- Spectrum Billing Solutions (Skokie, IL)
- …and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue Cycle ... streamlined manner. We are seeking to add an ABA Utilization Review ( UR ) Specialist... UR Specialist | Revenue Cycle Utilization Review Specialist | ABA… more
- McLaren Health Care (Bay City, MI)
- …Hours:** 0 **Position Summary:** In conjunction with the admitting/attending physician, the UR Specialist RN assists in determining the appropriate admission ... . Conducts concurrent reviews as directed in the hospital's UR Plan of medical records to ensure criteria for...expedite patient discharge. 4. Maintains current knowledge of hospital utilization review processes and participates in the… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, 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 include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency...of care that may be covered. + Monitors all utilization reports to assure compliance with reporting and turnaround… more
- Tufts Medicine (Burlington, MA)
- …(ICU, ED, Critical Care, strong Med/Surg Specialty) or equivalent case management, utilization review , denials management, or progressive leadership in an ... Specialist III is responsible for concurrent and retrospect review and analysis of the medical record to improve...indicators where indicated. 10. Collaborates with case management and utilization review team to ensure that documentation… more
- Novant Health (Charlotte, NC)
- …to support a wide variety of complex clerical and operational support functions for Utilization Review . At Novant Health, one of our core values is diversity ... **Overview** The Case Management Support Specialist is a valued member of the healthcare team at Novant Health. The role is designed… more
- Nuvance Health (Norwalk, CT)
- …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and Health Information Management to ensure ... coming in from other hospitals. Responsibilities: 1. Manages the Utilization Review elements of the ED encounter...pertinent information to Care Coordination colleagues. 14. Collaborates with UR Specialist to complete the process for… more
- LifePoint Health (Hickory, NC)
- …execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and ... of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete an application, or have...other regulatory agencies. Educates and mentors all staff in UR standards and LOS topics *About our Health System*… more