Utilization Review Coordinator - Behavioral Health - PRN
Universal Hospital Services Inc.
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 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. Maintain appropriate records of the review process for the purpose of preparing and submitting appeals to third party payors. 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 assures 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. About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. #J-18808-Ljbffr Universal Hospital Services Inc.
$20 - $30 per hour
Overview Guidelight Health is a cutting-edge behavioral healthcare company dedicated to... ...exceptional care, utilizing state-of-the-art facilities... ...Responsibilities Utilization Review on Behalf of the Clinics:... ...treating clinicians. Coordinate Peer-to-Peer (P2P) Review...SuggestedRemote 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
$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 jobFlexible hours- ...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...SuggestedHourly payFull timeContract workWork at officeImmediate startRemote workMonday to Friday
- 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...SuggestedDaily paid
$19 per hour
The UM Coordinator assists and supports the clinical team (UM Nurses/Medical... ...tasks related to processing Utilization Management prior... ...faxes Enter UM authorizations review requests in UM platform using... ...Quarterly company-sponsored events Health and wellness programsCareer...Temporary workLocal areaRemote work- ...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... ...with higher levels of need Chair Critical Behavior Reviews for Long Island and the City bi-weekly Work to develop staff...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 outreach to 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 is... ...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$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- 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$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...- A community-based organization in New York is seeking a Youth Behavioral Health- Support lead to facilitate mental health workshops for youth ages 5-18. This unique volunteer position offers a $1,200 stipend per 8-week cycle, along with valuable training and mentorship...
- 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
- ...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
- ...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
- Licensed Practical Nurse (LPN) Behavioral Health Schedule : Varied Shifts - PRN More about our team Join the Behavioral Health Unit (BHU) team, where we’re growing together! Our 12-bed unit provides adult, acute behavioral health treatment. With plans to expand the service...ReliefFull timeTemporary workPart timeShift work
- ...Nutrition Coordinator The Nutrition Coordinator is a Registered Dietitian... ...that assesses the nutrition health needs of patients and... ...nutrition counseling; nutrition behavioral therapy; lactation counseling... ...development plans. Ability to fully utilize BHMC's electronic record...Hourly payContract workWork at officeLocal area
$24 - $27.35 per hour
...Job Description Sun River Health provides the highest quality... ...primary, preventative and behavioral health services to all who see... ...currently seeking a Full-time Intake Coordinator of Adult Health Care to join... ...resources. In addition, utilize agency films, books and...Hourly payFull timeDay shift- ...Temp - Case Management Coordinator - Hybrid - New York City Hybrid... ...opportunity with a non-profit health insurance company in New York... ...conducting clinical profile reviews in care coordination system to... .... Demonstrate appropriate behaviors in accordance with the organization...Temporary workWork experience placementWork at office
$17.42 - $27.28 per hour
...Position Title: Pharmacy Coordinator Job Description:... ...addition to your salary, Elevance Health offers benefits such as a comprehensive... ...associates. Our values and behaviors are the root of our culture.... ...under Florida law should review the education and awareness resources...Temporary workWork experience placementWork at officeLocal areaDay shift2 days per week1 day per week$24 - $27.35 per hour
...Intake Coordinator Of Adult Health Care Sun River Health provides the highest quality comprehensive primary, preventative and behavioral health services to all who see it, regardless of insurance... ...outside resources. In addition, utilize agency films, books and...Hourly payFull timeDay shift- ...Labor Relations Coordinator The Office of Chief Medical Examiner investigates... ..., suddenly when in apparent health, when unattended by a... ...communities and inform our behavior toward each other and all those... ...in the development and review of intradepartmental standard...Full timeWork at office
$30.13 per hour
...improve residents' quality of life, health, and comfort. Licensed... ...residents and nursing care Review and integrate the Nursing Care... ...of physical orders Utilize the capabilities of staff members... ...Types: Full-time, Part-time, PRN Pay: $30.13 per hour Benefits...ReliefHourly payFull timePart timeLocal areaRelocation package- Hanover Hill Behavioral Health, opening in late fall 2025 is seeking board-eligible/certified psychiatrists for moonlighting. This PRN position offers flexibility to work weekends, holidays and occasional weekdays. Ideal for experienced psychiatrists or psychiatry residents...ReliefHourly payFreelanceWeekend workWeekday work
- ...NYC Health + Hospitals is the largest public health care system in the United States. We provide... ...Specialty Access Improvement Team (SAIT) Coordinator utilizes some independent judgement and initiative, assists in the reviewing, organizing, scheduling and assignment of...Full timeWork from homeShift work
$101.5k - $126.88k
...Medicare and Medicaid managed care health plans, are outstanding... ...for the management and coordination of the member's care through... ...including treating physician, PCP, utilization managers, social workers,... ...performance appraisals, salary reviews and staffing....Full timePart timeWork at officeRelocation packageFlexible hours
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