- 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
- 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
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical ... Education Associates Degree preferred Minimum Work Experience Utilization Review experience preferably in a behavioral /psychiatric healthcare setting or… 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
- 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
- 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
- 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 (Louisa, 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
- Kepro (IL)
- …in child and adolescent behavior. + 2+ years as a Behavioral Health Specialist , Behavioral Health Utilization Reviewer or Behavioral Health Case ... a vital partner for health solutions in the public sector. Acentra seeks a Behavioral Health Clinical Reviewer to join our growing team. Job Summary: Our … 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 (RN or LCSW) Job Category: Clinical...Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM),… more
- BriteLife Recovery (Hilton Head Island, SC)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... Time (Saturday and Sunday 7am-7pm) Full Time (Friday, Saturday, and Sunday 7am-7pm) BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for a company that no longer… more
- Burrell Behavioral Health (Nevada, MO)
- Job Description: Job Title: Vocational Support Specialist (VSS) Location: Nevada, Missouri Employment Type: Part-time Job Summary: Are you a passionate and dedicated ... your skills and advance your career? Join our team as a Vocational Support Specialist ! As a Vocational Support Specialist , you'll be responsible for providing… more
- Burrell Behavioral Health (Desloge, MO)
- Job Description: Job Title: Vocational Support Specialist Location: Desloge, MO Department: Employment Services Employment Type: Full Time Shift: Day Shift Job ... their full potential? Join our team as a Vocational Specialist and play a vital role in supporting clients...Telemedicine - 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits Employee Assistance Program -… more
- Burrell Behavioral Health (Poplar Bluff, MO)
- Job Description: Job Title: Vocational Support Specialist (VSS)Location: Poplar Bluff, Missouri Employment Type: Full-time Job Summary: The Vocational Support ... Specialist (VSS) is responsible for providing on/off site training...to meet personal and employment goals + Compile and review vocational, medical, psychological and educational information, and utilize… more
- HCA Healthcare (San Antonio, TX)
- …acute inpatient rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and...growth, we encourage you to apply for our Rehab Specialist opening. We promptly review all applications.… more
- State of Colorado (Denver, CO)
- …Social Work/Counselor III - Behavior Health Specialist - (Parole - Westminster/Aurora Region) Print ... Apply CDOC Social Work/Counselor III - Behavior Health Specialist - (Parole - Westminster/Aurora Region) Salary $6,553.00 - $9,175.00… more