Average salary: $112,041 /yearly
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$37.59 - $63.6 per hour
...Utilization Review Nurse The Utilization/Admission Review Coordinator promotes an effective continuum of care for the patient through intra- and interdepartmental utilization practices and coordination. Works with other departments to develop and maintain an effective...SuggestedWork experience placementWeekend work- ...ensuring clients receive timely and medically necessary care. Position Overview: We are seeking a detail-oriented, proactive Utilization Review (UR) Coordinator to support insurance authorization processes across all levels of care — including Detox, Residential, PHP,...Suggested
Your Behavioral Health
Torrance, CA23 days ago - ...Utilization Review Specialist (Urs) Springwoods Behavioral Health, an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides acute inpatient treatment for adolescent, adult, and specialty program for women. The hospital also offers outpatient...Suggested
$51.43 - $79.84 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing...SuggestedMinimum wageFull timeLocal areaShift work- ...Ur Specialist Opportunity At Park Royal Hospital Do you have great attention to detail? Have experience in Utilization Review? Want to work in a positive, respectful environment where you will be challenged to be the very best? If you said "yes", then we are interested...SuggestedFull timeWork at office
- ...Vice President of Utilization Review About the Company Premier medical billing company Industry Hospital & Health Care Type Privately Held Employees 201-500 Specialties ~ medical billing About the Role The Company is seeking a Vice President...Suggested
$46.3 - $91.32 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing...SuggestedMinimum wageFull timeShift workAfternoon shift- ...Utilization Review Support Specialist As a Utilization Review Support Specialist, you will provide administrative and operational support to the UR-Revenue Recovery team. This role ensures compliance and accuracy in patient health information, facilitates timely communication...SuggestedWork at officeMonday to Friday
$20.25 - $30.39 per hour
...Job Title Provides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting... ...telephone, clerical and data entry support for the care review team. Provides computer entries of authorization request/...SuggestedHourly payWork experience placementWork at officeShift workNight shiftDay shift- ...Utilization Review Assistant The Utilization Review Assistant ensures the timely and accurate collection of data and documents necessary for the utilization review process as well as independent medical review. This is a hybrid opportunity, requiring initial onsite...SuggestedWork at officeImmediate startWork from home2 days per week3 days per week
- ...capabilities and improved personalized treatment recommendations. Role Description: This is a full-time role for a Utilization Review Manager- Revenue Cycle Management at Variantyx. The role is responsible for managing the claim denials and appeals for the...SuggestedFull time
Variantyx
Framingham, MA18 days ago - ...medication management, case management, and counseling. Job Summary Mental Health Resource Center is looking for a Utilization Management Reviewer to monitor the utilization of clinical services provided at Mental Health Resource Center (MHRC), using predetermined...SuggestedFull timeMonday to FridayFlexible hours
- ...As our Utilization Review Nurse, you will coordinate and perform all aspects of Worker's Compensation, auto, and general liability claims for medical management activity (IME/Peer Review, UR) to ensure optimum medical care service delivery, utilization of resources, and...SuggestedFull timeTemporary workWork at officeFlexible hours
$76k - $85k
...pursue opportunities, and serve constituents across the public sector. To learn more, visit . PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing a medical management software system on a day-to-day basis...SuggestedFull timeFor contractorsH1bWork at officeLocal areaRemote work$35 per hour
...Westborough Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and...SuggestedDaily paidShift work$28 - $32 per hour
...We are looking for a Utilization Review Specialist to join our team! The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. The full UR function can be performed in applicable jurisdictions...Hourly payFull timeTemporary work- Weekend Requirement - Varies CA license required to the Remote UR positionRemote workWeekend work
$65 per hour
...RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical Center, Syracuse, NY Employment Type: Full-time Hourly Rate: $65/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading...Hourly payFull timePrivate practiceMonday to FridayDay shift- Full Time, Days At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized...Permanent employmentFull timeWork experience placementLocal area
$27.86 - $43.46 per hour
...we know that to inspire and retain the best people, we must empower them. Providence Health Plan is calling an Associate Utilization Review Specialist who will: Be responsible for all core functions in one or more of the following clinical teams: Prior-authorization...Full timeWork at officeLocal areaRemote workShift work- ...culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Social Worker-Utilization Review monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, admissions, and...
$38.5k
...About the Position : Under general direction of the Director of Operations, the Utilization Review (UR) Specialist helps to manage the facility’s utilization management processes. This includes preparing of documentation necessary for the pre-certification of admissions...Hourly payFull timeWork at officeMonday to FridayFlexible hoursShift work- ...-lives, training, ongoing monthly meetings, Quarterly Business Reviews (QBRs), and ad-hoc touch points. This position is also responsible... ...(CSEs) to assess and analyze clinical insights for customers utilizing the product(s). Collaborates with CSEs on client narratives and...Full timeLive inWork at office3 days per week
$1,710 - $1,792 per week
Embark on a meaningful journey as a Registered Nurse in Utilization Review, where your clinical expertise advances patient outcomes while shaping efficient, evidence-based care across the health system. In this role, you’ll blend medical insight with policy acumen to ensure...Hourly payWeekly payContract workTemporary workZero hours contractLocal areaRelocationRelocation packageFlexible hoursShift work$2,193 per month
...Job Overview TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical necessity, efficiency, and appropriateness of healthcare services. This role involves reviewing patient care plans, ensuring compliance...Weekly payZero hours contractShift work$106.25k
...Shape the Future of Patient-Centered Care Attune Pharmaceuticals is seeking a detail-oriented, clinically astute Remote Utilization Review Nurse (RN) to join our expanding clinical operations team. This role offers the opportunity to work at the intersection of healthcare...Remote workFlexible hours$200k - $230k
...Vice President of Utilization Review – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - In Office - No Remote Salary Range: $200K - $230K This is a full-time, on-site role requiring daily presence at our Lauderdale Lakes, FL location. Who We Are...Full timeWork at officeRemote workFlexible hours$46 per hour
...Glendale, Colorado. The RNs will assist in the coordination and review of healthcare services for veterans, including clinical... ...review consults/requests for completeness and appropriateness/utilization review. • Dispositioning care in the community per utilization...Long term contractContract workWork at office- ...Clinical Care Manager who is passionate about advancing high‑quality, compliant, patient‑centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory knowledge to evaluate healthcare services, ensure medically...Bi-weekly payFull timeTemporary workFor contractorsLocal areaRemote workWork from home
- ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are... ...license and Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering...Price workExtra incomeContract workFor contractorsRemote workFlexible hours
