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- ...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, MI5 days ago - ...To support clinical staff in a collaborative environment, the full-time Utilization Review Coordinator will assign utilization review requests, verify and enter data into appropriate systems, and respond to inquiries while working remotely. Key responsibilities Accesses...SuggestedFull timeWork at officeRemote work
Virtual Vocations Inc
United States2 days ago $18 - $20 per hour
...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 officeLocal areaRemote workFlexible hoursSedgwick
United States4 days ago- ...Regional Health CenterPrinciple duties and responsibilities:1. Coordinates the care and discharge planning of hospitalized patients... ...call backs, population health data, swing-bed and Utilization Review.7. Assists with goals to reduce readmissions, over utilization...SuggestedWork at officeImmediate startRemote workShift workWeekend work
Lexington Regional Health Center
Lexington, NE4 days ago - ...Responsibilities The Hughes Center is seeking a talented and dynamic Utilization Review (UR) Coordinator to join our team of dedicated healthcare professionals! Monday - Friday, Dayshift The Hughes Center is a highly-structured psychiatric residential treatment facility...SuggestedLocal areaWork from homeMonday to FridayFlexible hoursDay shift
Universal Health Services
Callands, VA5 days ago - ...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
Nrg-Mgmt-LLC
Boca Raton, FL1 day ago - Full-time Utilization Review Coordinator 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 a secure, nurturing environment where...SuggestedFull timeLocal area
- ...by law. Description Position Summary The UR and RCM Support Coordinator is responsible for securing and maintaining payer... ...each 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 work
$29.54 - $44.31 per hour
...Job TitleFacilitates coordination of reimbursement processes for all levels of care to include authorizations, data collection and tracking... ...), Intensive Outpatient Program (IOP). Completes concurrent reviews and assists with admission authorizations.Ensures appropriate...SuggestedTemporary workReliefRemote workFlexible hoursShift workUC Health
Fort Collins, CO3 days ago$29.54 - $44.31 per hour
...a hybrid or remote option Summary: Facilitates coordination of reimbursement processes for all levels of care to include authorizations... ...), Intensive Outpatient Program (IOP). Completes concurrent reviews and assists with admission authorizations. Ensures...SuggestedTemporary workReliefLocal areaRemote workFlexible hoursShift workUC Health
Fort Collins, CO1 day ago- ...Job Description Job Description Description: Position: Utilization Review Intake Coordinator Location: Remote/ Hybrid our of Exeter, NH or South Burlington,VT Employment Status: Full-time, non-exempt Summary Under the supervision of the Utilization...SuggestedFull timeTemporary workSummer workRemote workFlexible hoursShift work
$65k - $85k
...Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with strong experience in OASIS, coding, QA...SuggestedRemote workMonday to FridayWeekend workWeekday workConcierge Home Care
Jacksonville, FL2 days ago$118.29k - $163.94k
...Pay Plan Title: Director, Utilization Management Working Title: Director, Utilization Management – Review FLSA Status: Exempt Posting Salary Range: $118,292 - $163,939 Office Location: Remote within North Carolina. POSTING DETAILS: Make an Impact...SuggestedFull timeWork at officeLocal areaImmediate startRemote workWork from homeFlexible hours- ...to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical...SuggestedWork at officeRemote workFlexible hours
Spectrum Billing Solutions
Skokie, IL5 days ago $55k - $70k
...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000... ..., clean documentation, consistent follow-up, and strong coordination with clinical teams. You will be trained, coached, and...SuggestedFull timeWork at officeLocal areaRemote workQuadrant Health Group
Pompano Beach, FL1 day ago- ...And Every Other Weekend RN Case Manager -Utilization ReviewJoin our team as a remote full... ...other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK.... ...all available resources.Recommends and coordinates timely transfers to appropriate levels...Full timeWork at officeRemote workShift workWeekend work
INTEGRIS Health
