- Henry Ford Health System (Warren, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution ... well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social,… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Utilization Review Specialist (RN) Department: Utilization Management Location: Rochester General Hospital Hours Per Week: 40 Hours ... (Full-Time) Schedule: Monday - Friday, Days SUMMARY:The Utilization Review Specialist actively participates...care in the clinical review note to support determination + Concurrently monitors resource utilization ,… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
- Trinity Health (Maywood, IL)
- …is Loyola campus. Position is hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …answered YES, then consider joining our Devereux Advanced Behavioral Health team! Being a Utilization Review Specialist at Devereux has its Advantages! You ... Children Behavioral Health Center (DCBHC) is currently seeking a Utilization Review Specialist to work...the broad child welfare system, juvenile probation and other support systems + Opportunities for professional development + ASCEND-… more
- Sanford Health (Sioux Falls, SD)
- …level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to assure ... relating to determination of medical necessity, authorization, continued stay review including diagnosis and procedural coding for working diagnosis related… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW** To maintain front end operations of the Case Management Department by ... Word + Strong Communication skills Non-Bargaining Unit, BEZ - Utilization Management - WST, Mount Sinai West **Responsibilities** **A. Clinical/Technical/Service**… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
- BayCare Health System (Tampa, FL)
- …a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + ... services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote...Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years… more
- Commonwealth Care Alliance (Boston, MA)
- … Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... Knowledge, Skills & Abilities (must have): * Expertise in managing utilization review processes including prior authorization, concurrent and retrospective… more
- City of Durham (Durham, NC)
- …compassionate care. Please review the program descriptions below: + The Peer Support Specialist will serve as a mentor, advocate, and liaison for individuals ... Community Safety Specialist (Peer Support Specialist )...of service delivery systems including counseling, treatment planning, documentation, utilization review , and NC clinical policies (eg,… more
- Houston Methodist (Sugar Land, TX)
- …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... Seven years clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue cycle clinical role… more
- St. Luke's Health System (Boise, ID)
- …System in Boise, ID is seeking a dedicated and knowledgeable Application Training and Support Specialist 3 to join our Community Connect team. This role is ... to ensure seamless operations. Under limited supervision, the Applications Training & Support Specialist (ATSS) is responsible for oversight of Health… more
- Boston University (Boston, MA)
- **GRADUATE WRITING SUPPORT SPECIALIST , Provost's Office & Graduate Affairs Office, Educational Resource Center** **Job Description** **GRADUATE WRITING ... SUPPORT SPECIALIST , Provost's Office & Graduate Affairs...+ Maintain participant records, analyze survey data, and produce utilization reports for internal review . Workshop Development… more
- CUNY (New York, NY)
- Academic Student Support Specialist **POSITION DETAILS** The CUNY School of Medicine (CUNY SoM) located in the heart of Harlem, New York, is the only medical ... of Student Affairs is currently seeking a Academic Student Support Specialist . This position will play a...staff, and other service providers to monitor and assess utilization , student progress, and program effectiveness - Performs related… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Environmental Protection Program Specialist (Natural Resources) Recruitment # 250922-3429EE-001 Location Hartford, CT Date Opened 9/25/2025 12:30:00 PM Salary ... (https://portal.ct.gov/DEEP) ) is recruiting for an Environmental Protection Program Specialist (Natural Resources) (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=3429EE&R1=undefined&R3=undefined) to join our team in… more
- New York State Civil Service (Albany, NY)
- …adolescents with mental illness in a clinical capacity, as well as experience with utilization management and/or utilization review . ? The ideal candidate(s) ... Agency Mental Health, Office of Title Mental Health Program Specialist 2, Central Office; Occupational Category Other Professional Careers...will have direct care and utilization management experience, including familiarity with the … more
- HCA Healthcare (Dallas, TX)
- …this opportunity compelling, we encourage you to apply for our Clinical Pharmacist Specialist BMT opening. We promptly review all applications. Highly qualified ... **Description** **Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating...Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Requirements Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), … more
- City of College Station (College Station, TX)
- Financial Support Specialist Print (https://www.governmentjobs.com/careers/cstx/jobs/newprint/5043510) Apply Financial Support Specialist Salary $22.61 ... Description Under general direction of the Accounting Manager/Controller, the Financial Support Specialist coordinates activities related to accounts payable … more