- 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
- 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 ... Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Benefits Include +...the hospital's utilization review plan to ensure the effective… 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
- 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 ... training, coaching and consulting to outside organizations. **Job Description** The Utilization Specialist will verify all financial and insurance information,… more
- HCA Healthcare (San Antonio, TX)
- …we encourage you to apply for our Clinical Pharmacist Specialist Behavioral Health opening. We promptly review all applications. Highly qualified candidates ... you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your...multidisciplinary and bedside rounds + You will complete drug utilization reviews to promote rational drug therapy and implement… more
- Granville Health System (Oxford, NC)
- …case management tasks in the ED as well as within GHS. Behavioral Health responsibilities in this role may include: completing Psychosocial Assessments; developing, ... level of care to another using available resources. Job Functions 1. Provides behavioral health assessment, in partnership with the ED physician, to patients who… more
- LifePoint Health (Danville, VA)
- *Registered Nurse, RN - Utilization Review Case Manager* Job Type:Full Time|Days *$10,000 Sign-on Bonus Eligibility for Full-Time, Bedside RNs* ** Must have ... Utilization Review experience.** ** * ** *Your...of those we serve.** *Connect with our RN recruiting specialist * Not ready to complete an application, or have… more
- Spokane County (Spokane, WA)
- …Integrated Care and the Behavioral Health Administrative Services Organization Utilization Review Integrated Care. TOTAL COMPENSATION: $85,812 - $120,126 ... duties as required/assigned. Behavioral Health Administrative Services Organization Utilization Review Integrated Care Coordinator: + Performs utilization… more
- Spectrum Billing Solutions (Skokie, IL)
- …billing software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management ... | UR Specialist | Revenue Cycle Utilization Review Specialist | ABA...Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist… more
- BriteLife Recovery (Hilton Head Island, SC)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... BEHAVIORAL HEALTH TECHNICIAN/ DRIVER OVERNIGHT Do you work...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS) or similar certification, or willingness to pursue… more
- LA Care Health Plan (Los Angeles, CA)
- …in a case/care management environment. Preferred: Experience in utilization review , skilled nursing, home health, discharge planning, behavioral health, ... Managed Long Term Services and Supports Nurse Specialist RN II Job Category: Clinical Department: Managed...care, home care, or case management. OR experience in Utilization Review or Care Management will be… more
- BriteLife Recovery (West Kill, NY)
- …functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries, ... PRN/ PART-TIME BEHAVIORAL HEALTH TECHNICIAN/ DRIVER Do you work for...TIME + High School Diploma + Preferred, Certified Recovery Specialist (CRS), or willingness to pursue + Valid Driver's… more
- Army National Guard Units (Las Vegas, NV)
- Summary This position is for a PRIMARY PREVENTION SPECIALIST (PREV WF), PD# T0029P01 part of the Nevada National Guard. The primary purpose of this position is to ... internal programs and offices at the Wing/Region, or JFHQ (such as Behavioral Health, Equal Opportunity, Sexual Assault Prevention and Response, Family Programs,… more
- HCA Healthcare (San Antonio, TX)
- …disciplinary team maintaining effective communication with Emergency Department staff, Utilization Review Staff, Admissions Staff, Attending Psychiatrists, ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...we encourage you to apply for our Assessment Referral Specialist opening. We promptly review all applications.… more
- UPMC (Pittsburgh, PA)
- …include the medical, behavioral , pharmacy, and social needs of the member. Review UPMC Health Plan data and documentation in the member electronic health records ... Clinical Care Manager to function as a Health Plan Specialist . This role will work standard daylight hours, Monday...lifestyles, closes gaps in care, and reduces unnecessary ER utilization and hospital readmissions. Coordinate and modify the care… more
- HCA Healthcare (Denver, CO)
- …access review audits.** **e) Tracks, monitors, and enhances provider utilization of HCA technologies, by offering at the elbow** **support and one-on-one ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...encourage you to apply for our Sr Provider Solutions Specialist opening. We promptly review all applications.… more
- HCA Healthcare (Overland Park, KS)
- …growth, we encourage you to apply for our Consulting Provider Solutions Specialist opening. We promptly review all applications. Highly qualified candidates ... have the career opportunities as a Consulting Provider Solutions Specialist you want with your current employer? We have...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more