- 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
- 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 facilitates, coordinates, and approves… more
- Spectrum Billing Solutions (Skokie, IL)
- …mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue ... Specialist | ABA Utilization Review Specialist | ABA Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing … more
- Huron Consulting Group (Chicago, IL)
- …team as the expert you are now and create your future. **Qualifications** The Utilization Management Specialist is responsible for ensuring the appropriate ... companies to facilitate optimal patient outcomes while managing healthcare costs. The Utilization Management Specialist ensures compliance with regulatory… more
- Community Based Care of Brevard, Inc. (Melbourne, FL)
- …The SOR Peer Support Specialist works in partnership with the SOR Specialist , Utilization Management (UM) Program Manager, and Behavioral Health Team ... use/misuse disorders and/or other co-occurring disorders. The SOR Peer Support Specialist offers the perspective of having lived experienced and one-on-one… more
- HonorHealth (Scottsdale, AZ)
- …of services and coordinates the timely completion of the authorization process for Utilization Management Department. The PA Specialist will review referral ... Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of requests for authorization… more
- ManpowerGroup (Columbia, SC)
- …States and in the state of hire. **Job Description:** As a Medical Claims Reviewer/ Utilization Management Specialist , you will be responsible for conducting ... medical reviews using established criteria sets, performing utilization management of professional, inpatient or outpatient, facility benefits or services, and… more
- Kelsey-Seybold Clinic (Pearland, TX)
- … (LVN)** **Location: Pearland Administrative Office, Main Campus** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a. Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient ... **Overview** The Senior Utilization Review Specialist collaborates with the...vs. Inpatient c. Liaison to the Medical Staff supporting Utilization Management Committee processes d. Hospital Based… more
- Integra Partners (Troy, MI)
- …to join our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal ... industry standards, regulatory requirements, and best practices in clinical documentation and utilization management and update training documents as required +… 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
- Veterans Affairs, Veterans Health Administration (Shreveport, LA)
- Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... wide variety of items to include specialized services. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison… more
- Veterans Affairs, Veterans Health Administration (Tulsa, OK)
- …the VA Healthcare System and supported catchment area. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison ... Virtual: This is not a virtual position. Position Description/PD#: Acquisition Utilization Specialist Financial Disclosure: Yes. Financial Statements Required.… more
- LifePoint Health (Athens, TN)
- …seeking talent to fill the position of Intake Nurse and Utilization Specialist for ourGeroPsychDepartment.This job is permanent,full-time. Core competencies ... Minimum Work ExperienceMinimum 1 year experience in Inpatient Psychiatric Facility Utilization Management and/or intake/admissions in a psychiatric setting:X… more
- Randstad US (Boston, MA)
- …medical billing, coding and/or customer service experience. + Knowledge of utilization management process (ie, Health Center, Hospital, Insurance Company, ... clinical support specialist - utilization mngmt. + boston...Physician office) + Knowledge of Utilization Management regulations and standards + Experience… 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
- 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
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- Summary Acquisition & Utilization Specialist serves as the Medical Center liaison and advisor on contract related services focusing on critical clinical and ... is not a virtual position. Position Description/PD#: Acquisition & Utilization Specialist /PD99810S and PD99492S Relocation/Recruitment Incentives: Not Authorized… more