- Spectrum Billing Solutions (Skokie, IL)
- …revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review ( UR ) Specialist to our growing team. ... The UR Specialist will utilize his or her knowledge and skills...clinical information to ensure medical necessity and compliance of utilization review guidelines. + Obtain initial and… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical ... level of care, length of stay, authorizations and denials for patients. The UR Specialist is responsible for contacting external case managers/managed care… 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
- Desert Parkway Behavioral Healthcare Hospital (Las Vegas, 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
- 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
- Cleveland Clinic (Weston, FL)
- …Miami-Fort Lauderdale metro area and remains a top hospital in Florida. As a Utilization Management (UM) Specialist , you will work under the general supervision ... Team Manager to perform UM activities which include admission review , concurrent review , retrospective chart review...experience working as a hospital RN **as well as** UR or Case Manager. + Has a flexible schedule… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …Empowerment Sincerity Job Summary The UR Coordinator is responsible for the utilization review process at BBHH. Administrative and clerical functions of the ... or 6pm. Ideally, someone with at least 6 months of experience as a UR Specialist will apply. BBHH encourages all qualified candidates to apply and will consider… more
- Cleveland Clinic (Stuart, FL)
- …nurses, and other caregivers in a family-oriented, supportive environment. As a PRN Utilization Management (UM) Specialist , you will perform UM activities, such ... as admission review , concurrent review , retrospective chart ...Has at least two years of care management or utilization management experience. + Has excellent organizational and communication… 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
- 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
- Vitesco Technologies (Seguin, TX)
- …required manufacturing process documentation, including process flow charts, capacity and utilization studies, time and motion studies, standard work, cycle time ... + Identifies, implement and documents projects in 5-Why and 8D formats for review with engineering and management. + Plan and support scheduled equipment maintenance… more