Utilization Specialist jobs
Displaying 1 - 20 of 125 jobs
Posted
We are looking to for a Full Time Utilization Review Specialist to join our team. The UR specialist proactively monitors utilization of services for patients to optimize reimbursement for the facility. This is a Monday-Friday, day position working 40 hours per week....
Overview: PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities: ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations...
Posted
SUMMARY The Utilization Review Specialist is responsible for proactive planning measures, accurate documentation of services delivered for audit assurances, and positive outcomes regarding effective service utilization to customers....
Overview: PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities: ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations...
About the Role As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources....
Overview: PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities: ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations...
Overview: Park Royal Hospital is a private free-standing 126-bed psychiatric hospital that provides life-changing care for adolescents 12-17 years, adults 18 years, and older and senior adults. Inpatient and outpatient treatment are provided for depression, anxiety, mood disorders, memory problems...
Overview: Pacific Grove Hospital in Riverside, CA., is a leader in behavioral healthcare, providing superior healthcare treatment to the people, communities, and military installations we serve. We are a private inpatient 68 bed acute psychiatric facility with out-patient services, dedicated...
Job Title: Health Services - Utilization Management Specialist. Location: Baltimore, MD....
Overview: PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities: ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations...
Overview: PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities: ESSENTIAL FUNCTIONS: Act as liaison between managed care organizations...
We are in search of a highly motivated candidate to join our talented Team.Job Title: Spec, Utilization ManagementJob Location:Baltimore, MD Job Description: Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective...
Job description: Overview Pay:$13.00 - $14.00 per hour Job description: Job Type: Contract Location-Remote Schedule and Shift:Monday-Thursday from 8-4:30pm and Friday from 8-12pm Responsibilities: Initiate Referral...
ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical records and prepare clinical appeals (when appropriate) on medical necessity, level of care, length of stay, authorizations and denials for patients....
Job Description: PURPOSE: Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for authorization, appropriateness of care determination and benefit coverage....
Posted
Overview: PURPOSE STATEMENT: Provide administrative support to the Utilization department. Responsibilities: ESSENTIAL FUNCTIONS: Perform pre-certification and negotiate continued stay with third party payers. Gather...