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UTILIZATION REVIEW SPECIALIST

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)....

CompanyAmbrosia Treatment Centers
AddressLorida, FL
CategoryHuman Resources
SalaryFrom $69,900 a year
Job typeFull-time
Date Posted 4 weeks ago See detail

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)....

4 weeks 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...

a month 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...

a month 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...

a month ago seen See more...

Physician Utilization Review Specialist

Hackensack Meridian Health

Hackensack, NJ

The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and HackensackUMC. These includ...

a month 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...

a month 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...

a month 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...

a month 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...

a month ago seen See more...

Utilization Review Specialist

Coastal Media Group

Boca Raton, FL

$55,000 - $75,000 a year

Ability to be aggressive in advocating on behalf of our facilities to insurance carries. Ability to communicate effectively with clinical team to understand treatment needs of patients. Understanding of their role in a multi-disci...

2 months ago seen See more...

Utilization Review Specialist

Department Of Behavioral Healt

Washington, DC

$89,958 - $115,104 a year

Criminal background check;. Traffic record check (as applicable);. Consumer credit check (as applicable);. Reasonable suspicion drug and alcohol test; and. Post-accident or incident drug and alcohol test....

2 months ago seen See more...

Utilization Review Specialist (Behavioral Health)

Canyon Ridge Hospital

Chino, CA

$22 - $28 an hour

Competitive Compensation Canyon Ridge Hospital provides a challenging and rewarding work environment. Growth and development opportunities within UHS and its subsidiaries Minimum Bachelors Level Degree in nursing, social work, ps...

2 months ago seen See more...

Utilization Review Specialist

Sai Mental Health

Reno, NV

$20.51 - $25.00 an hour

Flexible schedule. Paid time off. 8 hour shift. Monday to Friday. Reno, NV 89502: Relocate before starting work (Required)....

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...

7 days ago seen See more...

Utilization Review Clinician - Behavioral Health New

Koin

Beaverton, OR

Evaluates member's treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate. Performs prior authorization reviews related to mental health an...

11 hours ago seen See more...

Utilization Review Clinician - Behavioral Health New

Koin

Salem, OR

Evaluates member's treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate. Performs prior authorization reviews related to mental health an...

11 hours ago seen See more...

Utilization Review Clinician - Behavioral Health New

Koin

Portland, OR

Evaluates member's treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate. Performs prior authorization reviews related to mental health an...

11 hours 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,...

2 days 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...

a month 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...

a month ago seen See more...

Specialist - Utilization Review - Full Time, Days (Hollywood)

Prospect Medical Holdings

California, United States

From $23.20 an hour

Interfaces with all payors and providers requesting authorizations, medical records, and other specific information. Completes payor and provider request for missing or additional documentation. Logs all authorization requests to...

2 months ago seen See more...

UTILIZATION REVIEW (UR) SPECIALIST - PART TIME

Stonington Institute

Groton, CT

$54.5K - $69K a year

Consult with Admissions Department regarding specific LOC issues, insurance requests, and/or criteria questions. Complete initial precertification for all levels of care. Knowledge of UR processes required for all payor sources i....

2 months ago seen See more...

Utilization Review Intake Specialist

Corvel

Rancho Cucamonga, CA

Takes calls relating to precertification requests. Verifies that all patient, provider and facility information entered in system is accurate and up to date. Enters request for service in CareMC program. Enters notes into CareMC s...

2 months 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...

2 days 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...

6 days 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...

7 days 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...

2 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...

2 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...

2 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...

2 weeks ago seen See more...

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What are the top cities open Utilization Review Specialist jobs?

There are open Utilization Review Specialist jobs in several cities including San Jose, Melbourne, Columbia, Skokie, Englewood, Traverse City, Falmouth, Oak Ridge, Reading, Midvale, Hot Springs National Park,

What companies are hiring for Utilization Review Specialist jobs?

The top companies hiring now for 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, Munson Healthcare, NEW LIFE TREATMENT CENTER, Providence Health Plan, Receivable Solutions, LLC, Ridgeview Behavioral Health Services,

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