- Sutter Health (Berkeley, CA)
- …and others to ensure appropriate utilization and quality care through utilization review , tracking and evaluation and objectively compare criteria with ... clinical nursing staff and other departments regarding documentation required for utilization review activities and processes. Collaborate with medical, nursing… more
- University of Colorado (Aurora, CO)
- Clinical Utilization Review Specialist - 32339 University Staff **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | ... Department of Psychiatry** **Job Title: Clinical Utilization Review Specialist ** **Position: #00217340 - Requisition: #32339** **Sign-on bonus available for… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical ... Education Associates Degree preferred Minimum Work Experience Utilization Review experience preferably in a behavioral /psychiatric healthcare setting or… more
- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR ... admission and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for… more
- Amity Foundation (Tucson, AZ)
- …and enthusiastic individuals with a desire to teach, learn and join our community as a Utilization Review Specialist at our campus in Tucson, AZ. With this ... community building Remembrance, Resolution, Reconciliation, Restoration, Renewal About the Position Utilization Review Specialist you will contribute to… more
- Universal Health Services (Groton, CT)
- …Washington, DC, Puerto Rico and the United Kingdom. www.uhs.com Job Summary: The Utilization Review Specialist is responsible for the pre-certification, ... (UHS), has an immediate opening for a full-time UR Specialist . Stonington Institute is committed to providing quality substance...or related Human Service Field or RN. Knowledge of Utilization Review Processes, insurance plans, mental health… more
- Corewell Health (Grand Rapids, MI)
- …licensure, related experience in acute care, multiple clinical settings or behavioral health with utilization management, discharge planning designing patient ... ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services. Assesses appropriateness of preservice and concurrent… 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 ... include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- Universal Health Services (Fort Washington, PA)
- …collects pre-admission data and ascertains insurance coverage via Business Office and Utilization Review . + Completes the admissions process by entering required ... Responsibilities Full Time Behavioral Health Admissions Call Specialist Opportunity...admissions data and prepares reports of inquiry activity and utilization . + Assesses age-related information regarding the patient. +… more
- Granville Health System (Oxford, NC)
- …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; developing, ... level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients who… more
- Addiction Recovery Care (Springfield, KY)
- …electronic claims on a UB04 or CMS 1500 format + Actively works with the Utilization Review Department if an issue with a patient's authorization is presented + ... for our growing team! The role of the Billing Specialist is to ensure behavioral health claims...job requires strong attention to detail. Key Responsibilities: + Review clinical documentation from EMR billing reports for accurate… more
- St. Luke's University Health Network (Bucks, OH)
- …mental health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please ... other hospital services or external customers, in accessing the network Behavioral Health Services. JOB DUTIES AND RESPONSIBILITIES: + Conducts intake assessments… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …Respect Empowerment Sincerity Job Summary The UR Coordinator is responsible for the utilization review process at BBHH. Administrative and clerical functions of ... About Us Bakersfield Behavioral Healthcare Hospital, located in Bakersfield, California, is...at least 6 months of experience as a UR Specialist will apply. BBHH encourages all qualified candidates to… more
- BriteLife Recovery (Hilton Head Island, SC)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... BEHAVIORAL HEALTH TECHNICIAN/ DRIVER OVERNIGHT Do you work...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS) or similar certification, or willingness to pursue… more
- LA Care Health Plan (Los Angeles, CA)
- …and unrestrited California License. Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management...Light Additional Information Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM),… more
- MyFlorida (Marianna, FL)
- RESIDENTIAL UNIT SPECIALIST LEAD WORKER - 67040013 (SUNLAND - UNIT 1) Date: Apr 11, 2024 Location: MARIANNA, FL, US, 32446 MARIANNA, FL, US, 32447 MARIANNA, FL, US, ... Agency for Persons with Disabilities Working Title: RESIDENTIAL UNIT SPECIALIST LEAD WORKER - 67040013 (SUNLAND - UNIT 1)...to assist in the development and the implementation of behavioral and non- behavioral training programs for the… more
- BriteLife Recovery (West Kill, NY)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... PRN/ PART-TIME BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… more
- Burrell Behavioral Health (Nevada, MO)
- Job Description: Job Title: Vocational Support Specialist (VSS) Location: Nevada, Missouri Employment Type: Part-time Job Summary: Are you a passionate and dedicated ... your skills and advance your career? Join our team as a Vocational Support Specialist ! As a Vocational Support Specialist , you'll be responsible for providing… more
- Burrell Behavioral Health (Desloge, MO)
- Job Description: Job Title: Vocational Support Specialist Location: Desloge, MO Department: Employment Services Employment Type: Full Time Shift: Day Shift Job ... their full potential? Join our team as a Vocational Specialist and play a vital role in supporting clients...Telemedicine - 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits Employee Assistance Program -… more