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Utilization Review Specialist jobs in Oregon

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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 37 minutes ago See detail

Utilization Review Specialist New

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...

37 minutes 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...

3 days 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...

4 days ago seen

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...

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...

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...

Clinical/Utilization Review Nurse

Aspirion Health Resources Llc

Remote

From $68,000 a year

Manages complex and robust queue according to Aspirion and client needs. Queue size varies weekly. Reviews insurance denials, including but not limited to, medical necessity denials, patient status denials (i.e., Inpatient vs. Out...

a month ago seen See more...

Utilization Review Nurse (RN)

Managed Resources, Inc

Remote

$38 - $42 an hour

401(k). 401(k) matching. Dental insurance. Disability insurance. Employee assistance program. Flexible spending account. Health insurance. Life insurance. Paid time off. Referral program. Vision insurance. Pet Insurance. Monthly I...

a month ago seen See more...

Utilization Review RN

Ust

United States

$60,000 - $90,000 a year

Review, research and authorize requests for authorization of elective, direct, ancillary, urgent, emergency, etc. services. Contact appropriate medical and support personnel to identify and recommend alternative treatment, service...

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...

Utilization Review Nurse- PRN

Netsmart Technologies

Remote

$77.6K - $98.3K a year

Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG criteria. Participate in telephonic discussions with emergency department physicians relative to documen...

2 months ago seen See more...

Utilization Review Author

R1 Rcm, Inc.

Remote

$24.00 - $41.68 an hour

Perform initial admission and continued stay reviews utilizing InterQual and MCG using evidenced-based criteria to identify and support the appropriate level of care Abstract data from a variety of medical records to ensure accura...

2 months ago seen See more...

RN Utilization Review- Allegheny Health Network

Highmark Health

Remote - Pennsylvania, United States

Obtains or ensures acquisition of appropriate pre-certifications/authorizations from third party payers and placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party payer...

2 months ago seen See more...

Utilization Review RN

Billings Clinic

Montana, United States

Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and denied days. )*If attending is unable to provide additional clinical information supporting status...

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...

a month ago seen See more...

What should I search to find Utilization Review Specialist jobs in Oregon?

People who searched for Utilization Review Specialist jobs in Oregon also searched for Patient Care Specialist, Customer Experience Specialist, Clinical Specialist, Customer Service Specialist, Program Support Specialist, Sale Specialist, Payroll Support Specialist, Customer Service Specialist, Service Desk Specialist, System Support Specialist, Client Services Specialist, Security Support Specialist, Quality Systems Specialist, Client Service Specialist, Desktop Support Specialist, . 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.

Top Jobs in Oregon

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What are the top cities in Oregon open Utilization Review Specialist jobs?

There are open Utilization Review Specialist jobs in several cities including San Jose, Melbourne, Battle Creek, Somersworth, Columbia, Skokie, Englewood, Traverse City, Falmouth, Oak Ridge, Reading, Midvale, Williamsburg, Salt Lake City, Las Cruces,

What companies are hiring for Utilization Review Specialist jobs in Oregon?

The top companies hiring now for Utilization Review Specialist jobs are Advanced Recovery Systems, Austin Treatment Centers, Brighton Recovery Center, Bronson Behavioral Health Hospital, Catholic Charities - Diocese of Trenton, Catholic Charities, Diocese of Trenton, Circles of Care, Inc., Cove Forge Behavioral Health, Denver Springs, Ensemble Health Partners, Kelsey-Seybold Clinic, Levi Hospital, Munson Healthcare, NEW LIFE TREATMENT CENTER, PMC Medical Group,

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