- Marion County (Salem, OR)
- …initiate authorization process for requests for Long-Term Psychiatric Care.Ensure accuracy of utilization data of those admitted to the Oregon State Hospital and ... acute care hospitals, provide routine reports to Marion County Management . May require overnight travel to participate in coordination meetings for individuals… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN. This position provides comprehensive assessment, ... planning, coordination, implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the completion of… more
- FLACRA (Clifton Springs, NY)
- PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... one year of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by… more
- Cleveland Clinic (Weston, FL)
- …the Miami-Fort Lauderdale metro area and remains a top hospital in Florida. As a Utilization Management (UM) Specialist , you will work under the general ... the discharge plan. *Achieves a minimum of 85% on IRR quarterly. *Completes Utilization Management for assigned patients with a minimum of 25-30 reviews per day.… 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 ... 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 ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve… more
- Universal Health Services (Auburn Hills, MI)
- Responsibilities Utilization Management - Precertification Specialist HAVENWYCK HOSPITAL (a UHS facility) Havenwyck Hospital sa Joint Commission-accredited ... more information, please visit us at www.havenwyckhospital.com POSITION SUMMARY: The Utilization Management Precertification Specialist has responsibility… more
- Sanford Health (Sioux Falls, SD)
- …Conduct level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to ... potentially, prior authorization. Assists the department in monitoring the utilization of resources, risk management and quality...in monitoring the utilization of resources, risk management and quality of care for patients in accordance… more
- University of Washington (Seattle, WA)
- …. RN2, Utilization Management ... This position will have partial/variable involvement with Harborview's Emergency Department. The Utilization Management Specialist RN2 is responsible for the… more
- Universal Health Services (Bloomington, IN)
- Responsibilities The Utilization Management Specialist is responsible for executing the UM function, which includes the implementation of case management ... scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients. Oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payers. Assures that… more
- Immigration and Customs Enforcement (IN)
- …an industry certification related to billing, coding, and utilization /case management [e.g., MCG Care Guideline Specialist , Certified Professional Medical ... and external stakeholders (eg, Customs and Border Patrol, Veterans Affairs) regarding utilization management (UM) processes, trainings, and principles to ensure… more
- 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:** +...+ Required RN (Registered Nurse) + Preferred ACM (Case Management ) + Preferred CCM (Case Manager) **Education:** + Required… more
- Amity Foundation (Tucson, AZ)
- …individual is responsible for performing a variety of concurrent and retrospective utilization management -related reviews and functions and for ensuring that ... to teach, learn and join our community as a Utilization Review Specialist at our campus in...resolution skills. + Computer skills in word processing, database management , and spreadsheet desirable. + Proficiency with MS Office,… more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... of extended stay, outpatient observation, and inpatient stays and the utilization of ancillary services. Responsible for coordinating and conducting medical… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- …an interdisciplinary approach to support continuity of care. + Provides utilization management , transfer coordination, discharge planning, and issuance of ... The UR Specialist reviews and monitors patients' utilization ...and quality of care. + Responsible for the proactive management of patients with the objective of improving quality… more
- Spectrum Billing Solutions (Skokie, IL)
- …cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR Specialist ... and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for treatment… more
- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- Summary The Supervisory Acquisition Utilization Specialist serves as a liaison and advisor on contract related services focusing on critical clinical and ... not a virtual position. Position Description/PD#: Supervisory Acquisition and Utilization Specialist /PD99867S Relocation/Recruitment Incentives: Not authorized Critical… 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 ... position is to manage the completion of formulary activities, support medication utilization projects, and ensure timely policy management within the department… more
- Hawaii Pacific Health (Honolulu, HI)
- …Services, which provides Hawai'i Pacific Health and its affiliates essential population utilization and financial management support, analyses and modeling. The ... referral management , patient steerage, and claims auditing. As the Specialist , you will be responsible for providing comprehensive managed care information… more
- MetroHealth (Cleveland, OH)
- …**Responsible for communicating information to internal and external customers of the Utilization Review and Care Management Department. Follows up on inquiries ... from payors and provides the appropriate information to Utilization Review, providers, payors, and admitting. Upholds the mission, vision, values, and customer… more
Related Job Searches:
Clinical Utilization Management Specialist,
Management,
Management Specialist,
Specialist,
Utilization,
Utilization Management,
Utilization Management Specialist PRN,
Utilization Management Specialist RN,
Utilization Specialist