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Utilization Review Specialist jobs

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UTILIZATION REVIEW SPECIALST (PRN)

Completes pre-certs and concurrent reviews as assigned, on appropriate day and by the specified time. Completes write-ups on new admissions and step-downs/step-ups as assigned, along with the Change Level of Care form when appli...

CompanyRockford Center
AddressNewark, DE
CategoryEducation/Training
Salary$71.8K - $91K a year
Job typePer diem
Date Posted 2 months ago See detail

UTILIZATION REVIEW SPECIALST (PRN)

Rockford Center

Newark, DE

$71.8K - $91K a year

Completes pre-certs and concurrent reviews as assigned, on appropriate day and by the specified time. Completes write-ups on new admissions and step-downs/step-ups as assigned, along with the Change Level of Care form when appli...

2 months ago seen See more...

RN - LEAD CARE COORDINATOR - Utilization Review

Trinity Health

Maywood, IL

Benefits from Day One. Competitive compensation. Career Development. Tuition Reimbursement. On Site Fitness Center. Educational Stipend. Referral rewards....

2 months ago seen See more...

MC SENIOR UTILIZATION MANAGEMENT SPECIALIST I

University Of Maryland Medical System

Baltimore, MD

Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the patients need for outpatient or inpa...

a month 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...

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...

Physician Review/Utilization Review Physician

Vivo Healthstaff

San Diego, CA

M.D. Degree. License to practice in California must be in progress prior to the start date. Five years experience as a practicing primary care physician with knowledge of managed care and the process for prior authorization review...

2 months ago seen See more...

Utilization Management Reviewer I

Crawford & Company

United States

$75.3K - $95.3K a year

Uses clinical RN or RPT training and knowledge to render authorization decisions of medical necessity of requested medical treatment. Analyzes medical information and applies clinical knowledge and established criterion to facilit...

2 months 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)...

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...

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...

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...

Supervisory Acquisition & Utilization Specialist

York State Department Of Labor

New York, NY

Responsibilities Duties: The Supervisory AcquisitionUtilization Specialist renders expert contract pre-award and post award expertise to all Administrative and Clinical Service lines within the VA Healthcare System (HCS) and supp...

2 months ago seen See more...

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People who searched for Utilization Review Specialist jobs also searched for Physician Specialist, Community Support Specialist, Account Specialist, Disaster Recovery Specialist, Transportation Specialist, Emergency Management Specialist, Engagement Specialist, Program Support Specialist, Scheduling Specialist, Customer Relations Specialist, Utilization Manager, Member Services Specialist, Payroll Support Specialist, Staff Specialist, Customer Service Specialist Work, . 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 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, Wecare Pa, White Deer Run,

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