- Hackensack Meridian Health (Hackensack, NJ)
- **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the ... population and Hackensack UMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… more
- Westborough Behavioral Healthcare Hospital (Westborough, MA)
- …Time + Employee Discount Program + Employee Assistance Program Job Description: The Utilization Review Specialist is responsible for monitoring adherence to ... Westborough Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Benefits...the hospital's utilization review plan to ensure the effective… more
- 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
- Mount Sinai Health System (New York, NY)
- …Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The Utilization Review Specialist coordinates scheduling of all surgical/endoscopic ... **Job Description** ** Utilization Review Admission Specialist ...funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical… 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 ... Type** Part time **Work Schedule** 8:00AM - 4:30PM **Hours Per Week** 4 If you want to work where...coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and… more
- Cleveland Clinic (Vero Beach, FL)
- …or visit. Some of the responsibilities of a Utilization Management Specialist include medical record review , providing clinical information to payers, UM ... May design and initiate special projects as supervised by the Team Manager. Utilization Management Specialist Join our team at Cleveland Clinic Indian River… more
- ManpowerGroup (Durham, NC)
- …are seeking highly organized and self-motivated candidates for a remote, non-clinical review specialist role. The successful candidate will primarily make ... client, the largest health care industry, is seeking a utilization management specialist to join their team....outbound calls to members and providers to review medication requests and provide decisions on prescription drug… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
- Katmai (Usaf Academy, CO)
- …for inpatient/outpatient precertification. **ESSENTIAL DUTIES &** **RESPONSIBILITIES** + Review precertification requests for medical necessity, referring to the ... Medical Director those that require additional expertise. + Review clinical information for concurrent reviews. + As part...Minimum of two (2) years of prior experience in Utilization Management. + Must possess a current, active, full,… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment ... lost with feedback to respective departments + Conduct concurrent review with utilization review department...AND SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger… more
- Sharp HealthCare (Santee, CA)
- **Facility:** SRS Santee **City** Santee **Department** **Job Status** Per Diem **Shift** Variable **FTE** 0 **Shift Start Time** **Shift End Time** California ... it to the PT Supervisor, supervisor point of contact, or supporting clinical specialist (PT Spec III) for resolution in a timely manner.Consults and listens,… more
- MyFlorida (Fort Myers, FL)
- …provisions of Chapter 60L-36, Florida Administrative Code. OSTDS Program: The environmental specialist is expected to review residential applications and plans, ... ENVIRONMENTAL SPECIALIST II - 64006658 1 Date: Oct 26,...for performing assigned program state inspections at least once per year and starting enforcement of in instances of… more
- Commonwealth of Pennsylvania (PA)
- …calls, personal visits, and review of treatment progress reports; conduct utilization review . Orient clients to the program, policies, procedures, and ... Drug & Alcohol Case Management Specialist (Local Government) - Luzerne County D&A Print...clients or discharge planning via telephone, personal visits, or review of treatment progress reports; conducting utilization … more
- Integra Partners (Troy, MI)
- …do whatever it takes to get things done. PREFERRED SKILLS: + Certification in Utilization Review or Case Management + Experience with health insurance operations ... our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal candidate… more
- Dartmouth Health (Lebanon, NH)
- …capacity analysis. * Analyzes inventory/product data, utilizing customized query utilization reports and formulates recommendations for adjustments as necessary to ... and positive financial outcomes * Meets with department managers or directors to review PAR statistical data and makes recommendations for adjustments which meet the… more
- Hackensack Meridian Health (Neptune, NJ)
- …information, inclusive of free text fields, to support the case management, utilization review process. + Retrieves information for the Physician Advisors ... A day in the life of a **Care Coordination Specialist ** at **Hackensack Meridian** **_Health_** includes: ** Utilization ...+ Verifies admission and discharge date information. + Updates Utilization Review RN needed for payors. +… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency State, Department of Title Contract Management Specialist 1/Trainee 1/2 (NY HELPS) - Vacancy ID# 172050 Occupational Category Financial, ... Class Competitive Class Travel Percentage 5% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8 AM To 4...including securing signatory approval from control agencies; monitoring and review of contract terms.Full Level:A bachelor's degree and two… more
- HCA Healthcare (Kansas City, MO)
- …access review audits.** **e) Tracks, monitors, and enhances provider utilization of HCA technologies, by offering at the elbow** **support and one-on-one ... compelling, we encourage you to apply for our Sr Provider Solutions Specialist opening. We promptly review all applications. Highly qualified candidates… more
- Access Dubuque (Dubuque, IA)
- …adult acute care RN experience in med/surg, critical care, emergency or Utilization review . + Previous experience in clinical documentation improvement is ... RN-Clinical Documentation Specialist -Health Information **UnityPoint Health Finley Hospital** 1 Positions...In this role, you'll be responsible for performing concurrent review of medical records to ensure complete and accurate… more
- New York State Civil Service (Tarrytown, NY)
- …Homeland Security and Emergency Services, Division of Title Fire Protection Specialist 1/Trainee 1/Trainee 2 (NY HELPS) Occupational Category Other Professional ... Contingent Permanent Jurisdictional Class Competitive Class Travel Percentage 60% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8 AM To 5 PM Flextime allowed? No… more