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Full-Time Utilization Review Specialist jobs

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UTILIZATION REVIEW SPECIALIST

Minimum of 1 year experience in substance abuse or behavioral health Utilization Review. Experience in EMRs. Proficient with computer programs (Google Drive, Word, etc). Ability to manage an active caseload for clients at the deto...

CompanyGoat Solutions, Llc
AddressFlorida, United States
CategoryHuman Resources
Salary$55,000 - $65,000 a year
Job typeFull-time
Date Posted 2 days ago See detail

Utilization Review Specialist

Goat Solutions, Llc

Florida, United States

$55,000 - $65,000 a year

Minimum of 1 year experience in substance abuse or behavioral health Utilization Review. Experience in EMRs. Proficient with computer programs (Google Drive, Word, etc). Ability to manage an active caseload for clients at the deto...

2 days ago seen See more...

Utilization Review Specialist

Congress Billing

Remote

$60,000 - $70,000 a year

Master's degree from an accredited college or university in social work, mental health, nursing, or related degree Required. Knowledge of behavioral health systems and Utilization Management required. Two years of UR experience in...

5 days ago seen

Utilization Review Specialist

Ambrosia Treatment Centers

Lorida, FL

From $69,900 a year

401(k). Dental insurance. Disability insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift. Monday to Friday. Bachelor's (Preferred). Utilization review: 2 years (Required). Florida (Required)....

2 months ago seen See more...

Utilization Review Specialist

Charlie Health

Remote

$61K - $77.2K a year

Oversees all functions of a virtual IOP caseload. Completes peer reviews on cases with insurance. Collaborates at a high level to problem solve on complex cases with Manager. Completes pre-certs and continued stay authorizations f...

2 months ago seen See more...

Utilization Review Specialist (remote)

Coronis Health

El Paso, TX

$48,000 - $65,000 a year

Act as agency liaison with insurance and managed care companies for authorization of treatment costs, representing company in a positive manner in the professional Participate in staff meetings as needed Clear communication with s...

2 months ago seen See more...

Utilization Review Specialist

Affinity Recovery

Newport Beach, CA

$65,000 - $75,000 a year

Clinical Record Review: Thoroughly review mental health and substance abuse clinical records. Utilization Determination: Evaluate treatment plans and services for compliance and necessity. Collaboration: Work closely with clinical...

2 months ago seen See more...

Utilization Review Specialist

Delta Specialty Hospital

Memphis, TN

$46.7K - $59.2K a year

Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coor...

2 months ago seen See more...

Utilization Review Specialist

Pacific Grove Hospital

Riverside, CA

$60.6K - $76.7K a year

Competitive Salary. Paid Time Off. Paid Holidays (8 Total). Medical, Dental, & Vision Insurance. FSA & HSA Plans. Long-Term & Short-Term Disability. Company Paid Life Insurance. Supplemental Life Insurance. Employee Assistance Pro...

2 months ago seen See more...

UR (Utilization Review) Specialist

Sunshine Behavioral Health

Denver, CO

$58,000 - $60,000 a year

Conducts timely; Precertification, Concurrent and Discharge reviews (Peer reviews and eligibility checks as necessary) as well as retro reviews and appeals as needed. Organizes and communicates information necessary to complete da...

2 months ago seen See more...

Utilization Review (UR) Specialist

Spectrum Billing Solutions

Remote

$53.5K - $67.8K a year

Review patient admission and clinical information to ensure medical necessity and compliance of Utilization Review guidelines. Obtain initial and continuing authorization for treatment services. Manage authorization denials includ...

5 days ago seen

Utilization Specialist New

San Jose Behavioral Health

San Jose, CA

$38 an hour

Act as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coor...

24 hours ago seen See more...

Utilization Management & Review Specialist

Med-Metrix

Parsippany, NJ

Serve as point of contact for client operational staff members impacted by UM/UR Processes. Track and monitor solutions implemented for clients and operational staff. Identifies system needs to support short and long term product...

3 weeks ago seen See more...

Staff Development Specialist in Utilization Review

Reportprep, Inc

Palestine, TX

$45,000 - $75,000 a year

401(k) matching. Dental insurance. Disability insurance. Employee assistance program. Flexible spending account. Health insurance. Health savings account. Life insurance. Paid sick time. Paid time off. Vision insurance. Monday to...

2 months ago seen See more...

Utilization Review (UR) Specialist - Addiction Treatment Program

Renewal Health Group

Los Angeles, CA

Medical, dental, vision, short-term disability, and life insurance. Reimbursement for licensing fees. Education assistance. Employee referral bonus. Healthcare Flexible spending account with $250 company contribution for Full time...

2 months ago seen See more...

Utilization Review Coordinator

Clear Behavioral Health

Torrance, CA

From $25 an hour

1-2 years of Utilization Review.. Ability to create a sense of urgency. Professional demeanor. Willing to be aggressive on behalf of our clients. Experience with PHP/IOP and SUD. Excellent verbal and written communication. Experie...

