Average salary: $149,508 /yearly

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  • Remote Clinical Review Supervisor - Utilization & Quality

     ...Comagine Health in Oregon is seeking a Supervisor, Clinical CM to provide operational supervision of clinical staff performing utilization reviews and specialty reviews using InterQual criteria. You will mentor reviewers, ensure medical necessity decisions are accurate,... 
    Suggested
    Remote work
    Flexible hours

    Comagine Health

    United States
    14 hours ago

  • Utilization Review Manager

     ...day to your next career milestone-your experience matters How you'll contribute  The responsibility of the UR Manager is to ensure the utilization review activities are completed accurately and timely. This includes the precertification and recertification, peer to... 
    Suggested
    Full time
    Local area

    Sycamore Springs

    Lafayette, IN
    3 days ago

  • Utilization Review Manager

    $92.4k - $138.6k

     ...Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and...  ...of redefining the possible in healthcare. The Manager for Utilization Review is responsible for the leadership and management of the... 
    Suggested
    Temporary work
    Work at office
    Local area
    Remote work

    Ensemble Health Partners

    Columbus, OH
    2 days ago

  • Utilization Review Manager

    $110k

    Sycamore Springs in Lafayette, IN is seeking a Utilization Review Manager to lead utilization management for our mental health and addiction treatment programs. This role oversees authorization requests, concurrent reviews, and appeals to ensure medical necessity and optimal... 
    Suggested

    Sycamore Springs

    Lafayette, IN
    14 days ago

  • Commercial Operations Manager / Contract Manager (Utility-Scale BESS Projects)

     ...Commercial Operations Manager / Contract Manager Remote- US Trina Energy Storage Solutions...  ..., cell-to-AC storage. We work with utilities, developers, and IPPs to reduce project...  ...their needs are met. Create, prepare, review and edit all contracts. Provide... 
    Suggested
    Full time
    Contract work
    Local area
    Remote work
    Monday to Friday
    Flexible hours
    Shift work
    Afternoon shift
    Early shift

    Trinasolar

    United States
    4 days ago

  • Operations Specialist III - Medicaid / Medi-Cal (Epic + Utilization Review

    $30 - $45 per hour

     ...talented Operations Specialist III – Medicaid / Medi-Cal (Epic + Utilization Review. This is a 06+months contract opportunity with long-term...  ...and abstract data within Epic (HealthConnect preferred) ~ Manage assigned review queues and documentation workflows ~ Track... 
    Suggested
    Contract work
    Local area
    Immediate start
    Remote work

    Pyramid Consulting

    Long Beach, CA
    3 days ago

  • Utilization Review Manager

     ...This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Utilization Review Manager based in United States. This is a strategic clinical leadership role overseeing a centralized Virtual Utilization... 
    Suggested
    Full time
    Temporary work
    Remote work

    Jobgether

    Remote
    5 days ago

  • Utilization Review Coordinator

     ...Citizens Health is recruiting a Utilization Review Coordinator to work full-time in our hospital. Our Mission: Enhancing the lives...  ...patients, as required. Coordinate Quality Assessment and Risk Management program within the department. Provide educational... 
    Suggested
    Full time
    Part time
    Work at office
    Flexible hours
    Shift work
    Weekend work

    Citizens Health

    Colby, KS
    4 days ago

  • Utilization Review Coordinator

     ...Experience Required Exp with Utilization Review, Medical Audit/Review or QI preferred License(s) Required Must be a graduate of an...  ...payer utilization reviews; supports quality improvement, risk management, and discharge planning activities; validates census... 
    Suggested
    Full time
    Apprenticeship
    Shift work

    Central Montana Medical Center

    Lewistown, MT
    1 day ago

  • Utilization Review Manager

    $55k - $70k

     ...Utilization Review Manager - KVC Missouri Admissions Location: Remote (Statewide - Missouri) KVC Missouri is seeking a dedicated and detail-oriented Utilization Review Manager (URM) to serve as a vital link between our treatment teams, funding sources, and external... 
    Suggested
    Full time
    Remote work

    KVC Health Systems

    Missouri
    16 days ago

  • Utilization Review/Case Manager

     ...Utilization Review / Case Manager Freedom Behavioral Hospital of Magnolia, Magnolia, Mississippi. Freedom Behavioral Hospital of Magnolia is currently accepting applications for a full-time Utilization Review (UR)/Case Manager to join our behavioral health team.... 
    Suggested
    Full time
    Local area

    Freedom Behavioral

    Magnolia, MS
    1 hour agonew

  • Utilization Review Coordinator

    $18 - $20 per hour

     ...Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator PRIMARY PURPOSE : To assign utilization...  ...Enters demographics and UR information into claims or clinical management system; maintains data integrity. Obtains all necessary information... 
    Suggested
    Work at office
    Local area
    Flexible hours

    Sedgwick

    Carson City, NV
    1 day ago

  • Case Manager - Utilization Review

     ...Case Manager - Utilization Review Location: Granville Health System, Oxford NC About Granville Health System: For over a century, Granville Health System has been at the forefront of quality healthcare. To cater to the evolving needs of its community, Granville... 
    Suggested
    Summer work
    Local area

    Granville Health System

    Oxford, NC
    4 days ago

  • Manager of Care Transitions and Utilization Review

    $95k - $115k

     ...Manager of Care Transitions and Utilization Review Corporate - Oneida, NY 13421 Salary Range $95,000.00 - $115,000.00 Salary/year Position Type Full Time Job Shift Days Description The Manager, Care Transitions and Utilization Review at Oneida Health Hospital... 
    Suggested
    Full time
    Contract work
    Shift work