Oklahoma City, OK14 hours ago - ...Employment Status: Full-time FLSA Status: Non-Exempt Reports To: Utilization Review Process Manager Job Summary: Under the supervision of the... ...use professional discretion and judgment to prepare and coordinate reviews of group renewal information as needed at each group...Full timeWork at officeRemote work
Socket
Austin, TX2 days ago $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...Full timePart timeFor contractorsWork at officeLocal areaWork from homeRelocationRelocation package2 days per week1 day per week- ...Utilization Management Coordinator This position performs non-clinical functions for the Utilization Management process. Facilitates department workflows... ...been submitted. • Answers queue calls relating to UM review and pre-service status. • Provides referrals and...Remote work
Saviance
United States5 days ago $90.9k - $129.9k
...Health Day Treatment and In- Home Family Therapy. There are no direct patient interactions for this role, rather you will provide utilization review and quality assurance.Your role in our missionReview and evaluate prior authorization submissions utilizing multiple computer...Full timeRemote workHome officeFlexible hours$50k
...Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary... ...concurrent reviews Schedule peer-to-peer reviews and coordinate urgent/expedited appeals Staff individual cases with...Remote workSanta Barbara Cottage Hospital
United States2 days ago$62k - $70k
...Role The purpose of this position is to ensure that the utilization process is thorough, organized and streamlined to provide the... ...virtual IOP clients in a timely manner Completes peer to peer reviews with insurance MDs to advocate for treatment post first line...Full timeLocal areaRemote workCharlie Health Outreach
United States1 day ago- ...To support the Ethos Medical Management Team, the full-time Utilization Review Specialist will ensure the efficient and timely processing of Utilization Management and Independent Review requests remotely, while maintaining compliance and delivering exceptional client...Full timeWork at officeRemote work
Virtual Vocations Inc
United States2 days ago $19 per hour
...The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with... ...-clinical tasks related to processing Utilization Management prior authorization sand appeals... ...faxes Enter UM authorizations review requests in UM platform using ICD-10 and...Temporary workLocal areaRemote workIntegra Partners
Troy, MI3 days ago- ...Utilization Review Specialist Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our...Full timeWork at officeRemote work
Ethos Risk Services
United States1 day ago $70k - $100k
...of the Surgery Partners network, is seeking an experienced Utilization Review Specialist to join its team in Addison, Texas. This position... ...* Support a positive patient experience through effective coordination and communication. *Job Type & Location*This is a Permanent...Permanent employmentRemote work2 days per weekTEKsystems
Addison, TX2 days ago- ...Utility Coordinator Your future begins here! BGE, Inc is a nationwide civil engineering consulting firm offering diverse career opportunities... .... Providing quality assurance/quality control (QA/QC) reviews of field data and deliverables. Conduct meetings, prepare...Local areaImmediate startRemote workRelocationFlexible hours
BGE
Austin, TX4 days ago - ...What Your Day Will Look Like: As a Utility Coordinator, you'll review construction improvement plans to identify utility conflicts and collaborate with utility owners to resolve relocation issues, addressing cost and schedule impacts for transportation infrastructure...Full timePart timeFor contractorsWork experience placementLocal areaRemote workRelocationFlexible hours
CONSOR Engineers
El Paso, TX4 days ago - ...Position Description Position Overview: The Utility Coordinator will work with the Project Managers in the Office of the County... ...Prioritizes relocations to mitigate delays to project schedules. Reviews design plans and Utility Conflict Tables for thoroughness...Full timeTemporary workPart timeWork at officeRemote workRelocationFlexible hoursWeekend workAfternoon shiftEarly shift
Harris County, TX
Houston, TX4 days ago $35 - $40 per hour
...back, and treating every individual with empathy and respect. POSITION SUMMARY: As a key member of the Northpoint team, the Utilization Review Specialist is a licensed professional who is responsible for ensuring that clinically appropriate care, discharge, and cost-effective...Full timeTemporary workWork at officeRemote workMonday to FridayNorthpoint-Recovery-Holdings,-LL
Meridian, ID2 days ago
