- 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
- Veterans Affairs, Veterans Health Administration (Clarksburg, WV)
- Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... This is not a virtual position. Position Description/PD#: Acquisition Utilization Specialist /PD99810-S Relocation/Recruitment Incentives: Not Authorized Financial… more
- Beth Israel Lahey Health (Milton, MA)
- …**Scheduled Hours:** 0 **Work Shift:** Day (United States of America) CASE MANAGER UTILIZATION SPECIALIST (RN) **Job Description:** CASE MANAGER UTILIZATION ... SPECIALIST (RN) **FLSA Status:** Exempt **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be… 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:** + Functions as the primary liaison between the funding agents and all… 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
- Munson Healthcare (Traverse City, MI)
- …interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work ... compliance issues. + Works closely with decision support personnel to review resource utilization data and trends to identify outliers who may benefit from real time… more
- FLACRA (Clifton Springs, NY)
- UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Addiction Counseling and Referral Agency Inc Clifton Springs, NY (Onsite) Full-Time $16.00 - $17.30/Hour Apply Now ... Job Summary: In accordance with the organization's mission, vision and values, the Utilization Management Specialist is responsible for evaluation of the medical… more
- Amity Foundation (Tucson, AZ)
- …individuals with a desire to teach, learn and join our community as a Utilization Review Specialist at our campus in Tucson, AZ. With this groundbreaking ... community building Remembrance, Resolution, Reconciliation, Restoration, Renewal About the Position Utilization Review Specialist you will contribute to the… more
- FLACRA (Clifton Springs, NY)
- PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... year of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by email. Sign… more
- Providence (Portland, OR)
- …best people, we must empower them._** **Providence Health Plan is calling an Associate Utilization Review Specialist who will:** + Be responsible for all core ... functions in one or more of the following clinical teams: + Prior-authorization (PA) + Concurrent Review (CCR) + SNF + Clinical Claims + Provider Reconsideration + Member Appeals + Medical + Coding + Reimbursement Policy + Coordinate and execute the medical… more
- Universal Health Services (Groton, CT)
- …DC, Puerto Rico and the United Kingdom. www.uhs.com Job Summary: The Utilization Review Specialist is responsible for the pre-certification, concurrent, and ... Services, Inc. (UHS), has an immediate opening for a full-time UR Specialist . Stonington Institute is committed to providing quality substance abuse treatment… 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 Type: ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary… 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 ... and clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and continuing authorization for treatment… more
- Colorado State University (Fort Collins, CO)
- Posting Detail Information Working TitleWood Utilization and Marketing Program Specialist Position LocationFort Collins, CO Work LocationPosition is fully remote ... the benefit of present and future generations". The Wood Utilization and Marketing Program Specialist is a sub-staff of the Forest Planning and Implementation… more
- University of Virginia (Charlottesville, VA)
- As a Medication Utilization , Formulary, and Policy Specialist , you will play a crucial role in optimizing medication management practices UVA. The primary focus ... position is to manage the completion of formulary activities, support medication utilization projects, and ensure timely policy management within the department of… more
- Access Dubuque (Dubuque, IA)
- Resource Utilization /Classification Tech - HIM Reimbursement Specialist - PT - Remote **MercyOne** 1 Positions ID: TRHEUS00498253MERCYO Posted On 05/01/2024 ... Part time **Shift:** **Description:** **POSITION PURPOSE:** The HIM (Resource Utilization /Classification Tech/Reimbursement) Specialist coordinates with physicians' offices… more
- Trinity Health (Dubuque, IA)
- …time **Shift:** **Description:** **POSITION PURPOSE:** The HIM (Resource Utilization /Classification Tech/Reimbursement) Specialist coordinates with physicians' ... departments that schedule tests/procedures coordinate scheduling with the resource utilization staff. Coordinates with physicians' offices/Nursing Units/Patient Admissions the… more
- PeopleReady (CA)
- …* Develops training materials and provides technical training for staff on the products that the regional center uses. * Understand the Regional Center business and ... objectives and identify areas where staff have gaps in understanding about the use of our technology. * Create and maintain a Technical Training Plan in conjunction with the Training Department. * Develop training materials to increase awareness and effective… 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
- Sutter Health (Berkeley, CA)
- …to justify acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for concurrent review ... for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with hospital… more