6 days ago seen See more...

Utilization Management Specialist

Kaizen Clinical Partners, Inc.

McAllen, TX

$44.9K - $56.8K a year

Analyze electronic medical records. Focus on evaluating the utilization of healthcare services, treatments, and procedures. Utilize retrospective reviews and other UM tools to identify opportunities for improvement and optimize pa...

4 days ago seen See more...

Utilization Management Specialist

Group Health Cooperative Of Eau Claire

Altoona, WI

$41.5K - $52.5K a year

Applies clinical experience, health plan benefit structure, health management policies and procedures, and claims payment knowledge to authorization reviews. Leverages clinical knowledge, business rules, regulatory guidelines and...

4 days ago seen See more...

Medical Utilization Review Analyst

Nyc Health + Hospitals

New York, NY

Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Loan Forgiveness Programs for eligible employees Paid Holidays and Vacation in accordance with employees' Collectivel...

2 weeks ago seen See more...

RN Case Manager I Utilization Review PRN Days

Birmingham Market Office

Dolomite, AL

This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay,...

3 weeks ago seen See more...

RN Coordinator-Utilization Review/Full Time/Remote

Henry Ford Health

Troy, MI

Bachelor of Science in Nursing, required. Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred. Knowledge of outside regulatory agencies that interface with th...

3 weeks ago seen See more...

Registered Nurse - Utilization Review

Ascension

Jacksonville, FL

Department: Utilization Management Schedule: Part Time, Every Saturday and Sunday, 7am - 7pm Hospital: Ascension St. Vincents Riverside Location: Jacksonville, FL Review admissions and service requests within assigned unit for pr...

3 weeks ago seen See more...

REMOTE Registered Nurse (Utilization Review/MEDCOMPASS EXP REQUIRED)

A-Line Staffing Solutions

Atlanta, GA

Start Date: ASAP/TBD. Potential for Direct Hire?: YTBD. $36.21 p/hr, paid biweekly. Benefits are available after 90 days and include health, optical, dental, life, and short-term disability insurance. To be eligible for benefits y...

3 weeks ago seen See more...

Physician Advisor Utilization Review

Virtua Health

Marlton, NJ

We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exception...

4 weeks ago seen See more...

NP/PA Utilization Review Advisor Opportunity in Greenville, NC (Partial Remote)

Ecu Health

Olin, NC

Employment by ECU Health Physicians. Support by a 9-hospital healthcare system including a 974-bed level 1 trauma center located in Greenville, North Carolina. Partial remote work opportunity-applicants must have a North Carolina...

4 weeks ago seen See more...

NP/PA Utilization Review Advisor Opportunity in Greenville, NC (Partial Remote)

Ecu Health

Olin, NC

Employment by ECU Health Physicians. Support by a 9-hospital healthcare system including a 974-bed level 1 trauma center located in Greenville, North Carolina. Partial remote work opportunity-applicants must have a North Carolina...

4 weeks ago seen See more...

Utilization Review RN

Hca Florida Largo West Hospital

Largo, FL

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

4 weeks ago seen See more...

Registered Nurse OASIS/Utilization Review Home Health - Lehi, UT

Impact Healthcare Llc

Lehi, UT

Taking inbound calls to review clinical assessments completed upon admission, recertification, evaluation, change of condition, and transfers. Review key OASIS data items and provide education on accurate data collection, utilizat...

a month ago seen See more...

RN Utilization Review Ananlyst- 31501224

Allmed Staffing Inc

Maryland, United States

Ability to sit at a desk 50% of the time and utilize the computer, telephone, and other office equipment, throughout the entire work day; walking and standing ? Time-management: Ability to effectively manage one's time and resourc...

a month ago seen See more...

Nurse Case Manager/Utilization Review Nurse I

State Of Vermont

Burlington, VT

80% State paid medical premium and a dental plan at no cost for employees and their families. Work/Life balance: 11 paid holidays each year and a generous leave plan. State Paid Family and Medical Leave Insurance (FMLI). Two ways...

a month ago seen See more...

Utilization Review Coordinator Lead

Umpqua Health

Remote

$61.3K - $77.6K a year

Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and internal and external guidelines. Leads also provide oversight, monitoring and training of thes...

a month ago seen See more...

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What companies are hiring for Full-Time Utilization Review Specialist jobs?

The top companies hiring now for Full-Time Utilization Review Specialist jobs are Advanced Recovery Systems, Austin Treatment Centers, Brighton Recovery Center, Catholic Charities - Diocese of Trenton, Catholic Charities, Diocese of Trenton, Circles of Care, Inc., Denver Springs, Ensemble Health Partners, Exact Billing Solutions, Gosnold, Skyway Behavioral Health, Spectrum Billing Solutions, Three Crosses Regional Hospital, Tower Behavioral Health, Tower Behavioral Health - 2.7,

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