- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and… more
- The Mount Sinai Health System (New York, NY)
- …Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic ... ** Utilization Review Admission Specialist ...funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical… more
- WestCare Foundation (Henderson, NV)
- Utilization Review Specialist Job...professional, office setting. + A minimum of 40 hours per week are expected but significantly more hours may ... LPN or RN and/or Bachelors or Masters level CADC/LADC with 2 years utilization review experience, preferred experience working with individuals with psychiatric… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve… more
- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that ... patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… 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 ... a PART-TIME position working a maximum of 24 hours per week. Requirements WHAT WE'RE LOOKING FOR Simply put:...at least 6 months of experience as a UR Specialist will apply. BBHH encourages all qualified candidates to… more
- University of Washington (Seattle, WA)
- …partial/variable involvement with Harborview's Emergency Department. The Utilization Management Specialist RN2 is responsible for the ongoing review of a ... benefits for this position, click here (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-summary-classified-staff-greater-than-half-time-20220908\_a11y.pdf) . RN2, Utilization Management Specialist . This is a hybrid… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment ... lost with feedback to respective departments + Conduct concurrent review with utilization review department...AND SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger… more
- MyFlorida (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST - 60047159 - ESS...is a full-time Career Service position, working 40 hours per week. Regular business hours are 8:00 am - ... . Requisition No: 830981 Agency: Children and Families Working Title: OPERATIONS REVIEW SPECIALIST - 60047159 - ESS Policy & Programs Pay… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** SRS Mira Mesa **City** San Diego **Department** **Job Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** California ... the situation, and then presenting it to the PT Supervisor or supporting clinical specialist (PT II or PT III) for resolution in a timely manner.Consults and… more
- Sharp HealthCare (San Diego, CA)
- …ability to proof work.Knowledge of technical applications for insurance, utilization review , scheduling requirements, and front/back office ... **Facility:** SRS Scripps Ranch **City** San Diego **Department** **Job Status** Per Diem **Shift** Variable **FTE** 0 **Shift Start Time** **Shift End Time** AHA… more
- Ventura County (Ventura, CA)
- …serve as a resource for members of their unit. APPROXIMATE SALARIES HS Client Benefit Specialist Trainee: $21.40 per hour HS Client Benefit Specialist I: ... $24.42 - $25.70 per hour HS Client Benefit Specialist II: $26.99 - $28.27 per hour HS Client Benefit Specialist III: $28.26 - $31.03 per hour HS… more
- Dartmouth Health (Lebanon, NH)
- …capacity analysis. * Analyzes inventory/product data, utilizing customized query utilization reports and formulates recommendations for adjustments as necessary to ... and positive financial outcomes * Meets with department managers or directors to review PAR statistical data and makes recommendations for adjustments which meet the… more
- Alameda Health System (San Leandro, CA)
- … utilization and an appropriate level of care. 5. Coordinates all utilization review functions, including response to payor requests for concurrent and ... Care Management Clinical Appeals Specialist + San Leandro, CA + Finance +...of Case Management experience in an acute setting or utilization review at a medical group or… more
- City of Portland (Portland, OR)
- Facilities Maintenance Specialist - Multiple Vacancies - Open Continuous Print (https://www.governmentjobs.com/careers/portlandor/jobs/newprint/4440434) Apply ... Facilities Maintenance Specialist - Multiple Vacancies - Open Continuous Salary $33.21...as needed to account for changes in seasons, space utilization , occupancy, and other facility needs. + Repair and… more
- MetroLink (Los Angeles, CA)
- Special Services Employee (TEMP) - Finance Specialist II (Accounts Payable) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4435696) Apply ... Special Services Employee (TEMP) - Finance Specialist II (Accounts Payable) Salary $1,827.77 - $2,834.85 Biweekly...APPLY: This is a continuous recruitment, with the first review of applications beginning May 22, 2024. Interested applicants… more
- City of Asheville (Asheville, NC)
- …necessary to function effectively in the position. Performance Aptitudes: Data Utilization : Requires the ability to review , classify, categorize, prioritize, ... Administrative Services Specialist - Criminal Investigations Division Print (https://www.governmentjobs.com/careers/ashevillenc/jobs/newprint/4495241) Apply … more
- State of Colorado (Golden, CO)
- Research Billing Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4539366) Research Billing Specialist Salary $57,000.00 - ... Information Engineering a world of possibilities The position of Research Billing Specialist will be responsible for the billing management of sponsored research… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- …for revenue-related issues from both CPAC and Medical Center staff. Provides revenue utilization review . Serves as the revenue educator for Veterans on service ... tracking and pre-authorization of mental health encounters. 3) Provides revenue utilization review support, address revenue reported issues, and address… more