    Oneida Health

    Oneida, NY
    2 days ago

  • Utilization Review Coordinator

     ...Utilization Review CoordinatorLighthouse Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Coordinator to add...  ...Coordinator opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with... 
    Suggested
    Local area

    Universal Health Services

    Augusta, GA
    5 days ago

  • Health System Nurse Case Manager I/II - RUHS Medical Center - Utilization Review/Case Management

     ...Health System Nurse Case Manager The County of Riverside - Riverside University Health System-Medical Center is seeking highly...  ...; provide nursing case management, discharge planning and utilization review services to patients; act as department resource for medical... 
    Full time
    Local area
    Shift work

    Riverside County, CA

    Moreno Valley, CA
    14 hours ago

  • Utilization Review Coordinator - Behavioral Health

     ...Avenues Recovery Center is Now Hiring: Utilization Review SpecialistsAvenues Recovery Center is a nationwide network of drug and alcohol rehabilitation...  ...attention to detail and documentation accuracyAbility to manage multiple cases and deadlinesSound judgment and critical... 
    Work at office
    Immediate start
    Flexible hours

    Avenues Recovery

    Toms River, NJ
    2 days ago

  • Behavioral Health Utilization Review Coordinator

     ...The Psychiatric Institute of Washington in Washington, DC is seeking candidates for a pivotal role in psychiatric utilization review. This role involves tracking admissions, monitoring documentation, and supporting treatment planning efforts. The ideal candidate holds... 

    Universal Health Services

    Washington DC
    2 hours agonew

  • Utilization Review Coordinator

     ...HospitalPhoenix Medical Psychiatric Hospital is looking for a Utilization Review Coordinator to coordinate patients' services across the...  ...peer level reviews, and report the outcomes to the VP of Care Management and Team.Provides education to nursing staff, leadership team... 
    Work at office

    NeuroPsychiatric Hospitals

    Phoenix, AZ
    3 days ago

  • Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote

     ...Job Title In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded...  ...Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred.... 
    Full time
    Remote work
    Monday to Friday

    Populance

    United States
    14 hours ago

  • Utilization Review Coordinator

     ...Utilization Review Coordinator Manages the administrative components of utilization review for all levels of care and all payers. Serves as the organization's central point of accountability for authorization tracking, assuring that prior authorizations, continued stay... 
    For contractors
    Work at office

    Rimrock

    Billings, MT
    1 day ago

  • Behavioral Health Utilization Review Coordinator

     ...Universal Health Services, Inc. Pembroke Hospital in Pembroke, MA is seeking a full-time Utilization Review Coordinator to ensure timely authorization for continued treatment across payer types. The role collaborates with a multidisciplinary team to meet payer criteria... 
    Full time

    Universal Health Services

    Pembroke, MA
    1 day ago

  • Utilization Review Coordinator

     ...Utilization Management Coordinator Shape the future of behavioral health care throughout the Forest Park community by joining our extraordinary...  ...including but not limited to assigning and scheduling; reviewing and approving documentation and reports; advising and... 

    Universal Health Services

    Forest Park, IL
    19 hours ago

  • Utilization Review Coordinator

     ...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 is committed to accuracy,... 
    Hourly pay
    Work at office
    Remote work

    Nrg-Mgmt-LLC

    Boca Raton, FL
    1 day ago

  • UTILIZATION REVIEW COORDINATOR

     ...Mountain View Hospital is looking for a Utilization Review Coordinator to join our team!JOB SUMMARY: As a member of the Utilization Management Team, the URCoordinator helps establish and maintain efficient methods of ensuring the medical necessity and appropriateness... 
    Full time
    Part time
    Relief

    Mountain View Hospital

    Idaho Falls, ID
    2 days ago

  • Utilization Review Coordinator

    $24.77 - $28.25 per hour

     ...actively seeking new members to join our corporate team! Responsibilities The Utilization Review Coordinator is responsible for the assisting with the implementation and ongoing management of the utilization review program for the employee medical benefit program for... 
    Full time
    Work at office
    Local area
    Shift work

    Prime Healthcare

    Ontario, CA
    4 days ago

  • Utilization Review Coordinator - Behavioral Health - PRN

     ...Utilization Review Coordinator Per DiemCoastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate...  ...related experience and/or training preferred Must have some management experience with a demonstrated leadership ability and skills... 
    Daily paid
    Temporary work
    Relief
    Local area

    Universal Health Services

    Savannah, GA
    2 days ago

  • Utilization Review Coordinator

     ...Vacation Employee Wellness Program and Counseling Services The Utilization Review Coordinator acts as a liaison between the organization and...  ..., the physicians, the Interdisciplinary Treatment Team, the Managed Care Organization and Administration. This position... 
    Full time

    Canopy

    Jackson, MS
    3 days ago

  • Utilization Review (UR) Coordinator

    $60k - $69k

     ...Utilization Review (UR) CoordinatorChicago Behavioral Hospital - Des Plaines, IL 60016OverviewSalary Range $60,000.00 - $69,000.00 Salary/...  ...Utilization Review Program. This includes the implementation of case management scenarios, consulting with all services to ensure the... 
    Full time
    Monday to Friday
    Flexible hours

    Chicago Behavioral Hospital

    Des Plaines, IL
    14 hours ago

  • Utilization Review Coordinator

     .... Serves as liaison to on-site external reviewers. Uses Midas for recording reviews and...  ...Informs department director of changes in managed care companies. Maintains awareness of...  ...study required Six months psychiatric utilization review either for hospital or external... 
    Local area
    Flexible hours

    Universal Health Services

    Washington DC
    2 days ago