Clinical Utilization & Payer Review Specialist
Universal Health Services, Inc.
Hartgrove Behavioral Health System, part of Universal Health Services (UHS), seeks a Utilization Management Coordinator to perform daily clinical reviews for various payer types and ensure timely authorization for continued treatment. The role supports a multidisciplinary team and contributes to quality assurance efforts within the hospital. The position emphasizes accurate data entry in the Midas system, timely communications with providers, and adherence to CMS and regulator guidelines to #J-18808-Ljbffr Universal Health Services, Inc.
$50 - $85 per hour
...Clinical Documentation SpecialistOpportunity for Full... ...Clinical Documentation Specialist will ensure the... ...extensive concurrent review, and concurrent interaction... ...using EMR for identified payer populations on... ...documentation specialist role or Utilization Review.Registered...SuggestedFull timeTemporary workPart timeMonday to Friday- ...continuum of specialty programs throughout our inpatient, partial and outpatient services. The Utilization Management Coordinator performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payer's...SuggestedFull timeLocal areaShift workDay shift
$122k - $134k
Associate Director, Clinical Review Team (MAU) Chicago, IL, United States | 1041615 Posted on: 9/22/2026 - Application Deadline: 10/7/20... ...and apply Medicaid policies, reimbursement methodologies, and utilization review standardsProvide recommendations to leadership on...SuggestedWorldwide$42.12 - $94.29 per hour
UI Health - Healthcare Utilization Review Coordinator IIHiring Department: Continuum of CareLocation: Chicago, IL USARequisition ID: 104297... ...University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary...SuggestedShift workWeekend work- Hartgrove Behavioral Health System is seeking an Utilization Management Coordinator to perform timely clinical reviews and coordinate authorization across payer types. The role collaborates with a multidisciplinary team to ensure appropriate level of care and alignment...SuggestedDay shift
$62.81 - $68.38 per hour
UI Health - Extra Help Healthcare Utilization Review Coordinator IIHiring Department: Continuum of CareLocation: Chicago, IL USARequisition... ...Evidence Based Practice and Magnet's Five Models of Care into clinical practice. Through therapeutic relationships with patients,...Worldwide- ...Job Description Job Description Senior Hospitalist Clinical Reviewer Job Type: Contractor Location: Remote Job Overview We... ...documentation improvement (CDI) . Experience with medical coding, utilization review, or physician audit processes. Experience...Remote jobFor contractors
- ...Job Description - CLINICAL LABORATORY ASSISTANT (00139577) Job Description CLINICAL LABORATORY... ...in various sections of the laboratory. Utilizes the Laboratory Information System (LIS)... ...and Hospital Information Systems to review patient test orders and investigate patron...Hourly payFull timeWork experience placementLocal areaShift workRotating shift
$20.8 per hour
Clinical Lab Assistant II-Central Specimen Receiving, Full-time Night Shift Full-time Salary... ...area. Identifies and solves problems utilizing appropriate resources with the assistance... ...completes required documentation. May review/record refrigerator temperature(s) and QC...Hourly payFull timeWork experience placementLocal areaRelocation packageNight shift- ...testing area. Identifies and solves problems utilizing appropriate resources with the assistance of a... ...rejections, critical/notifiable results to appropriate clinical personnel and completes required documentation. May review/record refrigerator temperature(s) and QC/QA...Full timeWork experience placementLocal areaRelocation package
$79k - $157k
...quality and excellence. We are Worldwide Clinical Trials, and we are a global team of over... ...Scientist is responsible for the review, interpretation, and assessment of oncology... ...efficacy, safety related data components) utilizing listings, visual analytics, tables, figures...Hourly payFor subcontractorWork at officeWorldwide$60k - $75k
...we help people reclaim their lives with clinically proven OCD treatment, by removing barriers... .... About The Role Provider Enrollment Specialist. The Provider Enrollment Specialist is responsible... ...databases, credentialing systems, payer portals and CAQH, including enrollment...Full timeFlexible hours- Job Title: Medical Reviewer/Safety Reviewer III Location: REMOTE Duration: 12 months with... ...extension Overview Medical Review for label, clinical data and disease state. Provides subject... ...as Veeva PromoMats and/or MedComms; utilize CRM knowledge when beneficial. Rapidly...Local areaRemote work
- Job Title Reimbursement Specialist - Healthcare Job Description... ..., and following up with payers to secure timely reimbursement. Review EOBs, payment variances,... ...and reimbursement. Utilize Excel, dashboards, and daily... ...technology and deep clinical and consumer insights on...Full timeWork at officeWork visaRelocation package3 days per week
- Prime Healthcare Illinois Medical Group is seeking an Account Resolution Specialist to manage Medicaid billing follow-up and payer interactions. You will communicate with health plans by phone, review denied claims, and support timely collections while ensuring compliance...
