- Henry Ford Health System (Troy, MI)
- The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution ... Additional Information + Organization: Corporate Services + Department: Central Utilization Mgt + Shift: Day Job + Union Code:...team members is our priority. That's why we offer support in the various components of our team's well-being:… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
- St Joseph's Addiction Treatment & Recovery Centers (Saranac Lake, NY)
- …Centers Location: Inpatient Facility - Saranac Lake, NY Position: Full-time Utilization Review Specialist Shift/schedule: Monday-Friday, 8:00am-4:30pm Pay ... Supervisor, supporting the agency's mission and client care quality. Department Utilization Review Employment Type Full-Time Minimum Experience Mid-level… 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 ... Officer/Medical Director as appropriate. + Coordinates an interdisciplinary approach to support continuity of care. + Provides utilization management, transfer… more
- Nuvance Health (Danbury, CT)
- *Description* Summary: The purpose of the Utilization Management Nurse is to support the physician, the interdisciplinary team, and organization with the ... of care and providing timely and accurate clinical information to payors. Utilization management provides clinically based first level medical necessity reviews by… more
- Baylor Scott & White Health (Dallas, TX)
- …may vary based on position type and/or level **Job Summary** The Utilization Review (UR) Support Specialist performs administrative duties to support ... other departments. + Answers and screens phone calls for the Utilization Review department. Routes calls as appropriate within customer service guidelines.… more
- Penn Medicine (Lancaster, PA)
- …day. Are you living your life's work? Summary: + Position Summary: The Utilization Management Specialist - Denials is responsible for evaluating medical records ... without reasonable accommodation to perform the following duties: + Complete chart review and communicate patient status medical needs with insurance companies in… more
- Sanford Health (Sioux Falls, SD)
- …level of care medical necessity reviews within patient's medical records. Performs utilization management (UM) activities in accordance with UM plan to assure ... relating to determination of medical necessity, authorization, continued stay review including diagnosis and procedural coding for working diagnosis related… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing… more
- Intermountain Health (Las Vegas, NV)
- …1-3 are a must in order to be considered for the position.** Performs medical review activities pertaining to utilization review , claims review , quality ... with MG clinicians, Affiliate Network PCPs and Specialists in the community, utilization management, care management, claims, network management, and finance. As the… more
- Catholic Health Initiatives (Omaha, NE)
- **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a rewarding opportunity to impact patient care and optimize ... our patients. **This position offers the flexibility to work remotely with proven Utilization Review experience.** Medical Coding experience is a plus! As our… more
- Ascension Health (Baltimore, MD)
- …process. + Serve as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation. + ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
- LifePoint Health (Louisburg, NC)
- Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound commitment to ... of those we serve. Connect with our RN recruiting specialist . Do you need more time to complete an...the responsibilities involved in monitoring adherence to the hospital's utilization review plan, which ensures the appropriate… more
- Commonwealth Care Alliance (Boston, MA)
- … Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... Knowledge, Skills & Abilities (must have): * Expertise in managing utilization review processes including prior authorization, concurrent and retrospective… more
- Henry Ford Health System (Troy, MI)
- … Utilization team manager to provide administrative, operational, and organizational support for the Utilization Management teams. PRINCIPLE DUTIES AND ... accreditation by NCQA and compliance with CMS and privacy policies. + Provides Utilization Management staff support and liaison support to committees,… more
- Katmai (Fort Carson, CO)
- …need for inpatient/outpatient precertification. **ESSENTIAL DUTIES & RESPONSIBILITIES** + Review precertification requests for medical necessity, referring to the ... Medical Director those that require additional expertise. + Review clinical information for concurrent reviews. + As part of the UMRN program, conduct ongoing… more
- Tomah Health (Tomah, WI)
- …Under the supervision of the Hospice and Palliative Care Director, the Office Support & Volunteer Specialist performs general office duties to support ... the Hospice and Palliative Care Departments. The Office Support & Volunteer Specialist is responsible for...+ Works with the Hospice Coordinator to develop and review volunteer policies and guidelines and protocols for the… more
- Arkansas State University (Jonesboro, AR)
- …all position postings close at 12:00 AM CST on the position closing date Computer Support Specialist Working Title Computer Support Specialist Position # ... date. A-State participates in E-Verify. Position Summary: The Computer Support Specialist is responsible for a wide...for a wide range of activities related to computer support such as the implementation, maintenance, and utilization… more
- State of Michigan (Lansing, MI)
- Departmental Specialist 13 - Office of Child Support Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4943529) Apply Departmental ... Specialist 13 - Office of Child Support Salary $2,484.80 - $3,708.80 Biweekly Location Lansing, MI...responsible for developing queries and reports to identify proper utilization of resources and technology. This position analyzes and… more
- State of Arkansas (Camden, AR)
- COMPUTER SUPPORT SPECIALIST Date: May 22, 2025 Req ID: 47497 Location: Camden, AR, US, 71711 Category: AR DEPT OF HUMAN SERVICES Anticipated Starting Salary: ... EXEMPT Salary Range: $51,761.00 - $82,560.00 Summary The Computer Support Specialist is responsible for a wide...for a wide range of activities related to computer support such as the implementation, maintenance, and utilization… more