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Full-Time Utilization Specialist jobs

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UTILIZATION REVIEW SPECIALIST

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...

CompanyCongress Billing
AddressRemote
CategoryHuman Resources
Salary$60,000 - $70,000 a year
Job typeFull-time
Date Posted 4 hours ago See detail

Utilization Review Specialist New

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...

4 hours ago seen

Utilization Review (UR) Specialist New

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...

15 hours ago seen

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...

Laboratory Utilization Management and Process Improvement Specialist

Labcorp

Portland, OR

$83K - $105K a year

Uses knowledge of Medical Laboratory Science in combination with IT skills to support customers in working through application to produce meaningful reports and data sets. Demonstrates knowledge of laboratory processes from the pr...

a month ago seen See more...

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)....

a month ago seen See more...

RN SPECIALIST RN UTILIZATION

Honorhealth

Scottsdale, AZ

Reviews clinical documentation and facilitates modifications (as needed) to ensure that documentation accurately reflects the level of service rendered and severity of illness (in compliance with government and other regulations)...

a month 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...

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...

Specialist, Legal Staffing & Utilization

Kobre & Kim Llp

New York, NY

$85,000 - $125,000 a year

Actively assess and analyze attorney workloads, experience, interests, feedback, and availability to effectively staff them on matters Maintain up-to-date knowledge of firm legal products and how they overlap with attorney experti...

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 Management Specialist

Group1001

Park Ridge, IL

Performs prospective, initial, concurrent, and retrospective reviews for all requested services to include but not limited to the following: inpatient admissions, concurrent reviews, discharges, durable medical equipment (DME), Pa...

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 (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 Management Specialist

Allmed Staffing Inc

Everett, WA

Initiate Referral Authorizations. Acquires and maintain a working knowledge of contracted health plans agreements and related insurance products. Gathers information from relevant sources for processing referrals and authorization...

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 Specialist

Tuerk House

Baltimore, MD

$49.3K - $62.4K a year

Maintains documentation of clinical reviews in Utilization Management Portal (OPTUM). Sends thorough reviews to OPTUM and Private insurance as appropriate. Coordinates peer review and notifications, per policy. Collaborates with...

2 months ago seen See more...

Senior Associate, Information Specialist – Content Optimization & Utilization

Pfizer

Cambridge, MA

$78,000 - $130,000 a year

Support optimization of SIC licenses by monitoring/analyzing/reporting usage metrics/trends to enable learning opportunities and inform renewal decisions. Partner with R&D groups on select initiatives involving eResource and eCont...

2 months ago seen See more...

What should I search to find Full-Time Utilization Specialist jobs?

People who searched for Full-Time Utilization Specialist jobs also searched for Community Resource Specialist, Facility Specialist, Member Service Specialist, Environmental Compliance Specialist, Esthetician, Specialist Pharmacist, Behavior Support Specialist, Solution Specialist, Nurse Education Specialist, Victim Service Specialist, Waste Specialist, Lab Specialist, Cost Specialist, Service Electrician, Metal Fabrication, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

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What are the top cities open Full-Time Utilization Specialist jobs?

There are open Full-Time Utilization Specialist jobs in several cities including San Antonio, North Liberty, Danville, Oklahoma City, Anchorage, Dallas, Washington, Alexandria, Las Vegas, Springfield, Milwaukee, Louisville, Boise, Little Rock, New York,

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

The top companies hiring now for Full-Time Utilization Specialist jobs are Montrose Behavioral Health Hospital, Summit BHC, Veterans Health Administration,

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