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Utilization Review Specialist Jobs

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  • San Jose Behavioral Health
    San Jose, CA
    seeking an experienced Utilization Review Specialist to join our growing team. The Utilization Review Specialist coordinates and assesses… Behavioral Health currently has an opportunity for a Utilization Review Specialist, at our new 80 bed Acute Psychiatric Hospital, located…
  • 2.2
    Aurora Behavioral Health Care
    Santa Rosa, CA
    Recordkeeping: Maintains appropriate records of the Utilization Review Department. Training: Provide staff in-service training… for external reviewers/third party payers. KEY RESPONSIBILITIES: Admissions: Conduct admission reviews for Inpatient…
  • 2.9
    Universal Health Services
    Stockbridge, GA
    team! Monitor utilization of continuum services and reimbursement;conduct concurrent and extended stay reviews on appropriate… from patients,guardians or family members as appropriate; reviewing charts andensuring legal compliance with all voluntary and…
  • 2.9
    St. Joseph Mercy Hospital
    Ann Arbor, MI
    Department: AA102_65501 Utilization Review Expected Weekly Hours: 28 Shift: Position Purpose: Job Description… developmental, cultural and spiritual needs. Facilitates utilization management documentation and appropriate communication with…
  • 2.6
    LogistiCare, Inc.
    North Haven, CT
    outsourcing solution to our clients. We seek a Utilization Review Specialist to join our growing company. Essential Duties… process * Monitors exceptional distance report * Confirms utilization of the closest medical provider of services * Assists…
  • 3.1
    Martin Memorial Medical Center
    Stuart, FL
    The Utilization Review Specialist is responsible for concurrent and retrospective medical record review activities on all inpatients… in utilization or other applicable certification attained within 24 months of accepting the position as Utilization Review Specialist…
  • 3.1
    Intercept Youth Services
    Richmond, VA
    rewarded. You'll never be the same. SUMMARY: The Utilization Review Specialist completes assigned Medicaid submissions related… treatment teams for assigned programs. •Conducts compliance reviews to assist the program in identifying concerns with state and…
  • 3.0
    UASI
    Cincinnati, OH
    experienced Utilization Review Specialists to join our consulting team for a full-time, permanent position. The Utilization Review… Posted: 1/17/2017 HIM Consulting Utilization Review Specialist UASI is continuing to expand our CDI and UR…
  • 3.7
    Saint Joseph Mercy Health System
    Ann Arbor, MI
    Department: AA102_65501 Utilization Review Expected Weekly Hours: 28 Shift: Position Purpose: Job Description Details:… developmental, cultural and spiritual needs. Facilitates utilization management documentation and appropriate communication with…
  • 2.0
    Acadia Healthcare
    San Jose, CA
    seeking an experienced Utilization Review Specialist to join our growing team. The Utilization Review Specialist coordinates and assesses… following the plans authorization guidelines. The Utilization Review Specialist will also coordinate with appropriate discharge planning…
  • 2.9
    Vidant Health
    Greenville, NC
    everything we do. Position Summary The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions… Conditions of Participation with regard to Utilization Management. Perform Utiliztion Review according to CMS and commercial payor…
  • UHS
    King of Prussia, PA
    experience. • Case Management experience, and/or Utilization Review, Utilization Management skills in a clinical setting required… criteria set. Applies best practice and standards in the Utilization Review Entry (URE) application of Midas, and as needed within…
  • Stockbridge, GA
    team! Monitor utilization of continuum services and reimbursement; conduct concurrent and extended stay reviews on appropriate… from patients, guardians or family members as appropriate; reviewing charts and ensuring legal compliance with all voluntary and…
  • 2.5
    The MENTOR Network
    Martinsburg, WV
    Description Utilization Review Specialist Primary Location: United States-WV-WVMartinsburg Function:Program Services Coordination… complexities; children and adults with brain injury). As a Utilization Review Specialist with (REM Community Options) you’ll be one of those…
  • 3.9
    Memorial Hermann Healthcare
    Houston, TX
    Utilization Review SpecialistSouthwest Hospital Job Description Position responsible for the clinical appropriateness (utilization… . Utilization reviews may extend through continued stay and involve discharge planning activities under the direction of an RN…
  • 3.5
    Memorial Hermann Baptist Hospital
    Houston, TX
    Utilization Review SpecialistSouthwest HospitalJob DescriptionPosition responsible for the clinical appropriateness (utilization… Prefer 2-3 years experience in Quality Assurance or Utilization Review or Discharge Planning Demonstrates commitment to the…
  • 1.7
    University Behavioral Health of Denton
    King of Prussia, PA
    experience. • Case Management experience, and/or Utilization Review, Utilization Management skills in a clinical setting required… criteria set. Applies best practice and standards in the Utilization Review Entry (URE) application of Midas, and as needed within…
  • 3.8
    Pride Institute
    Stockbridge, GA
    team! Monitor utilization of continuum services and reimbursement; conduct concurrent and extended stay reviews on appropriate… from patients, guardians or family members as appropriate; reviewing charts and ensuring legal compliance with all voluntary and…
  • Newark, DE
    Rockford Center currently has an opening for a Specialist in our Utilization Review Department. The candidate selected will be responsible… Requirements The following are the job requirements for the Specialist position: Master’s prepared Social Worker…
