Utilization review jobs in United States

Spectrum Review Services seeks a qualified Utilization Review Coordinator with a current Texas Nursing License (RN or LVN) to join our team. · ...

Impact Life es una organización que busca un especialista en revisión de utilización y facturación para apoyar sus programas de salud mental y recuperación. El candidato seleccionado realizará tareas como navegar autorizaciones de seguros, revisión de utilización y procesos de fa ...

The Utilization Review/Management Coordinator works closely with other staff to coordinate patient information to insurance companies for benefits assignment. · Apply online at website. · Performs clinical reviews over the telephone and electronically. · Utilizes ASAM criteria to ...

We are currently seeking a dedicated Utilization Reviewer to join our dynamic team. · Why Choose Capital Region?The department stands out for its innovative, patient-centered approach and unwavering commitment to compassionate care. · High Reliability Organization (HRO) · As part ...

Granite Hills Hospital offers high-quality patient-centered behavioral health care for the greater Milwaukee community. · We are looking for a Full Time Utilization Review (UR) Coordinator to join our new team. · ...

The Utilization Review Operations Lead oversees operational effectiveness, workflow management, and performance of utilization review functions. · Partners with clinical lead, revenue cycle, compliance, and IT teams to optimize systems and processes while maintaining regulatory c ...

+Job summary · We are seeking a Utilization Review & Revenue Cycle Coordinator who is detail-oriented...++Track and manage authorizations... · ...

Are you experienced in psychiatric care and passionate about ensuring patients receive the right level of care at the right time? We are seeking a dedicated Utilization Review (UR) Specialist to join our team and support our mission of delivering quality behavioral health service ...

Join Our Dedicated Team at True North Recovery of NEPA We are seeking a detail-oriented and compassionate Utilization Review Specialist to join our substance use disorder treatment facility. · ...

We are looking for motivated, dependable, and dedicated caregivers to provide exceptional direct care and support to our patients. The Utilization Review Coordinator is responsible for overseeing the Utilization Review Program.This includes the implementation of case management s ...

We are looking for a Full Time Utilization Review (UR) Coordinator to join our new team. · conducting timely admission and continued stay record reviews with external payers · utilizing approved criteria to make determinations of medical necessity and level of care planning · ver ...

Job Overview · We're seeking a skilled Utilization Review & Billing Specialist to support our behavioral health programs. · ...

Impact Life is seeking a detail-oriented and mission-driven Utilization Review & Billing Specialist to support behavioral health programs. · Navigate insurance authorizations · Manage utilization review activities · ...

We are currently seeking a dedicated Utilization Reviewer to join our dynamic team. · Performs timely and accurate utilization review for all patient populations, · Communicates with clinical care coordinators and payors as needed regarding reviews and pended/denied days and inte ...

Impact Life seeks detail-oriented Utilization Review & Billing Specialist to support behavioral health programs across the organization. · ...

We are looking for a Full Time Utilization Review (UR) Coordinator to join our new team. · ...

The Utilization Review Specialist is responsible for authorizations and certifications process for Inpatient and Outpatient Services. · This role involves obtaining Continued Stay Reviews, following up on prior authorization submissions, displaying knowledge of clinical criteria, ...

The Utilization Review (UR) Clinical Lead oversees the UR process ensuring medical necessity regulatory compliance and appropriate use of healthcare resources. · Provide day-to-day clinical leadership guidance to the Utilization Review team · Serve as a subject matter expert for ...

Impact Life is seeking a detail-oriented and mission-driven Utilization Review & Billing Specialist to support our behavioral health and recovery-oriented programs across the organization. · ...

Utilization Review / Case Management in Atlanta. · Will complete Utilization review and case management. · ...