ...the interdisciplinary treatment team and performance of reviews, with external review organizations/managed care companies... 
    Local area

    Alan B. Miller Medical Center

    West Columbia, SC
    4 days ago
  • $46k

     ...Utilization Review Coordinator New Vista Health and Wellness is currently recruiting a Utilization Review Coordinator! The New Vista mission: Inspiring Hope, Restoring Peace of Mind, Healing Lives. At New Vista, our passionate and highly trained team of professionals... 
    Flexible hours

    NewVista Behavioral Health

    Johnstown, CO
    4 days ago
  •  ...Patient Chart Reviewer In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be...  ...Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred.... 
    Remote job
    Full time
    Monday to Friday

    Henry Ford Hospital

    Troy, MI
    3 days ago
  •  ...Healthcare Utilization Management Coordinator Proactively monitor utilization of services for patients to optimize reimbursement for the facility...  ...the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance... 
    Work at office
    Local area

    Chandler Chamber Of Commerce

    Chandler, AZ
    1 day ago
  •  ...Utilization Review Coordinator Per Diem 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... 
    Daily paid
    Temporary work
    Relief
    Local area

    Universal Health Services

    Savannah, GA
    14 hours ago
  •  ...Utilization Review Coordinator This position is required to be onsite! Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features individual units for adults, and seniors, and offers inpatient acute... 
    Work at office
    Local area

    Universal Health Services

    Littleton, CO
    4 days ago
  •  ...Utilization Review Coordinator Energy Plaza - Idaho Falls, ID Overview Position Type: Full Time Job Shift: Any Education Level: High School Travel Percentage: None Category: Health Care Description Mountain View Hospital is looking for a Utilization Review... 
    Full time
    Part time
    Relief
    Shift work

    Mountain View Hospital

    Idaho Falls, ID
    23 hours ago
  •  ...Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources... 
    Work at office

    NeuroPsychiatric Hospitals

    Dayton, OH
    4 days ago
  •  ...their families and each other! Website: Position Summary The UR Coordinator is responsible for managing the treatment activities offered...  ...care companies, insurance companies and other third party reviewers to establish the length of stay or number of certified days. Coordinate... 
    Relief
    Work at office
    Local area

    Universal Health Services

    Kouts, IN
    4 days ago
  •  ...close-knit environment, and the autonomy to utilize your knowledge and experience. Job Summary The UR Coordinator is responsible for facilitating care across the...  ...work in Utilization Management/Utilization Review working with Medicare and Medicaid payor... 
    Immediate start
    Monday to Friday
    Shift work

    CMC Phoenix

    Phoenix, AZ
    2 days ago
  •  ...Job Description Avenues Recovery Center is Now Hiring: Utilization Review Specialists Avenues Recovery Center is a nationwide network...  ...authorization, clinical documentation integrity, and continued stay coordination across our network.Position OverviewLocation: Corporate... 
    Work at office
    Immediate start
    Flexible hours

    Avenues Recovery

    Toms River, NJ
    2 days ago
  •  ...Job Description Job Description Utilization Review Coordinator Location: Everwell Port St. Lucie Hospital, Inc Position Summary Everwell Port St. Lucie Hospital is seeking a detail-oriented Utilization Review Coordinator to coordinate insurance reviews, monitor... 

    Port St. Lucie Hospital

    Port Saint Lucie, FL
    24 days ago
  •  ...Job Description Job Description Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator. This position is responsible for working with insurance companies and managed care systems for the initial authorization, concurrent and retrospective... 
    Full time
    Relief

    Georgetown Behavioral Health Institute

    Georgetown, TX
    20 days ago
  • $24 - $29 per hour

     ...Job Description Job Description Job Title: Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] – Behavioral HealthEmployment Type: Full-TimeSchedule: In-office, Monday through Friday Position OverviewWe are seeking a detail... 
    Hourly pay
    Work at office
    Local area
    Monday to Friday

    Sanctuary Recovery Centers

    Phoenix, AZ
    15 days ago
  • $55k - $70k

     ...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000...  ..., clean documentation, consistent follow-up, and strong coordination with clinical teams. You will be trained, coached, and... 
    Full time
    Work at office
    Remote work

    Quadrant Health Group

    Boca Raton, FL
    5 days ago
  • $88.8k - $133.2k

     ...more impact together.Role description:Arcadis is seeking a Utility Coordinator to join our Atlanta, GA transportation team, embedded in a Client...  ...Design plans and Prepare utility conflict analysis. Review Utility Work Plans and recommend for approval. Prepare and review... 
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Relocation
    2 days per week
    1 day per week

    Arcadis

    Atlanta, GA
    3 days ago
  •  ...Plans Development processes and requirements.Brings experience coordinating utility design and construction for State and Local Programs roadway...  ..., design, and construction coordination activities.Prepare, review, and maintain utility relocation plans; develop accurate... 
    Full time
    For contractors
    Local area
    Relocation
    Relocation package
    Flexible hours

    Gresham, Smith and Partners

    Louisville, KY
    4 days ago
  •  ...world around us.Job Description:As a Project Manager within our Utility Coordination group, you will both lead and participate in a variety of...  ...and DOTs.Primary Responsibilities include:Ability to review, interpret, and understand technical plan sets and subsurface... 
    Full time
    Work experience placement
    Relocation
    Flexible hours

    Olsson

    Omaha, NE
    3 days ago
  • OVERVIEW: The Utility Coordinator is responsible for coordinating utility phases during pre-construction and construction activities. The role...  ...resolution; prepare status reports.Perform constructability reviews with design and construction teams and participate in field... 
    Full time
    For contractors
    Live in
    Work at office
    Local area
    Relocation

    McKim & Creed

    Tampa, FL
    19 hours ago

Do you want to receive more vacancies?

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