- BayCare Health System (Cotton Plant, AR)
- …responsibility and clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our outstanding ... and compassionate team. **The Utilization Review Specialist Senior responsibilities include:** + Functions as the primary liaison between the funding agents… more
- University of Colorado (Aurora, CO)
- Clinical Utilization Review Specialist - 32339 University Staff **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | ... Department of Psychiatry** **Job Title: Clinical Utilization Review Specialist ** **Position: #00217340 - Requisition: #32339** **Sign-on bonus available 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
- 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
- Sutter Health (Berkeley, CA)
- …and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare criteria with ... clinical nursing staff and other departments regarding documentation required for utilization review activities and processes. Collaborate with medical, nursing… 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
- Henry Ford Health System (Jackson, MI)
- …procedures, guidelines and criteria, regularly exercises clinical judgment in the review and assessment of patients' records. Reviews care and treatment received. ... Communicates with third party payers in order to obtain authorization for care. Acts as a resource to related parties by providing training and educational sessions. EDUCATION AND EXPERIENCE: Associate's Degree in Nursing (ADN), OR Licensed Practical Nurse… more
- Universal Health Services (Newark, DE)
- …https://rockfordcenter.com/ Rockford Center is searching for a talented and patient centric Utilization Review Specialist ! Key Responsibilities include: + ... including UR Worksheets and treatment team notes. Benefits for a Utilization Review Specialist include: + Challenging and rewarding work environment… more
- Universal Health Services (Ambler, PA)
- Responsibilities The Horsham Clinic is seeking a dynamic and talented Utilization Review Specialist . The Horsham Clinic is a 206 bed private behavioral ... then we invite you send your resume. The UR Specialist is responsible for evaluating medical records to determine...illness and determining the appropriate level of care. UR Specialist will serve as a liaison for patients and… more
- Montrose Memorial Hospital (Montrose, CO)
- …This position combines the unique skill sets of the Utilization Review Nurse and Clinical Documentation Specialist to facilitate documentation that clearly ... The Career: + The purpose of the Clinical Revenue Specialist position is to ensure the integrity and quality...experience preferred; and one (1) to two (2) years Utilization Review experience preferred. What We Offer:… more
- Baystate Health (Westfield, MA)
- …meetings to address treatment objectives. **6.** May collaborate as assigned with utilization review specialist to obtain necessary insurance authorizations ... is responsible for gathering a psychosocial evaluation through interviews and record review and completing a written assessment with case formulation and treatment… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleWood Utilization and Marketing Program Specialist Position LocationFort Collins, CO Work LocationPosition is fully remote ... forest environments for the benefit of present and future generations". The Wood Utilization and Marketing Program Specialist is a sub-staff of the Forest… more
- The Mount Sinai Health System (New York, NY)
- The (per diem) Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing and operating room ... procedures. This individual seeks the assistance of the Nurse Manager in identifying cases, which require pre admission screening or have questionable admission criteria. **Strength Through Diversity** The Mount Sinai Health System believes that diversity,… 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
- 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: ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will...setting. Performs telephonic and/or on site admission and concurrent review , and collaborates with on site staff, physicians, providers,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …that the appropriate admission status is ordered. Conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary ... difficulty. * Clinical Applications Systems (Novice): Possesses fundamental proficiency in utilization review systems, clinical support systems and business… more
- TEKsystems (Everett, WA)
- Start date: 4/29/24 Description: The Utilization Management Specialist implements, maintains and executes procedures and processes by which Optum performs its ... medical history and diagnostic tests when requested, to assist in review , processing, and coordination of prospective, concurrent and retrospective referrals.… more
- Penn State Health (Hershey, PA)
- …for more detailed steps for assistance._ **Union:** SEIU Healthcare Pennsylvania **Position** Utilization Management Specialist - WEEKEND SHIFT - Utilization ... at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** Responsible for the review of clinical documentation in the Electronic Medical Record… more
- University of Virginia (Charlottesville, VA)
- As a Medication Utilization , Formulary, and Policy Specialist , you will play a crucial role in optimizing medication management practices UVA. The primary focus ... position is to manage the completion of formulary activities, support medication utilization projects, and ensure timely policy management within the department of… more