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- ...Utilization Review Coordinator PRIMARY PURPOSE: To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic...SuggestedWork at officeRemote work
Sedgwick
United States3 days ago - ...Patient Chart Reviewer In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be... ...Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred....SuggestedFull timeRemote workMonday to Friday
Henry Ford Health System
Troy, MI4 days ago $64k
...Position Summary Salary $64,000 The UR and RCM Support Coordinator is responsible for securing and maintaining payer... ...patient's episode of care. Reporting to the Director of Utilization Review with a dotted-line relationship to the Director of Revenue...SuggestedFull timeContract workPart timeWork at officeRemote workShift workAlsos Behavioral Health
Aurora, CO3 days ago- ...nurturing, family-friendly environment. We utilize a multidisciplinary team approach to... ...resident-centered services that promote coordinated, effective treatment by facilitating the... ...the residents' stay. * Develop systems to review and respond to concerns expressed by...SuggestedLocal areaWork from homeFlexible hours
Universal Health Services
Danville, VA2 days ago - ...Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in Illinois since 1989. Located in Champaign, Illinois, we provide...SuggestedFull timeLocal area
Universal Health Services
Champaign, IL4 days ago - ...Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide....SuggestedFull timeLocal areaShift work
Universal Health Services
Phoenix, AZ2 days ago $20 - $30 per hour
...industry by delivering exceptional care, utilizing state-of-the-art facilities, and... ...Requirement: None Responsibilities Utilization Review on Behalf of the Clinics: Prescreen referrals... ...with the primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation...SuggestedRemote workGuidelight Health
New York, NY4 days ago- Remedial Pro seeks a utilization review professional to monitor adherence to the facility’s utilization plan and ensure appropriate admissions and stays. You will handle initial and concurrent reviews, collaborating with insurers and healthcare partners to communicate...SuggestedRemote job
- ...treatment and behavioral health providers. Through services including benefits verification, billing and claims submission, and utilization review, we help treatment centers optimize revenue cycle management while focusing on delivering exceptional patient care. Our team...SuggestedHourly payWork at officeRemote work
$55k - $75k
...a sanctuary for women to focus on healing and help prepare them for fulfilling, post-treatment lives. We are seeking a Utilization Review Coordinator to add to our dynamic team. The Utilization Review Coordinator plays a critical role in ensuring that healthcare services...SuggestedFull timePart timeWork at officeRemote work$88.8k - $133.2k
...more impact together.Role description:Arcadis is seeking a Utility Coordinator to join our Atlanta, GA transportation team, embedded in a Client... ...Design plans and Prepare utility conflict analysis. Review Utility Work Plans and recommend for approval. Prepare and review...SuggestedFull timePart timeFor contractorsWork at officeLocal areaWork from homeRelocationRelocation package2 days per week1 day per week- ...Utilization Review Supervisor Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire... ...Purpose Of The Job The Utilization Review Supervisor coordinates the activities of the UR department as they relate to medical...SuggestedFull timeRemote work2 days per week1 day per week
- ...R1 RCM is seeking an experienced Utilization Review Author (RN) for our Physician Advisory Team. The role involves first-level admission and continued stay reviews using InterQual/MCG criteria and requires hospital-based UR or Case Management experience. The position...SuggestedRemote workFlexible hours
R1 RCM
Nashville, TN1 day ago - ...Hospital is seeking a nurse to join our Utilization Management team in a remote role. You... ...prospective, concurrent, and retrospective reviews to ensure medical necessity and... ...policies. Join a multidisciplinary team, coordinate with care teams, oversee CMS and payer...SuggestedRemote work
Ascension
Milton, FL1 day ago - ...HealthHelp is seeking a remote Utilization Review clinician (RN/LPN/LVN) to support medical necessity determinations across client programs. You will review cases, coordinate with providers, and ensure timely decisions in line with policy and regulatory requirements. Ideal...SuggestedWork at officeRemote work
HealthHelp
Houston, TX4 days ago $65k - $70k
...Investing in Communities to Transform Lives." POSITION OVERVIEW The Utility Coordinator is responsible for optimizing all utility and ancillary... ...activities for new acquisitions, including: Collection and review of due diligence documentation Determination of utility...Price workPermanent employmentTemporary workFor subcontractorFlexible hoursKids For The Future
