Average salary: $112,292 /yearly
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- ...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
- Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal communications skills with all levels of internal and external customers...SuggestedWork experience placement
$57.28 - $88.92 per hour
...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at...SuggestedMinimum wageFull timeWork at officeLocal areaShift work- ...Job Description Job Description POSITION POSTING: Utilization Review DEPARTMENTS: Nursing STATUS Part-Time: 24 hours per week HOURS : Day shift. Hours may be adjusted in response to workload demands; Low census may be utilized in accordance with hospital...SuggestedPart timeDay shift
- ...Health Services, we don’t just invest in our patients—we invest in our people. About the Role: REMOTE POSITION The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing...SuggestedFull timePart timeRemote workWeekend work
- ...Functions 1. Perform both internal and external record reviews as part of daily department operations. Cooperates with Admissions... ...outcome in certification record. Performs concurrent utilization review with insurance companies and relevant payers,...SuggestedFull timeWork at officeMonday to FridayShift work
$1,440 - $1,592 per week
...Non-patient Care (utilization Review) Administrative Support Supplemental Health Care is connecting Non-patient Care (utilization Review) Administrative Supports with top-tier hospital contracts in Poughkeepsie, New York. Travel or stay local, either way, we'll...SuggestedWeekly payFull timeContract workLocal areaShift work$55k - $70k
...Job Description Job Description Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing...SuggestedWork at officeRemote workFlexible hours- ...to impact others in a meaningful way - we warmly invite you to join our growing family! We are currently seeking to hire Utilization Review Specialists to join our corporate NJ Team! The Utilization Review Specialist collaborates with Avenues Recovery facilities...SuggestedTemporary workCurrently hiringFlexible hours
- ...Job Description Job Description Summary: The primary responsibility of this role consists of reviewing member transportation requests that are over the contractual mileage guidelines. ESSENTIAL FUNCTIONS Reviewing and making approval/denial determinations for...SuggestedFlexible hours
- ...Job Description Job Description SUMMARY Under direction of the Utilization Review Technician Supervisor, the Utilization Review Technician coordinates with the Utilization Management Department while being responsible for coordinating phone calls, clinical requests...SuggestedWork at office
- ...appeals and hearings as needed. Prepares and maintains appropriate records and/or documents and submits reports as required. Reviews and certifies patient stays and need for any length of stay extensions in accordance with commercial insurance and governmental agency...SuggestedHourly payWork experience placementWork at office
- Job Description A facility in Englewood, CO is seeking its next amazing Social Worker. Read on if this sounds like your perfect fit!Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters...Suggested
Medical Solutions
Englewood, CO19 days ago - ...supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for patients... .... Excellence in Practice: Performs preadmission review on admissions when required by insurance companies/agencies to...Suggested
- ...Job Description Job Description Job Title: Utilization Review Coordinator Reports To: Assistant Administrator Supervises: None Position Type: Full Time Hours of Work: 8am-4pm Schedule: M-F Utilization Review Coordinator Job Description...SuggestedFull timeWork at office
- ...successfully passing CHAP surveys and client audits; and operate with ethics at the center of our Core Values. We are looking for a Utilization Review Licensed Vocational Nurse to join our fast-growing team. Become part of a notable company and help us achieve our goals!...Work at office
$35 - $45.94 per hour
...Job Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members...Hourly payFull timeRemote workWork from homeHome office$20 - $30 per hour
...the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being of... ...care. Join us in making a lasting impact! Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle...Full timePart timeRemote work$17.44 per hour
...Utilization Review Specialist I Join a team that CARES! Here at ODMHSAS, we believe in I.C.A.R.E. – Integrity, Compassion, Accountability, Respect, and Excellence. Our mission is to promote healthy communities and provide the highest quality care to enhance...Hourly payFull timeWork at officeFlexible hoursWeekend work- ...Job Description Job Description Description: Conifer Park is looking for an Utilization Review Coordinator to join the Medical Records team at our site in Glenville, NY. This is an On Site position. In this role, you will provide utilization review monitoring of...
$40 per hour
...Job Description Job Description Description: Job Title: Utilization Review Nurse (Remote) Pay Rate: $40/hr. Job Type: Full-Time, Remote Hours: Monday-Friday 8am-5pm Benefits: ~10 Paid Holidays ~80 Hours of Paid Time Off (PTO) ~ Medical, Dental...Remote jobFull timeMonday to Friday$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- ...the Role The purpose of this position is to ensure that the utilization process is thorough, organized and streamlined to provide the... ...Participate in denial management, appeals, and peer-to-peer review processes Requirements ~ High School Diploma ~2+ years...Full timeLocal areaRemote work
- ...Job Description Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It is a hybrid position with 1-2 days per week on-site required. Collaborates with the physician, nurse case manager...2 days per week1 day per week
- ...Job Description Job Description A facility located near Lexington, Nebraska is seeking a Utilization Review Registered Nurse to join their team! Utilization Review Registered Nurse Opportunity: Full-time, permanent position Schedule: Monday-Friday,...Permanent employmentFull timeMonday to Friday
- ...Job Description Job Description Position Overview: We are seeking a detail-oriented Utilization Review Specialist with a background in behavioral health to audit clinical documentation prior to billing submission. This role plays a critical part in ensuring that...Full timePart timeRemote work
- ...through all levels of care in the substance abuse and mental health setting. Works with the UR Director and facility contacts on case reviews for pre-service, concurrent, and retrospective authorizations and appeals, looking for medical necessity and appropriateness of...Full timePart time
- ...Please continue to apply for any future needs/growth. Freedom Behavioral Hospital of Monroe has an immediate opening for a Utilization Review representative. At Freedom, we put patient care first in all we do, and our people make that possible. We know that your best...Immediate start
- ...leader in providing behavioral health services to the underserved community, is currently seeking a driven Clinical Supervisor – Utilization Review to join our mission to provide compassionate services to those with limited resources. Our ideal candidate will have a...Local areaImmediate startShift work
- ...A minimum of two (2) years experience in a clinical medical/healthcare setting is required. Previous experience inutilization review isstrongly preferred. Qualified candidates must have strong computer skills (Excel) and must have knowledge of reporting metrics...Full timeLocal area
