- Community Health Systems (Franklin, TN)
- **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ... collaborates with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital… more
- Spectrum Billing Solutions (Skokie, IL)
- …to add a Utilization Review ( UR ) Specialist to our growing team. The UR Specialist will utilize his or her knowledge and skills to review clinical ... office/home hybrid position. Responsibilities include: + Review patient admission and clinical information to ensure medical necessity and compliance of utilization… more
- Baylor Scott & White Health (Dallas, TX)
- …and/or level **Job Summary** The Utilization Review ( UR ) Support Specialist performs administrative duties to support clinical operations. Timely processing ... all hospitals. + Reviews and triages payor correspondence for approval, denials, clinical requests, and peer-to-peers. Escalates other payor requests for clinical… more
- Community Health Systems (Franklin, TN)
- …authorizations and reduce potential denials, utilizing input from the Utilization Review Clinical Specialist . + Monitors and updates case management software ... appeals activities. This role collaborates with payers, hospital staff, and clinical specialists to secure timely authorizations for hospital admissions and extended… more
- BriteLife Recovery (Englewood, NJ)
- … clinical information and advocating for appropriate levels of care. The UR Specialist works closely with clinical staff, admissions, medical ... What you will be doing? The Utilization Review ( UR ) Specialist is a critical member...for the organization. Success in this role requires strong clinical judgment, documentation skills, familiarity with ASAM criteria, and… more
- University of Rochester (Rochester, NY)
- …AND ABILITIES** + Demonstrated proficiency and competent performance of required tasks of Clinical Nutrition Specialist I **LICENSES AND CERTIFICATIONS** + RD - ... Hours: 20 Department: 500061 Nutritional Support Services Work Shift: UR - Day (United States of America) Range: ...residents, NP's, and Fellows on requested topics. Demonstrates advanced clinical skills and knowledge in area of expertise related… more
- University of Rochester (Rochester, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States of America) Range: UR URC 217 Compensation ... and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: Provisions comprehensive clinical pharmacy services related to their area of practice to… more
- University of Rochester (Rochester, NY)
- …Part time Scheduled Weekly Hours: 20 Department: 500061 Nutritional Support Services Work Shift: UR - Day (United States of America) Range: UR URCB 212 ... and Fellows on Parenteral and Enteral Nutrition. Demonstrates advanced clinical skills and knowledge base and mentors Clinical... clinical skills and knowledge base and mentors Clinical Dietitians. Serves as clinical preceptor to… more
- University of Rochester (Rochester, NY)
- …to the UR Support Operations Department. Band Three: Operations Support Specialist Lead- In addition to the responsibilities of an Operations Support ... Diem Scheduled Weekly Hours: As Scheduled Department: 100108 Support Operations-Fac & Svcs Work Shift: UR - Day (United States of America) Range: UR URG 102 H… more
- University of Rochester (Rochester, NY)
- …Part time Scheduled Weekly Hours: 20 Department: 400058 Medicine M&D-Nephrology Div Work Shift: UR - Day (United States of America) Range: UR URG 108 ... of Rochester is seeking a part-time (20 hours/week) Human Subject Research Specialist , Level II, to coordinate human subject research activities. The division of… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …level of care, length of stay, authorizations and denials for patients. The UR Specialist is responsible for contacting external case managers/managed care ... insurance company's requirements for continued stay and discharge planning. The UR Specialist is responsible for having a thorough understanding of the patient's… more
- University of Rochester (Rochester, NY)
- …Per Diem Scheduled Weekly Hours: As Scheduled Department: 400626 Psychiatry M&D Research Work Shift: UR - Day (United States of America) Range: UR URG 108 H ... internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Prevention Training Specialist will work on the Network Health Prevention Program team… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 500057 SMH Med Oncology - Interlakes Work Shift: UR - Day (United States of America) Range: UR URCF 214 H ... and internal equity considerations._ **Responsibilities:** General Purpose The Technical Specialist is responsible for the timely and accurate reporting of… more
- University of Rochester (Brighton, NY)
- …Full time Scheduled Weekly Hours: 40 Department: 500137 Psychiatry SMH Strong Ties Work Shift: UR - Day (United States of America) Range: UR URC 209 H ... based psychiatric care. The Rehabilitation Therapist functions as a Vocational Specialist , per Office of Mental Health ACT Guidelines, for assigned patients… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 20 Department: 500233 CVSL Outpatient ACG & CC Work Shift: UR - Day (United States of America) Range: UR URCD 204 H Compensation ... individual, and internal equity considerations._ **Responsibilities:** The Physician Support Specialist provides support to the Heart Failure Department. Responsible… more
- HonorHealth (Scottsdale, AZ)
- …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 400104 Neurology Movement Disorders Work Shift: UR - Day (United States of America) Range: UR URG 106 H ... support duties, in a fast-paced environment, in support of the clinical , educational, academic, and research programs. Responsibilities include centers of excellence… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 500021 Clin Practice Evaluation Ofc Work Shift: UR - Day (United States of America) Range: UR URG 112 Compensation ... + Facilitates interdepartmental team effectiveness. + Advises and guides multiple clinical departments to ensure compliance with federal and state regulatory… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 500137 Psychiatry SMH Strong Ties Work Shift: UR - Day (United States of America) Range: UR URCE 211 Compensation ... functions a general therapist for assigned patients and provides direct clinical service including individual and family therapy, group therapy, crisis intervention,… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 500230 Flow/Bone Marrow Lab Work Shift: UR - Day (United States of America) Range: UR URCF 214 H ... EXPERIENCE** + Bachelor's degree in Medical Technology and 4 years of relevant clinical laboratory experience required + Master's degree in related field and 2 years… more