Clinical Utilization Review Specialist
Universal Hospital Services Inc.
The Hughes Center, part of Universal Health Services, seeks a Utilization Review Coordinator to support resident-centered care in a structured psychiatric residential program for youth ages 10–22. The role coordinates referrals, authorizations, and payor communications, ensuring timely transitions through residential care. Work Monday–Friday, dayshift, with responsibilities including reviewing clinical data, preparing UR reports, and collaborating with physicians, treatment teams, and payors to #J-18808-Ljbffr Universal Hospital Services Inc.
$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?...SuggestedWork at officeLocal areaFlexible hours- ...Responsibilities The Hughes Center is seeking a talented and dynamic Utilization Review (UR) Coordinator to join our team of dedicated healthcare... ...to satisfaction of the customer and facility. Review of clinical patient data with third party reviewers to substantiate the...SuggestedLocal areaWork from homeMonday to FridayFlexible hoursDay shift
$31.73 per hour
...Description Job Description Job title: Clinician III-Clinical Records Reviewer - 43426 Pay rate : $31.73 Hours/Shift : Monday through... ..., special education, social work) and five (5) years utilizing the required knowledge, skills, and abilities and associated...SuggestedMonday to FridayShift work- Acentra Health is seeking a CAP Clinical POC Reviewer to join our team in the United States. The role utilizes clinical expertise to review HCBS waiver requests, Plans of Care, and related documentation, ensuring compliance with clinical criteria and policies. You will...Suggested
- ...Utilization Specialist The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved clinically valid criteria which meets the daily deadlines to obtain authorizations...SuggestedTemporary workWork at office
- ...Utilization Review Coordinator Mountain Youth Academy is nestled in Mountain City, Tennessee which is a short commute from Johnson City, TN, Boone, NC, and Abingdon, VA. We are a 120-bed residential treatment facility and assist in the evaluation, diagnosis, and treatment...Work at officeLocal areaShift work
- ...management. Provides information to patients so they may fully utilize and benefit from the clinic services. Conveys a positive image of the practice,... ...accompanied by faxed order and clinical records. Reviewing the following week’s surgical cases and burning/uploading...Work experience placementWork at officeShift workDay shift
$26.09 - $40.16 per hour
JOB SUMMARY: The Medical Coding Specialist is responsible for providing billing analysis of... ...this role, you will perform bill and chart reviews to identify any variation from quality... ...co-workers and management regarding clinical and reimbursement findings. Assist with...Hourly pay$50k
...history taking, physical exam of patients, utilization of differential diagnosis, appropriate... ...as needed basis. SHS operates its main clinic on the Mason Fairfax campus and smaller... ...infection control training, and competency review. Laboratory/Phlebotomy Techniques...Full time- ...Patient Access Associate Specialist Ensemble is a leading provider of... ...are essential in supporting clinical and financial operations for... ...processing physician orders, and utilizing an overlay tool while... ...patient education documents. Reviews eligibility responses in insurance...Work at officeLocal areaRemote work
- ...candidate to join our talented Team. Job Title: Utilization Management Coordinator. Location: Reston... ...~ Supports the Utilization Management clinical teams by assisting with non-clinical... ...related to pre-service, utilization review, care coordination and quality of care....Work experience placementWork at officeImmediate startRemote work
- .... Augusta Military Medical Center, in a Clinical Laboratory setting. The incumbent will be... ...Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DoD... ...automated systems for various purposes. Review daily Quality Control data. Apply appropriate...Permanent employmentFull timePart timeSeasonal workWork at officeLocal areaRelocation package
$47.19 - $75.5 per hour
...patients and other health care providers, reviewing and processing medication orders, and... ...concordance with departmental expectations of clinical pharmacy practice Will respond to... ...competency in all technologies utilized by the Department of Pharmacy Supports...Relocation packageShift workAfternoon shift$88.7 - $140 per hour
...Health in McLean, Virginia is seeking a Physician Medical Reviewer to join their team. The role involves conducting... ...have an M.D. or D.O. degree, with at least 3 years of clinical practice and experience in Utilization Review. Acentra Health offers competitive pay rates...Remote jobHourly pay- ...Senior Strength And Conditioning Specialist Battelle delivers when... ...in periodic meetings to review and evaluate physical training... ...such as maintaining records of utilization, workload, conducting or... ...programs, and participating in clinical staff quality assurance...Full timeWork at officeRemote workFlexible hours
