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Utilization Review Specialist
Found in: Lensa US P 2 C2 - 15 hours ago
Renobehavioral Reno, United StatesThe 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 medic ...
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Utilization Review Specialist
Found in: Lensa US P 2 C2 - 1 day ago
Renobehavioral Reno, United StatesThe 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 medi ...
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Utilization Review Specialist
Found in: ZipRecruiter Test10S US C2 - 1 day ago
Reno Behavioral Healthcare Hospital Reno, United StatesJob Description · Job DescriptionThe 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 appro ...
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Tax Law Referent
Found in: Orion Innovations US - 3 days ago
Horizon Group Mogul, NV, United States FreelanceAt Mogul, NV, our PRIME HR Agency ensures that our recruitment processes are carried out with the highest level of commitment and professionalism, in line with our brand's quality standards. · We are currently seeking a (Junior) Tax Law Specialist (m/f/d) for our long-standing pa ...
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Program Specialist
Found in: Appcast US C2 - 6 days ago
Ultimate Staffing Reno, United StatesProgram Specialist - Customer Service · Location: Reno, NV 89521 · Pay: $20.00/hr, Bilingual Spanish $20.50/hr · Training Schedule for 3-6 months: Monday - Friday 9:30 AM - 6:00 PM · Post Training Schedule: 10:30 AM - 7:00 PM · **Must be open to working 1 Weekend every 5-6 weeks ...
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Managed Care, Gov Contracts Sr. Specialist
Found in: ZipRecruiter Test30 US C2 - 1 day ago
Molina Healthcare Reno, NV, United StatesJob Description · Molina Healthcare of Nevada is hiring for a Managed Care, Gov Contracts Sr. Specialist . This role can be worked remotely from anywhere in the state of Nevada.. · The Sr. Specialist role will involve coordination of all Government Contracts deliverables, pr ...
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Orthopedic Surgeon
Found in: Appcast US C2 - 2 days ago
Reno Orthopedic Center Reno, United StatesWe are physician-owned and committed to providing excellent orthopedic care. We've recently completed construction of the region's only Institute for Musculoskeletal Health located in downtown Reno. This convenient, all-inclusive campus is home to the region's largest team of fel ...
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Configuration Management Specialist with Security Clearance
Found in: Dice One Red US C2 - 1 day ago
Integral Federal Reno, NV, United StatesOverview Configuration Management Specialist Location: Reno-Tahoe International Airport, Reno, NV Clearance: TS/SCI The Configuration Management Specialist will provide Configuration Management (CM) support services for the Air National Guard (ANG) 181 Intelligence Support Squadr ...
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Bureau Specialist
Found in: Jobget US C2 - 17 hours ago
EMPLOYERS Reno, NV, United States· Location: Reno, NV · Job_Code: 6114 · # of Openings: 1 · Bureau Specialist -Underwriting (Worker's Compensation) | 100% Remote · External Candidates: (Working West Coast Hours Monday - Friday 8am - 5pm PDT / 11am -8pm ET) · Internal Candidates: You will work your current hour ...
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Orthopedic Surgeon
Found in: Appcast US C2 - 2 days ago
Reno Orthopedic Center Reno, United StatesWe are physician-owned and committed to providing excellent orthopedic care. We've recently completed construction of the region's only Institute for Musculoskeletal Health located in downtown Reno. This convenient, all-inclusive campus is home to the region's largest team of fel ...
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Bureau Specialist
Found in: ZipRecruiter Test30 US C2 - 6 hours ago
EMPLOYERS Reno, United StatesJob Description · Location: Reno, NV · Job_Code: 6114 · # of Openings: 1 · Bureau Specialist -Underwriting (Worker's Compensation) | 100% Remote · External Candidates: (Working West Coast Hours Monday - Friday 8am - 5pm PDT / 11am -8pm ET) · Internal Candidates: You will work yo ...
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Program Specialist
Found in: Lensa US 4 C2 - 3 days ago
Ultimate Staffing Reno, United StatesProgram Specialist - Customer Service · Location: Reno, NV 89521 · Pay: $20.00/hr, Bilingual Spanish $20.50/hr · Training Schedule for 3-6 months: Monday - Friday 9:30 AM - 6:00 PM · Post Training Schedule: 10:30 AM - 7:00 PM · **Must be open to working 1 Weekend every 5-6 w ...