$78.4k - $91.5k
...Medicine , as a Medical Technologist in the Clinical Chemistry Laboratory. Here, you will... ...sections of the laboratory by properly utilizing a variety of methodologies and... ...and is reflective of current market data, reviewed on an annual basis. Compensation offered...Full timeImmediate startRelocation packageShift workAfternoon shift$65k - $90k
...Unit About the Department The Office of Clinical Research (OCR) is dedicated to supporting... ...for clinical research and supports utilization of the Clinical Trial Management System... ...stakeholders in the process. Responsibilities Reviews clinical trial protocols, budgets,...Work experience placementWork at office$26.25 - $42.92 per hour
...Drive Job Description Reviews and audits physicians’... ...with Division Heads and Clinical Practice Directors or... ...patients, third party payers, billing coordinators... ...CPC), Certified Coding Specialist - Physician (CCS-P),... ...Notice Lurie Children’s utilizes certain AI-enabled...Hourly payFull timePart timeFlexible hours$19.5 - $30.23 per hour
...Description General Summary: The Rehab Clinical Assistant works with the rehab clinicians... ...for the position. Ranges are regularly reviewed to stay aligned with market conditions.... ...luriechildrens.org AI Notice Lurie Children’s utilizes certain AI-enabled features within our...Hourly payWork at officeFlexible hours$50k - $65k
...Clinical Documentation SpecialistVoted one of Chicago's Best Places to Work by the Chicago... ...is seeking a Clinical Documentation Specialist to support a large scale client facing project... ...acute care (inpatient) medical record review (concurrent) of diagnoses, treatments,...Remote work$17 - $18 per hour
Referral Specialist Location: Southeast Side Community... ...position is responsible for reviewing medical orders,... ...meet organizational and payer requirements. Obtain prior... ...customer service utilizing the AIDET model. Communicate... ...assigned to support clinic operations....Hourly payFull timeWork at officeWeekend workAfternoon shift- CyberSearch is seeking a Charge Review Specialist to ensure the integrity of hospital billing processes. This role requires extensive knowledge in medical coding and compliance, along with a minimum of five years experience in CDM maintenance. The position is remote, allowing...Remote job
$21.61 - $34.04 per hour
...case. Summary The RMG Access Center Specialist II manages all clinical and non-clinical calls and performs... ...judgement when problem solving. Ability to utilize Epic Cadence efficiently. Employees... ..., or requirements. Date Reviewed Date Revised: Responsibilities Competent...Hourly payFull timeWork experience placementWork at officeFlexible hoursShift work- ...SpecialistThe Patient Access Specialist reflects the mission, vision,... ...Participates in Quality Assurance reviews to ensure integrity of... ...service breakdowns when they occur.Utilizes department and hospital... ...seeking their first licensed clinical position as a Registered Nurse...Work at officeLocal areaRelocation packageShift work
$22.89 - $26.32 per hour
...Employment Specialist Pay Range: $22.89 - $26.32/hr Schedule:... ...substance abuse/addiction disorders utilizing a harm reduction approach.... ...with two years of supervised clinical experience in a mental health... ...further information, please review the Know Your Rights notice...Extra incomeTemporary workWork experience placementWork at officeMonday to Friday- ...procedure and secondary procedures. Utilizes encoder software applications... ...Classification of Diseases, Clinical Modification (ICD-CM)... ...Interprets LCDs/NCDs and payer policies. Tracks issues (i... ...preferred. Certified Coding Specialist (CCS), Certified Procedural Coder...Temporary workLocal areaImmediate startRemote workFlexible hours
$19 - $28.5 per hour
...from phone or fax and submit referrals for clinical triage as specified by division... ...Signs up patients for MyChart as well as utilizing the Epiccare Link functionality as appropriate... ...referral for scheduled services. Reviews and collects outstanding patient liabilities...Hourly payWork at officeVisa sponsorshipFlexible hours- ...Description The Patient Access Specialist reflects the mission, vision,... ...in Quality Assurance reviews to ensure integrity of patient... ...breakdowns when they occur. Utilizes department and hospital policies... ...seeking their first licensed clinical position at NM may be eligible...Work at officeLocal areaRelocation packageShift work
$110k - $155k
...longstanding commitment to excellence in clinical care, education, and research. Its... ...influence mental health and treatment response, utilizing contemporary approaches such as... ...through monitoring, education, process reviews, and operational improvements.Coordinates...Full timeWork experience placementWeekend workAfternoon shift$18.87 - $26.66 per hour
...seeking a Prior Authorization Specialist I to support patients,... ...authorizations and ensuring services meet payer requirements before care is... ..., gather required clinical and demographic information,... ...with registration and insurance review activities that help ensure accurate...Hourly payExtra incomeFull timeLocal areaFlexible hoursShift work
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