- CLevelCrossing (Scotts Valley, CA)
- …Security Officer for the organization.Ensures the availability and optimized utilization of information technology.Ensures the availability and optimized ... reports: three Directors, one Information Security Analyst, and one Administrative Specialist . The CIO has strategic leadership of the following Departments and… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …add on procedures performed at the KS Ambulatory surgery center (ASC). The Utilization Review Specialist (LVN) will support the Utilization Review ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to… more
- Henry Ford Health System (Wyandotte, MI)
- GENERAL SUMMARY The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking ... well-being of our team members is our priority. That's why we offer support in the various components of our team's well-being: physical, emotional, social,… more
- 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 ... patient population and HackensackUMC. These include but are not limited to utilization review , hospital reimbursement, clinical compliance, case management, and… 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 ... services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote...and compassionate team. **The Utilization Review Specialist Senior responsibilities… more
- McLaren Health Care (Bay City, MI)
- …management to expedite patient discharge. 4. Maintains current knowledge of hospital utilization review processes and participates in the resolution of ... 0 **Position Summary:** In conjunction with the admitting/attending physician, the UR Specialist RN assists in determining the appropriate admission status based on… 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 ...up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination. + Inspiring and… 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 ... Officer/Medical Director as appropriate. + Coordinates an interdisciplinary approach to support continuity of care. + Provides utilization management, transfer… 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: ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates,… more
- ProMedica Health System (Toledo, OH)
- The Payor Specialist is responsible for payor notification, and securing authorizations for all admissions systemwide. They receive and answer voicemail and process ... *All duties listed below are essential unless noted otherwise* Performs clerical support functions for the UM department. Completes timely initial notification of… more
- LifePoint Health (Athens, TN)
- …seeking talent to fill the position of Intake Nurse and Utilization Specialist for ourGeroPsychDepartment.This job is permanent,full-time. Core competencies ... **Starr Regional Medical Center* **Title:** * Intake Nurse and Utilization Specialist * **Location:** *Tennessee-Athens* **Requisition ID:** *7412-6736* more
- Mount Sinai Health System (New York, NY)
- …Beth Israel **Responsibilities** Responsible for all aspects of the concurrent review program, insurance certification, and authorization process for all Psychiatric ... by management) and for all aspects of the initial review on an as needed basis Develops rapport with...providers as well as regulatory agencies, as needed for Utilization Management activities Demonstrates the knowledge and skills necessary… more
- AdventHealth (Altamonte Springs, FL)
- …The Senior Manager of Utilization will oversee ED, Inpatient, and Specialist utilization , and manage care management outcomes. The Senior Manager of ... Utilization will provide support , training and guidance...Develops and implements case management programs and education, including utilization review , transitions of care, disease management,… more
- Huron Consulting Group (Chicago, IL)
- …as the expert you are now and create your future. **Qualifications** The Utilization Management Specialist is responsible for ensuring the appropriate ... to facilitate optimal patient outcomes while managing healthcare costs. The Utilization Management Specialist ensures compliance with regulatory requirements and… more
- Kepro (AR)
- …Hygienist Reviewer to join our growing team. Summary Description The Dental Clinical Specialist is responsible for the Utilization Management and Utilization ... post payment reviews leverage patient care and treatment planning experience to support the healthcare business process services team. Our client may also request… 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 of the UMRN program, conduct ongoing… more
- Kepro (Nashville, TN)
- …partner for health solutions in the public sector. Acentra is looking for a Clinical Review Specialist to join our growing team. Job Summary: The purpose of this ... to the MCCs, as needed + Assist the Clinical Review Specialist II to perform and manage...+ Master's level degree in a related field. + Utilization Review /Quality Assurance and coding experience. +… more
- JPMorgan Chase (Indianapolis, IN)
- …fast-paced production enthusiast, then you have found the right team! As a Transactions Specialist II, on the Deposit Review Operations team, you will be ... this role are technology based and are accessed via computer applications. Deposit Review Operations (DRO) is within the Payment Services group, which provides a… more
- Arkansas Government Job (Little Rock, AR)
- COMPUTER SUPPORT SPECIALIST Date: Sep 16, 2024 Req ID: 43375 Location: Little Rock, AR, US, 72202 Category: DEPT OF COMMERCE Anticipated Starting Salary: ... 51762.00 Position Summary The Computer Support Specialist will serve as an End...for a wide range of activities related to computer support such as the implementation, maintenance, and utilization… more
- Burrell Behavioral Health (Independence, MO)
- … support and assistance to those in the Community Support Specialist role. Essential Job Functions: + Utilization of specialized knowledge of behavioral ... Job Description: Job Summary: The Community Support Specialist II provides support...to all quality assurance procedures of Brightli, cooperates with utilization review procedures and follows established procedures,… more
