- Henry Ford Health System (Troy, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution ... Additional Information + Organization: Corporate Services + Department: Central Utilization Mgt + Shift: Day Job + Union Code:...team members is our priority. That's why we offer support in the various components of our team's well-being:… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) responsible for promoting the ... the Utilization Review Nurse and Utilization Review Specialist Nurse job...of complex problems and issues. Serves as an escalation support for novice staff. Implements and leads to initiatives… 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
- Vanderbilt University Medical Center (Tullahoma, TN)
- …moderate difficulty. + Clinical Applications Systems (Novice): Possesses fundamental proficiency in utilization review systems, clinical support systems and ... business support applications as needed + Utilization Review (Intermediate): Demonstrates expertise of utilization review in practical applications… more
- Trinity Health (Fresno, CA)
- …**Description:** Summary: This position is responsible for coordinating administrative/clerical support to department staff to ensure smooth and efficient ... departmental operations. Requirements: 1. High school diploma or equivalent is required. 2. Two (2) years secretarial/administrative experience in a medical setting is required. 3. Knowledge of medical terminology, excellent organizational skills, ability to… 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
- 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
- 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
- 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
- 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
- New York State Civil Service (Albany, NY)
- … Review program trends/findings and recommend program changes or support activities to expand or improve children's intensive outpatient community based ... Agency Mental Health, Office of Title Mental Health Program Specialist 3 (Clinical), Central Office; Occupational Category Other Professional...mental health services. Review data reports, such as utilization rates,… more
- Washington Metropolitan Area Transit Authority (VA)
- Rail Apps Support & Maintenance Specialist Job ID: 250805 Location: VA - Metro Bldg At Eisenhower Full/Part Time: Full-Time Posting Open-Close 09/19/2025 - ... Marketing Statement: Washington Metro Transit Authority is seeking a Rail Application Support & Maintenance Specialist to work within the Unified Digital… 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