- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital… more
- Spectrum Billing Solutions (Skokie, IL)
- …an ABA Utilization Review ( UR ) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical ... hybrid position. Your Responsibilities: + Review patient admission and clinical information to ensure medical necessity and compliance of...services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist |… more
- BriteLife Recovery (Englewood, NJ)
- … clinical information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical ... What you will be doing? The Utilization Review ( UR ) Specialist is a critical member...for the organization. Success in this role requires strong clinical judgment, documentation skills, familiarity with ASAM criteria, and… more
- Emory Healthcare/Emory University (Decatur, GA)
- …with provider team documentation and/or clinical data. + When appropriate, the UR Specialist will utilize the UR Department's Severity of ... chart utilizing InterQual Criteria accurately in conjunction with the UR Department workflows/processes, clinical nursing judgement, and... Department workflows. + In a team effort, the UR Specialist will work closely with the… more
- University of Rochester (Rochester, NY)
- …Type: Part time Scheduled Weekly Hours: 20 Department: 500061 Nutritional Support Services Work Shift: UR - Day (United States of America) Range: UR URCB 212 H ... residents, NP's, and Fellows on Parenteral and Enteral Nutrition. + Demonstrates advanced clinical skills and knowledge base and mentors Clinical Dietitians. +… more
- University of Rochester (Rochester, NY)
- …Time Type: Part time Scheduled Weekly Hours: 24 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States of America) Range: UR URCD 219 Compensation ... and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Provisions comprehensive clinical pharmacy services related to their area of practice to… more
- Nuvance Health (Danbury, CT)
- …critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ensuring compliance with CMS requirements, ... initial status is to be re-considered. * Identify incomplete clinical reviews in work queues and complete them within...to resolve, escalate to the PA and Utilization Review ( UR ) Leadership. * Coordinate with the care team in… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 500057 SMH Med Oncology - Interlakes Work Shift: UR - Day (United States of America) Range: UR URCF 214 H ... and internal equity considerations._ **Responsibilities:** General Purpose The Technical Specialist is responsible for the timely and accurate reporting of… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 400980 Neuro-Ctr Health & Tech/Admin Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation ... internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The CHeT Communication Specialist II is responsible for the creation, development, and… more
- Trinity Health (Maywood, IL)
- …hybrid, must reside in Illinois. The **Regional Utilization Review Documentation Specialist ** nurse works with the multidisciplinary team including physicians, staff ... coverage. The position includes but not limited to basic UR job duties such as level of care determination,... job duties such as level of care determination, clinical submission to payers, timely following/securing of auth payer… more
- University of Rochester (Rochester, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500232 Microbiology SMH Work Shift: UR - Day (United States of America) Range: UR URCF 214 H ... internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Medical Technology Specialist - Urgent Care Testing is responsible for performing laboratory… more
- HonorHealth (AZ)
- …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... Learn more at HonorHealth.com. Responsibilities Job SummaryThe Utilization Review RN Specialist reviews and monitors utilization of health care services with the… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 20 Department: 500233 CVSL Outpatient ACG & CC Work Shift: UR - Day (United States of America) Range: UR URCD 204 H Compensation ... individual, and internal equity considerations._ **Responsibilities:** The Physician Support Specialist provides support to the Heart Failure Department. Responsible… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 400626 Psychiatry M&D Research Work Shift: UR - Day (United States of America) Range: UR URG 108 H ... has multiple ongoing collaborations with different hospital departments and clinical services. This posting is for recruitment of an...required for the creation and development of a new clinical service at URMC to assess and manage high-risk… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 500023 Financial Services SMH Work Shift: UR - Day (United States of America) Range: UR URCB 210 H ... seeks out projects to help with the implementation of new workflows clinical and non- clinical + Through data collection and analysis directs changes to improve… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 500245 Central Lab Hem-Chem Work Shift: UR - Day (United States of America) Range: UR URCF 214 H ... EXPERIENCE** + Bachelor's degree in medical technology and 4 years of relevant clinical laboratory experience required + Master's degree in related field and 2 years… more
- University of Rochester (Rochester, NY)
- …Per Diem Scheduled Weekly Hours: As Scheduled Department: 500309 Ophthalmology Eye Clinic Work Shift: UR - Day (United States of America) Range: UR URC 209 H ... an appropriate science and 2 years of closely related laboratory/ clinical experience; or - High school diploma and 4...High school diploma and 4 years of closely related laboratory/ clinical experience; or - An equivalent combination of education… more
- University of Rochester (Rochester, NY)
- …Full time Scheduled Weekly Hours: 40 Department: 500211 Anesthesia Technical Services Work Shift: UR - Rotating (United States of America) Range: UR URCA 210 H ... a variety of technical assignments for the Department of Anesthesiology in the clinical setting. Exercise high degree of skill, judgment and a knowledge of the… more
- University of Rochester (Rochester, NY)
- …journey as healthcare professionals. The responsibilities of the Student Support Specialist support these goals. **ESSENTIAL FUNCTIONS** UR Scholars Management: ... Hours: 40 Department: 600221 SON Staff/Education Programs Work Shift: UR - Day (United States of America) Range: ...the Senior Manager of Student Affairs, the Student Support Specialist plays a vital role in supporting students in… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Part time Scheduled Weekly Hours: 16 Department: 210630 Psychology Work Shift: UR - Day (United States of America) Range: UR URG 106 H ... + Demonstrates accountability for continuous learning in accordance with Good Clinical Practice standards and guidelines. + Keeps current with industry standards,… more