Indianapolis, IN12 hours ago- ...Position Overview: The Utility Coordinator will work with the Project Managers in the Office of the County Engineer to manage and track utility... ...relocations to mitigate delays to project schedules. Reviews design plans and Utility Conflict Tables for thoroughness and...Full timeTemporary workWork at officeRemote workRelocationFlexible hoursWeekend workAfternoon shiftEarly shift
Office of the County Engineer
Houston, TX12 hours ago - ...Utility Coordination – Temple Terrace, Florida; Orlando, Florida; Bartow, Florida; Tampa, Florida. Patel, Greene and Associates (PGA) is seeking... ...projects by working closely with multidisciplinary teams, reviewing construction plans, and helping ensure utility conflicts...Work at officeRemote workNight shift
PGA
Tampa, FL2 days ago $26.54 - $39.81 per hour
...Digital and E-commerce, Technology and more. Primary Purpose The Utilities Coordinator II supports the effective management of utility services... ...in the United States on a full-time basis. Responsibilities Review and monitor utility consumption data to identify trends,...Full timeWork at officeLocal areaRemote workFlexible hoursViziRecruiter
Salisbury, NC2 days ago- ...Utility Coordinator The Utility Coordinator plays a vital role in supporting the Fiber Network Design & Construction team by managing permit... ...Key Responsibilities Permit & Utility Coordination Review and organize documentation from internal teams to support...For contractorsWork at officeRemote work
Veterans Sourcing Group LLC
United States1 day ago - ...Behavioral health/ inpatient psych/ utilization management experience preferred. Job... ...hospital and treatment team throughout the review of patients, their placement in various... ...and appropriate discharge planning. UM Coordinators participate in treatment teams,...Part timeWork experience placementWork at officeRemote workMonday to Friday
Saint Francis Health System
Carnegie, OK4 days ago - ...motivated candidate to join our talented Team. Job Title: Utilization Management Coordinator. Location: Reston, VA. Purpose: ~ Supports the... ...and responsibilities related to pre-service, utilization review, care coordination and quality of care. Essential...Work experience placementWork at officeImmediate startRemote work
Ampcus
United States2 days ago $50k
...Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary... ...for concurrent reviews Schedule peer-to-peer reviews and coordinate urgent/expedited appeals Staff individual cases with medical...Remote workAdvanced Recovery Systems LLC
United States5 days ago$21.7 - $27 per hour
...Utilization Management Coordinator The Utilization Management Coordinator plays a vital role in supporting Clinical Operations by managing the intake... ...-related inquiries across multiple case types Review member inpatient status and clinical documentation to support...Full timeContract workInternshipWork at officeRemote workMonday to FridayShift workDevoted Health
United States3 days ago- ...Travel Non-patient Care (utilization Review) Administrative SupportSupplemental Health Care is hiring experienced travel Non-patient Care (utilization Review) ASUPs for contracts at a hospital in Washington, DC. With over 40 years as a nationally recognized staffing partner...Contract workLocal areaImmediate startShift work
Supplemental Health Care
Washington DC12 hours ago - ...LTSS for full-time remote work, NC-based. You will perform utilization reviews and authorizations for I/DD and TBI waivers, ensuring services... ...the least restrictive setting. The role includes care coordination, provider collaboration, and adherence to Medicaid...Full timeRemote work
Alliance Health in
Morrisville, NC3 days ago - HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost-effective, high-quality care. This role ensures medical necessity across Medicare, AHCCCS, and other payers, both on admission and concurrently. The position requires...Remote job
- A leading medical review organization is seeking Board-Certified physicians in Gastroenterology for a flexible remote opportunity. This role requires conducting independent Utilization Reviews for just 1-2 hours per week, with no minimum commitment. Candidates must have...Remote workFlexible hours
Medical Review Institute
United States2 days ago - ...accredited college or university in Nursing, Social Work, Behavioral Health or related field required preferred.2-3 years of utilization review experience in behavioral health, addiction treatment, or managed care.Strong understanding of ASAM criteria, LOCUS, DSM-5, diagnostic...Daily paidFull timeRemote work
The Florida House
Deerfield Beach, FL3 days ago - ...assisting a highly awarded health system north of Philadelphia, PA, in recruiting an Emergency Medicine physician for a non-clinical utilization review role. The position offers a daytime schedule Monday through Friday with the potential for remote work part of the time....Part timeRemote workMonday to Friday
Enterprise Medical Recruiting
Abington, PA4 days ago