  • Tomah Memorial Hospital
    Tomah, WI
    and weekend rotation JOB SUMMARY: The Utilization Review Specialist analyzes and evaluates admission and discharge criteria… Responsible for utilization management. Utilizes current utilization guidelines and/or criteria and conducts utilization review for medical…
  • Therapy Employee Associated Management, LLC
    Fort Lauderdale, FL
    looking for an experienced Utilization Review Specialist to join our team! The Utilization Review Specialist is responsible for establishing… efficient manner Reviews over / under utilization of facility resources Develops UR statistics and reports for review by the Executive…
  • 3.2
    INFINITY BEHAVIORAL HEALTH SERVICES
    Fort Lauderdale, FL
    regulatory compliance. INFINITY is now seeking Utilization Review Specialists to join our team. INFINITY offers competitive… Medicine) criteria to review clinical information with insurance companies Performs peer to peer reviews and appeals with insurance…
  • 3.7
    Ingham Regional Medical Center
    Flint, MI
    Requisition Number 17-0520 Post Date 1/30/2017 Title Utilization Review Specialist Job Family Administrative/Clerical Subsidiary… the educational requirement Two (2) yrs Managed Care Utilization review experience Ability to handle multiple projects simultaneously…
  • 3.1
    McLaren Health Care
    Flint, MI
    Requisition Number 17-0520 Post Date 1/30/2017 Title Utilization Review Specialist Job Family Administrative/Clerical Subsidiary… the educational requirement Two (2) yrs Managed Care Utilization review experience Ability to handle multiple projects simultaneously…
  • Greenwood, IN
    SUMMARY: The Utilization Review Specialist is responsible for the facilitation of clinical pertinence reviews on all patient… treatment planning, case management or utilization review, and communication with external review organizations or comparable entities…
  • Greenwood, IN
    treatment planning, case management or utilization review, and communication with external review organizations or comparable entities… SUMMARY: The Utilization Management Clinician/RN is responsible for the facilitation of clinical pertinence reviews on all patient…
  • 30+ days ago 30d+
    Recovery Ways
    Murray, UT
    treatment facility located in Murray, Utah looking for a Utilization Review Specialist. The ideal candidate will be detail oriented, and… approved utilization criteria to monitor appropriateness of admissions with associated levels of care and continued stay review. Communication…
  • 2.0
    30+ days ago 30d+
    South Country Health Alliance
    Minneapolis, MN
    Description Position Title: Utilization Review Specialist Dept: Health Services Reports To: Utilization Program Manager Date: October… Health Department to assist in monitoring member utilization activity. Review (Third Party Administrator) TPA and internal reports…
  • 3.6
    HealthPartners
    Bloomington, MN
    Est. Salary $56k-$76k
    Est. Salary $61k-$71k
    opportunity for a Utilization Review Specialist (RN). This position will be: * Responsible for prospective, concurrent review and retrospective… services, Skilled Nursing facilities and Outpatient services utilizing thorough knowledge of multiple criteria sets and products.…
  • 2.9
    Universal Health Services
    Orlando, FL
    internal utilization reviews asindicated * Prepare any reports assigned or requested byDirector of Utilization Review Requirements… * Maintain and update logs of review andmaintain other appropriate records of the Utilization Reviewdepartment * Stay abreast…
Job Title Location Employer Salary
Utilization Review Specialist San Jose, CA San Jose Behavioral Health $39k-$70k
Utilization Review Specialist Santa Rosa, CA Aurora Behavioral Health Care $41k-$72k
Utilization Review Specialist Stockbridge, GA Universal Health Services $32k-$55k
Utilization Review Specialist Ann Arbor, MI St. Joseph Mercy Hospital $30k-$51k
Utilization Review Specialist North Haven, CT LogistiCare, Inc. $46k-$76k
Utilization Review Specialist Stuart, FL Martin Memorial Medical Center $31k-$54k
Utilization Review Specialist Richmond, VA Intercept Youth Services $34k-$56k
Utilization Review Specialist Cincinnati, OH UASI $39k-$65k
Utilization Review Specialist Ann Arbor, MI Saint Joseph Mercy Health System $38k-$63k
Utilization Review Specialist San Jose, CA Acadia Healthcare $38k-$64k
Utilization Review Specialist Greenville, NC Vidant Health $33k-$57k
Utilization Review Specialist King of Prussia, PA UHS $36k-$60k
Utilization Review Specialist Stockbridge, GA $35k-$69k
Utilization Review Specialist Martinsburg, WV The MENTOR Network $31k-$52k
Utilization Review Specialist Houston, TX Memorial Hermann Healthcare $39k-$65k
Utilization Review Specialist Houston, TX Memorial Hermann Baptist Hospital $34k-$56k
Utilization Review Specialist King of Prussia, PA University Behavioral Health of Denton $35k-$58k
Utilization Review Specialist Stockbridge, GA Pride Institute $34k-$54k
Utilization Review Specialist Newark, DE $36k-$71k
Utilization Review Specialist Tomah, WI Tomah Memorial Hospital $34k-$56k
Utilization Review Specialist Fort Lauderdale, FL Therapy Employee Associated Management, LLC $35k-$68k
Utilization Review Specialist Fort Lauderdale, FL INFINITY BEHAVIORAL HEALTH SERVICES $40k-$64k
Utilization Review Specialist Flint, MI Ingham Regional Medical Center $34k-$57k
Utilization Review Specialist Flint, MI McLaren Health Care $38k-$64k
UTILIZATION REVIEW SPECIALIST Greenwood, IN $34k-$66k
UTILIZATION REVIEW SPECIALIST Greenwood, IN $34k-$66k
Utilization Review Specialist Murray, UT Recovery Ways $34k-$53k
Utilization Review Specialist Minneapolis, MN South Country Health Alliance $34k-$61k
Utilization Review Specialist (RN) Bloomington, MN HealthPartners $56k-$76k
Utilization Review Specialist (Per_Diem) Orlando, FL Universal Health Services $82k-$142k
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