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Senior Nuclear Planner
Found in: Jobcase US 3 C2 - 1 day ago
Westinghouse Electric Company, LLC Reno, United StatesWestinghouse is seeking a Senior Nuclear Planner for a 12+ month contract assignment supporting our nuclear client in Surry, VA. This position will provide technical support by reviewing Design Changes (DC) packages prior to implementation. This DC preparation will include review ...
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Radiologic Imaging Specialist
Found in: Appcast Linkedin GBL C2 - 2 days ago
KnowHireMatch Reno, United StatesAre you a Radiologic Imaging Specialist seeking an opportunity to work in a dynamic healthcare environment that values precision, patient care, and professional growth? Join our team in Reno, Nevada, and make a meaningful impact on patient well-being. · Responsibilities:Conduct d ...
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Senior Nuclear Planner
Found in: One Red Cent US C2 - 1 day ago
BuildSubmarines Reno, NV, United StatesWestinghouse is seeking a Senior Nuclear Planner for a 12+ month contract assignment supporting our nuclear client in Surry, VA. · This position will provide technical support by reviewing Design Changes (DC) packages prior to implementation. This DC preparation will include revi ...
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Call Center Admin
Found in: Appcast US C2 - 1 day ago
Ultimate Staffing Reno, United StatesCall Center Admin · Pay: $20/hr · Schedule 10:30 AM - 7 PM · Must work 1 weekend every 5-6 weeks. · Onsite in Reno, NV · This position acts as a liaison between members and car dealers. This role will be responsible for gathering information, researching, communicating and educ ...
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Court Specialist
Found in: Lensa US 4 C2 - 3 days ago
City of Reno Reno, United StatesCourt Specialist · Print Subscribe · Class Title · Court Specialist · Class Code · 1522 · Salary · $45, $60,985.60 Annually · + Definition · + Benefits · Classification Description Summary · Under supervision, performs a wide variety of specialized clerical, technical, ...
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Development Permit Specialist
Found in: Lensa US 4 C2 - 3 days ago
City of Reno Reno, United StatesDevelopment Permit Specialist · Print Subscribe · Class Title · Development Permit Specialist · Class Code · 1546 · Salary · $59, $84,344.00 Annually · + Definition · + Benefits · Classification Description Summary · SUMMARY DESCRIPTION · Under general direction, revi ...
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Configuration Manager with Security Clearance
Found in: Dice One Red US C2 - 1 day ago
Integral Federal Reno, NV, United StatesOverview Configuration Manager Location: Reno-Tahoe International Airport, Reno, NV Clearance: TS/SCI The Configuration Manager will provide Configuration Management (CM) support services for the Air National Guard (ANG) 152 Intelligence Support Squadron (ISS) and common user com ...
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therapeutic recreation specialist
Found in: Careerbuilder One Red US C2 - 1 day ago
City of Reno, NV Reno, NV , USA, United StatesTherapeutic Recreation Specialist · Print Subscribe · Class Title · Therapeutic Recreation Specialist · Class Code · 5724 · Salary · $88, $108,145.31 Annually · + Definition · + Benefits · Classification Description Summary · Under direction, supervises, assigns, reviews, an ...
Utilization Review Specialist - Reno, United States - Reno Behavioral Healthcare Hospital
Description
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 medical services and procedures.
Performs concurrent and retrospective reviews on all patients. Monitors level and quality of care. Responsible for the proactive management of patients with the objective of improving quality outcomes and decreasing costs.Evaluates and provides feedback to treating physicians regarding a patient's discharge plans and available covered services, including identifying alternative levels of care that may be covered.
Monitors all utilization reports to assure compliance with reporting and turnaround times. Addresses care issues with the Director of Clinical Services and Chief Medical Officer/Medical Director as appropriate. Coordinates an interdisciplinary approach to support continuity of care. Provides utilization management, transfer coordination, discharge planning, and issuance of all appropriate authorization for covered services as needed. Identifies and recommends opportunities for cost savings and improving the quality of care across the continuum. Clarifies health plan medical benefits, policies and procedures for members, physicians, staff, contract providers, and outside agencies. RequirementsRequirements Bachelor's degree in Social Work or related field required.Clinical Licensure in the State of Nevada preferred, no required Knowledge of medical terminology, medical records, and appropriate medical coding system.
Working knowledge with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint). Maintains confidentiality of patients at all times.BenefitsWe proudly offer the following benefits available first of the month following just one month of employment:
Competitive rates Flexible schedules Tuition reimbursement Comprehensive package of benefits to include: Medical Dental Vision Life, Pet, Identity Theft Insurance 401k Generous paid time off Short Term and Long Term Disability
