Average salary: $50,651 /yearly
More stats ...in a safe family like setting?
Mainstream Nonprofit Solutions has the job for you!
We are looking for full-time Utilization Review Specialist to add to our team! A Bachelor’s degree is required with two to four years of experience in social services with children...
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...RN-Utilization Review
Details
* Department: Case Management
* Schedule: PRN - Days
* Location: Austin, TX - Remote after training
Benefits
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long...
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Relief
Local area
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...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide...
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...RN-Utilization Review (Weekends)
Details
* Sign-on bonus: $3,500
* Department: Case Management
* Schedule: Saturday - Monday, 3X12hour shift. 2 holidays per year required.
* Hospital: Ascension St. Agnes
* Location: Baltimore, MD
We offer free parking to all associates...
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Local area
Relocation bonus
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Saturday
...Job Description
Job Description Hiring full-time Utilization Review Specialists that are experienced in SA, MH and Eating disorder UR. The position is hybrid or in office. Competitive salary and benefits offered. Must be familiar and functional with google and multiple...
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Full time
Overview:
Fully On-Site Role
Utilization Review Specialist
Salary/Hourly: $23- $31.00/hour
Members of our team Enjoy:
Working with a highly engaged staff
Healthy staffing levels
Flexible scheduling
Career growth
Competitive compensation...
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Hourly pay
Flexible hours
...demographic, non-clinical, and/or provider data for pre-certification via phone, fax, inter/intranet, Eldorado/Case Pac computer programs
Review service requests and manage the requests as efficiently as possible involving the appropriate department as needed
Perform data...
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Flexible hours
...Registered Nurse Utilization Review
Details
* Department: Utilization Management
* Schedule: Part Time, Every Saturday and Sunday, 7am - 7pm
* Hospital: Ascension St. Vincent's Riverside
* Location: Jacksonville, FL
Benefits
Paid time off (PTO)
Various health insurance...
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Part time
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Weekend work
Sunday
Saturday
About the job Utilization Review Specialist
About Us
Congress Billing is a sophisticated Billing Management Company that strongly believes in the best interest of their clients. Our mission is to ensure that all Congress Billing's clients have a proven low-cost...
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Full time
Remote job
...Utilization Review Specialist/Behavioral Health Substance Abuse
FLSA Status: Exempt
Classification: Full-Time
Reports To: The UR Specialist will report to UR Manager.
Job Overview: The Utilization Review Specialist is responsible for all aspects of the authorization...
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Full time
Work experience placement
Flexible hours
...Registered Nurse RN - Utilization Review
Details
* Department: Utilization Mgt
* Schedule: M-F 8 hr days, ONSITE, exempt
* Hospital: Ascension Sacred Heart Pensacola
* Location: Pensacola, Florida
Benefits
Paid time off (PTO)
Various health insurance options & wellness...
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Relief
Local area
...****Average hourly rate is $22.60 (including wage, incentives, bonuses, overtime, shift differential, etc.)****
Utilization Reviewer
Pathway Family Services, LLC. provides resources for youth and families through their Independent Living Program, TRAIL (...
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Local area
Flexible hours
Shift work
...GENERAL SUMMARY:
The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or established practices. The Utilization Review RN in utilizing...
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...regardless of a patient's ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating medical... ...Physician Advisors.
Works collaboratively with the Denials Specialist and Physician Advisors to manage retrospective appeals and documents...
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...organizations and the facility professional clinical staff.
•Conduct reviews, in accordance with certification requirements, of insurance... ...develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal...
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...Bariatric Surgery along with Certificates of Excellence in Perinatal Care Hip- and Knee- Replacement.
Responsibilities:
Utilization Review RN - remote position
Position Summary:
The incumbent is responsible for the review of medical records for appropriate admission...
Permanent employment
Remote job
Flexible hours
...practice.
Be Inspired. Be valued. Belong.
Join us at Emory Healthcare's Utilization Team!
Behavioral Health Experience Needed!
Description:
JOB DESCRIPTION:
The Utilization Review Nurse (UR RN) is responsible for:
Conducting medical necessity reviews by utilizing...
Permanent employment
Temporary work
Outdoor
Shift work
Overview:
Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for services reimbursement. Ensures the patient care team is aware of...
Permanent employment
...Responsibilities
Canyon Ridge Hospital is currently seeking a compassionate and talented Utilization Review Specialist to join our team.
At Canyon Ridge Hospital we understand that not all wounds are visible. Depression, anxiety, trauma, PTSD, addiction, and...
Local area
...POSITION SUMMARY:
The Utilization Management Office Specialist provides clerical support to clinicians performing utilization review and case management for members hospitalized or receiving other levels of care. The UM office specialist will perform a variety of activities...
...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 UR Team in NJ!
The Utilization Review Specialist collaborates with Avenues Recovery...
Full time
Temporary work
Currently hiring
Flexible hours
...ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria.
Responsibilities:
Uses a collaborative... ...of Care, Discharge Planning, and Case Management.
Reviews the appropriateness of Severity Index/Intensity of Service for...
Holiday work
Contract work
Work experience placement
Flexible hours
...ambulatory surgery centers.
Summary:
Utilization management is the analysis of the... ...procedures in the hospital setting. Utilization review is the assessment for medical necessity,... ...discussions are to help the UR Clinical Specialist understand the reason for admission, and...
Remote job
Relief
...trauma-informed agency and environment for both patients and staff.
We are currently seeking a full-time Utilization Review & Credentialing Specialist to serve as primary contact for all activities related to obtaining and tracking insurance prior authorizations...
Full time
...comfortably.
Submission of Authorizations. Pre-cert, Concurrent review for all level of care including: main campus (3.7WM, 3.7),... ...services.
Maintains documentation of clinical reviews in Utilization Management Portal (OPTUM).
~ Sends thorough reviews to OPTUM...
Afternoon shift
...Job Description
Job Description Description: Shodair is looking to hire a new Utilization Review Specialist. Utilization Review primarily focuses on evaluating and managing the utilization of healthcare services, treatments, and procedures. It aims to ensure that...
...Work Shift:
Day (United States of America)
Responsible for Utilization Management, Quality Screening and Delay Management for... ...based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts...
Shift work
...Utilization Review RN at Sedgwick in Boise, Idaho, United States Job Description Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means...
Work experience placement
Remote job
Flexible hours
...Department:
Utilization Review
Shift:
Primarily Days (United States of America)
Employee Type:
Regular
Per Diem Type (if applicable):
Minimum Pay Range:
$55.77 - $69.71
Job Description:
POSITION SUMMARY
The Utilization Review Nurse (UR RN...
Shift work
...UTILIZATION REVIEW NURSE (RN)
~ Randallstown, MD
~NORTHWEST HOSPITAL
~NW CARE MANAGEMENT
~Full-time - Day shift - 8:00am-4:30pm
~RN Other
~81988
~ Posted: March 21, 2024
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Summary
Position Summary:...
Permanent employment
Full time
Day shift
