- St. Luke's University Health Network (Bethlehem, PA)
- …of a patient's ability to pay for health care. The Admission's Clinical Reviewer is responsible for the comprehensive medical review and screening of all ... or LPN will be considered with at least 1 year in an IRF admissions position AND demonstrated competence in completing reviewer tasks. TRAINING AND EXPERIENCE:… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …our team where you can take your career to the next level. **Being an Admissions & Utilization Review (UR) Manager Devereux Children's Behavior Health Center has ... as neighboring states. Our treatment team, which includes psychiatrists, clinical case managers, nurses, teachers, licensed psychologists and ...based on the presenting symptoms. Every day as an Admissions & Utilization Review Manager you will… more
- Devereux Advanced Behavioral Health (Malvern, PA)
- …and funding issues for inpatient level of care youth. + Works closely with Clinical and Admissions teams regarding the MCO and insurance funding authorizations. ... then consider joining our Devereux Advanced Behavioral Health team! Being a Utilization Review Specialist at Devereux has its Advantages! You will work with other… more
- Hunterdon Health Care System (Flemington, NJ)
- Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure the effective and efficient use of ... hospital services and monitors the appropriateness of hospital admissions and extended hospital stays. The evaluation of the...under the guidance of the Physician Advisor, to provide clinical information to payors as requested and ensures correct… more
- Genesis Healthcare (Phillipsburg, NJ)
- …Director is also responsible for overseeing the implementation of sales and clinical programming strategies that integrate vertically to sustain and expand the ... center's market presence. Position Highlights *Lead the patient referral process from review through to acceptance, ensuring that the center is prepared to admit… more