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
- ...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...SuggestedWork experience placementWork at office
- ...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...SuggestedDaily paidWork at officeLocal areaFlexible hours
- ...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...SuggestedContract workLocal areaNight shift
- ...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,...SuggestedFlexible hours
- ...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
$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- ...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...
- ...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 timeRemote workMonday to Friday
- ...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 timeLocal area
$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 payFull timeWork at officeRemote workMonday to Friday- ...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 areaFlexible hours
- ...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
$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- ...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 jobFull timeMonday to Friday
- ...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 officeLocal area
- ...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 paidTemporary workReliefLocal area
- ...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 officeLocal area
- ...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 timePart timeReliefShift work
- ...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
- ...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...ReliefWork at officeLocal area
- ...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 startMonday to FridayShift work
- ...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 officeImmediate startFlexible hours
- ...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...
- ...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 timeRelief
$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 payWork at officeLocal areaMonday to Friday$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 timeWork at officeRemote work$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 timePart timeWork at officeLocal areaWork from homeRelocation2 days per week1 day per week- ...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 timeFor contractorsLocal areaRelocationRelocation packageFlexible hours
- ...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 timeWork experience placementRelocationFlexible hours
- 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 timeFor contractorsLive inWork at officeLocal areaRelocation
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