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UTILIZATION REVIEW SPECIALIST

Applicants must meet the minimum qualifications and filing requirements for this position by the filing deadline.. A completed Fresno County employment application is required and must be current, complete and accurate. Amendments...

CompanyFresno County
AddressFresno, CA
CategoryHuman Resources
Job typeFull Time
Date Posted 2 days ago See detail

UTILIZATION REVIEW SPECIALIST

Fresno County

Fresno, CA

Applicants must meet the minimum qualifications and filing requirements for this position by the filing deadline.. A completed Fresno County employment application is required and must be current, complete and accurate. Amendments...

2 days ago seen See more...

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...

6 days 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

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...

a week ago seen

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...

a week ago seen

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...

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

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 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...

4 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...

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...

a month 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...

a month ago seen See more...

Behavioral Health Care Advocate - Utilization Review (Outpatient) - Remote

Optum

Minnesota, United States

$58,300 - $114,300 a year

Focus on outpatient Commercial, Medicaid and Medicare Behavioral Health services. Conducting outpatient reviews to determine appropriate care. Assessing if member care meets coverage guidelines. Shaping member treatment in partner...

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...

Resource Utilization/Classification Tech - HIM Reimbursement Specialist - PT - Remote

Mercyone

Dubuque, IA

$47.6K - $60.3K a year

Wellness programs Education reimbursement Personalized health insurance plans including dental and vision Paid time off Long- and short-term leave Retirement planning Life insurance coverage Demonstrates specific customer focused...

2 months ago seen See more...

Care Review Processor with Utilization Review/Managed Care Exp. (REMOTE - CA)

Omg Technology

Long Beach, CA

Provide computer entries of authorization requests/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits. Determine provider contracting status and appropriateness. Determine diagnosis and tr...

2 months ago seen See more...

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