- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator, (NY HELPS), Bronx Psychiatric Center, P26793 Occupational Category Health Care, ... Zip Code 10461 Duties Description Bronx Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evaluate quality, effectiveness, and… more
- Spectrum Billing Solutions (Skokie, IL)
- …in the most efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will ... clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and...skilled individuals. + Growth opportunities + Benefits - Medical, Dental , Vision + Flexible Paid Time Off + 401K… more
- Prime Healthcare (Passaic, NJ)
- …System" by Truven Health Analytics. For information, visitwww.smh-nj.com. Responsibilities The Utilization review tech essentially works to coordinate the ... utilization review and appeals process as part of the denial...to, paid time off, a 401K retirement plan, medical, dental , and vision coverage, tuition reimbursement, and many more… more
- Prime Healthcare (Ontario, CA)
- …is actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization ... appeals process as part of the denial management initiatives. Utilization review tech is responsible for coordinating...to, paid time off, a 401K retirement plan, medical, dental , and vision coverage, tuition reimbursement, and many more… more
- Prime Healthcare (Ontario, CA)
- …is actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization ... all related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on...to, paid time off, a 401K retirement plan, medical, dental , and vision coverage, tuition reimbursement, and many more… more
- Monte Nido (Miami, FL)
- …while providing the opportunity for people to realize their healthy selves. ** Utilization Review Clinician** **Monte Nido** **Remote** **Monte Nido has been ... within an intimate home setting. We are seeking a Utilization Review Clinician to join our team...success and well-being, providing: + Competitive compensation + Medical, dental , and vision insurance coverage (Benefits At a Glance… more
- UnityPoint Health (Cedar Rapids, IA)
- …S + Shift: 40 Hours Per Week + Job ID: 168048 Overview The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key ... coordinating the department's interdisciplinary effort to assess and promote appropriate utilization of health care resources, provision of high-quality health care,… more
- BayCare Health System (Tampa, FL)
- …foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions ... Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years...Critical Care or Emergency Service **Benefits:** + Benefits (Health, Dental , Vision) + Paid time off + Tuition reimbursement… more
- BayCare Health System (Clearwater, FL)
- …foundation of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior responsibilities include:** + Functions ... Nursing or Business **Experience:** + Required 2 years in Utilization Review or + Required 2 years...Critical Care or Emergency Service **Benefits:** + Benefits (Health, Dental , Vision) + Paid time off + Tuition reimbursement… more
- Amergis (Middletown, CT)
- Salary: $2400 / Week The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on ... in Nursing or at least two years' experience in Utilization Review preferred + Certification in ...benefits: + Competitive pay & weekly paychecks + Health, dental , vision, and life insurance + 401(k) savings plan… more
- New York State Civil Service (New York, NY)
- …Nurse 1 Psychiatric (NY HELPS), New York State Psychiatric Institute, Utilization review , P26749 Occupational Category Health Care, Human/Social Services ... York State NY Zip Code 10032 Duties Description The selected candidate will provide Utilization Review services, including but not limited to conducting daily … more
- Hackensack Meridian Health (Hackensack, NJ)
- The Utilization Review Physician collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical ... Hackensack University Medical Center. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- State of Indiana (Evansville, IN)
- Utilization Review Coordinator-LPN Date Posted: Aug 16, 2025 Requisition ID: 461455 Location: Evansville, IN, US, 47715 Work for Indiana Begin a fulfilling ... Services certification as a Psychiatric Medicare/Medicaid Hospital. Role Overview: The Utilization Review Coordinator performs duties within a psychiatric… more
- Children's Hospital Boston (Boston, MA)
- …Title:Per Diem RN Case Manager, Utilization Management/ReviewDepartment:Patient Services-Patient Care OperationsAutoReqId:80451BRStatus:Part-TimeStandard Hours per ... Posting Description:Department Summary: The UM Case Managers at Boston Children's review documentation within 1 business day of patient admission to assess… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...Comprehensive package of benefits to include: + Medical + Dental + Vision + Life, Pet, Identity Theft Insurance… more
- Seattle Children's (Seattle, WA)
- …for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case management or ... utilization review leadership experience **Compensation Range** $115,277.00 - $172,915.00 per...Seattle Children's offers a generous benefit package, including medical, dental , and vision plans, 403(b), life insurance, paid time… more
- Hackensack Meridian Health (Brick, NJ)
- …The role of **Supervisor, Care Management** integrates and coordinates utilization management, care coordination, discharge planning functions and performance ... in order to meet staffing needs, manage length of stay, promote efficient utilization of resources and ensure that care meets evidence-based practice standards and… more
- Dartmouth Health (Lebanon, NH)
- Overview Utilization Review Per Diem - Remote Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures ... that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental , vision and life insurance, short and long term disability, paid time… more
- 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 process. ... plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to… more
- Virtua Health (Pennsauken, NJ)
- …UR Tech and AA to support UR and revenue cycle process.Position Responsibilities: Utilization Management* Utilizes Payer specific screening tools as a resource to ... resource group and payers.Documentation* Appropriate and complete documentation of clinical review and denial management in the case management documentation system… more