- ...operations across health systems and associated clinics Serve as a point of contact between... ..., including logging and tracking Review, date-stamp, and upload requests into HealthSource... ...Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other...Full timeWork experience placementWork at officeLocal areaMonday to Friday
$17.75 - $22 per hour
...This position is responsible for carrying out various clinical tasks as delegated by a physician and ensuring the efficient and... ...bladder irrigations, pre-op instructions, and post-op care Utilize electronic medical records for documentation and charting of all...Work at office- ...PRN Clinical Laboratory Assistant (CLA) QuadMed is seeking a PRN Clinical Laboratory Assistant (CLA) to provide flexible, as-needed... ...Maintains patient confidentiality and follows all HIPAA guidelines. Utilizes time, material, and resources in an economical manner,...ReliefWork at officeFlexible hours
- ...Safety Specialist II- Power Location: Lenexa, KS, US Houston, TX,... ...services for Power Generation utilizing a non-union craft force. TIC... ...Assist in the development, review, updating, and communication... ...emergency medical services and clinics Assist with KieTrac entry,...Full timeContract workFor subcontractorRelocationWeekend work
$17 - $23 per hour
...Innovation/Utility Specialist Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our benefits, see below! We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control and other services...Hourly payFull timePart timeLocal areaImmediate startMonday to Friday- ...The Peer Recovery Specialist (PRS) is responsible for providing peer... ...of wellness and recovery by utilizing their lived experiences of recovery... ...people. Services are non-clinical, person-centered, strengths-based... ...further information, please review the Know Your Rights notice...Local areaShift workWeekend work
$15.48 - $20.7 per hour
...fulfilling work environment. Overall Objective: Clinical Documentation Specialist / Medical Scribe prepares for patient visit, accurately... ...visit documentation, and follow-up instructions. Entry is reviewed and approved by the provider. Under the provider's...Full timeWork at officeMonday to Thursday- ...Strength and Conditioning Specialist to join our team in support... ...Participate in periodic meetings to review and evaluate physical... ...such as maintaining records of utilization, workload, conducting or... ...programs, and participating in clinical staff quality assurance...Full timeWork at officeLocal areaRemote workFlexible hours
- ...Hampton Roads region, including northeastern North Carolina. Our clinical care team consists of board certified urologists most of whom... ...catheterization, bladder irrigations, pre-op instructions and post-op care Utilizes electronic medical records for documentation and charting all...Work at office
$21.02 - $36.77 per hour
...employer. The G. Wayne Fralin Free Clinic provides compassionate healthcare to... ...of volunteer engagement and ability to utilize and appreciate volunteers in daily tasks... ...free and tobacco-free workplace. We look forward to reviewing your qualifications!...Hourly payDaily paidFull timeWork at officeMonday to FridayFlexible hoursNight shift- ...a dedicated Case Management Specialist to join the team. This role... ...Communicates and documents accurate clinical/financial information in... ...to ensure the appropriate utilization of benefits and services.... ...initiatives of the department. Reviews and approves time/attendance...Full timeContract workMonday to FridayWeekend workDay shift
$15.46 - $23.19 per hour
Health Information Management HIM Specialist Dominion Hospital Falls... ...workflow queues, the source clinical EHR (e.g. Meditech, Epic, Cerner... ...program Annual performance reviews Support for personal well-being... ...resolving unbilled accounts utilizing applicable system(s)....Full timeWork at officeMonday to Friday$17 - $23 per hour
...constantly work to fulfill our mission to "protect people, enhance lives, and preserve the planet". What do our Innovation/Utility specialists do? The primary purpose of this role is to perform the dynamic combined aspects of pest control, exclusion services, minor construction...Hourly payFull timePart timeLocal areaImmediate startMonday to Friday- ...Hospice Team! Are you an HIM Specialist who loves organization, healthcare... ..., tests, imaging, and other clinical documentation. Prints... ...or 2 days after said date). Reviews documentation to ensure quality... ...them Appropriately plans and utilizes required resources for various...Work at officeLocal area
$57.76k - $88.38k
...Description The Provider Relations Specialist is responsible for building... ...partnership with internal clinical leaders and departmental... ...patient access, and service utilization. The Provider Relations Specialist... ...further information, please review the Know Your Rights notice...Work at officeShift work
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