- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR ... admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for… more
- Amity Foundation (Tucson, AZ)
- …and enthusiastic individuals with a desire to teach, learn and join our community as a Utilization Review Specialist at our campus in Tucson, AZ. With this ... community building Remembrance, Resolution, Reconciliation, Restoration, Renewal About the Position Utilization Review Specialist you will contribute to… more
- Universal Health Services (Groton, CT)
- …Washington, DC, Puerto Rico and the United Kingdom. www.uhs.com Job Summary: The Utilization Review Specialist is responsible for the pre-certification, ... (UHS), has an immediate opening for a full-time UR Specialist . Stonington Institute is committed to providing quality substance...or related Human Service Field or RN. Knowledge of Utilization Review Processes, insurance plans, mental health… 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...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- Ventura County (Ventura, CA)
- …of quality, safety, and patient-centered care. The Quality Assurance (QA) and Utilization Review (UR) units ensure accurate and appropriate clinical ... Behavioral Health Quality Assurance Specialist Print...and Notices of Actions. This position continually collaborates with Utilization Review staff regarding chart/documentation reviews and… more
- HCA Healthcare (San Antonio, TX)
- …we encourage you to apply for our Clinical Pharmacist Specialist Behavioral Health opening. We promptly review all applications. Highly qualified candidates ... you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your...multidisciplinary and bedside rounds + You will complete drug utilization reviews to promote rational drug therapy and implement… more
- Universal Health Services (Fort Washington, PA)
- …collects pre-admission data and ascertains insurance coverage via Business Office and Utilization Review . + Completes the admissions process by entering required ... Responsibilities Full Time Behavioral Health Admissions Call Specialist Opportunity...admissions data and prepares reports of inquiry activity and utilization . + Assesses age-related information regarding the patient. +… more
- LifePoint Health (Sylva, NC)
- …or local law. **Job:** ** Behavioral Health* **Organization:** ** **Title:** * Behavioral Health Specialist - PRN* **Location:** *NC-Sylva* **Requisition ID:** ... comprehensive first evaluation for patients in the involuntary commitment process. Behavioral Health responsibilities in this role may include: group therapy;… more
- Granville Health System (Oxford, NC)
- …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; developing, ... level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients who… more
- Addiction Recovery Care (Springfield, KY)
- …electronic claims on a UB04 or CMS 1500 format + Actively works with the Utilization Review Department if an issue with a patient's authorization is presented + ... for our growing team! The role of the Billing Specialist is to ensure behavioral health claims...job requires strong attention to detail. Key Responsibilities: + Review clinical documentation from EMR billing reports for accurate… more
- St. Luke's University Health Network (Bucks, OH)
- …mental health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... other hospital services or external customers, in accessing the network Behavioral Health Services. JOB DUTIES AND RESPONSIBILITIES: + Conducts intake assessments… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …Respect Empowerment Sincerity Job Summary The UR Coordinator is responsible for the utilization review process at BBHH. Administrative and clerical functions of ... About Us Bakersfield Behavioral Healthcare Hospital, located in Bakersfield, California, is...at least 6 months of experience as a UR Specialist will apply. BBHH encourages all qualified candidates to… more
- Burrell Behavioral Health (Independence, MO)
- …the Community Support Specialist role. Essential Duties and Responsibilities: Utilization of specialized knowledge of behavioral science principles, such as ... Job Description: Summary: The Community Support Specialist II provides support and activities for clients...to all quality assurance procedures of Burrell, cooperates with utilization review procedures and follows established procedures,… more
- Universal Health Services (Leesburg, VA)
- …action plans. + The Medicaid Specialist must be a standing member of the Utilization Review Committee. + Other duties as assigned based on the needs of the ... Responsibilities North Spring Behavioral Healthcare, Inc. is a multifaceted behavioral...Behavioral Healthcare offers comprehensive benefits for the Medicaid Specialist position, such as: + Challenging and rewarding work… more
- BriteLife Recovery (Hanover, PA)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... "PART- TIME" BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… more
- CVS Health (Trenton, NJ)
- …Certified Case Manager (ACM) preferred. + Crisis Intervention skills + Managed care/ utilization review experience + Case management and discharge planning ... advanced clinical judgement to facilitate appropriate member physical health and behavioral healthcare. Implements strategy to assess and plan care, direct provider… more
- CareOregon (Portland, OR)
- Job Title Provider Relations Specialist Lead Department 116-Provider Relations Exemption Status Exempt Requisition # 24293 Direct Reports n/a Manager Title Provider ... department administration. Work may be focused on physical health, behavioral health, and/or community-based provider support. Essential Responsibilities Provider… more
- BriteLife Recovery (West Kill, NY)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... PRN/ PART-TIME BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… 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 ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management...Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM),… more