- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- Summary The Supervisory Acquisition Utilization Specialist serves as a liaison and advisor on contract related services focusing on critical clinical and ... of items to include specialized services. Responsibilities The Supervisory Acquisition Utilization Specialist renders expert contract pre-award and post award… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... wide variety of items to include specialized services. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …wide variety of items to include specialized services. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison ... services meet the expectations and needs of the facility. As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on… more
- Veterans Affairs, Veterans Health Administration (Tulsa, OK)
- …the VA Healthcare System and supported catchment area. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison ... Virtual: This is not a virtual position. Position Description/PD#: Acquisition Utilization Specialist Financial Disclosure: Yes. Financial Statements Required.… more
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- Summary Acquisition & Utilization Specialist serves as the Medical Center liaison and advisor on contract related services focusing on critical clinical and ... is not a virtual position. Position Description/PD#: Acquisition & Utilization Specialist /PD99810S and PD99492S Relocation/Recruitment Incentives: Not Authorized… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying criteria to ... requiring authorization prior to services being rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing requests for… more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN. This position provides comprehensive assessment, planning, ... coordination, implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the completion of admissions and… 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 ... population and HackensackUMC. These include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions… 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 and ... compassionate team. **The Utilization Review Specialist Senior responsibilities include:** + Functions as the primary liaison between the funding agents and all… more
- FLACRA (Clifton Springs, NY)
- PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... year of work experience in the behavioral health field with knowledge of utilization management practices. Valid NYS Drivers' License. Get job alerts by email. Sign… more
- Sanford Health (Thief River Falls, MN)
- …$26.00 - $41.50 **Department Details** Come join our Behavioral Health team as a Utilization Review Specialist utilizing a team-based approach to patient care in ... clinical setting required. Preference given to individuals with experience in utilization or with CPT/ICD knowledge. Currently holds an unencumbered Licensed… more
- Spectrum Billing Solutions (Skokie, IL)
- …in the most efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist ... software). + Understanding of mental and behavioral health treatment services. Utilization Review Specialist | Utilization Management Specialist | UR… more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... of extended stay, outpatient observation, and inpatient stays and the utilization of ancillary services. Responsible for coordinating and conducting medical… more
- The Mount Sinai Health System (New York, NY)
- **JOB DESCRIPTION** ** Utilization Review Admission Specialist (OR Scheduler), Operating Room Surgical Scheduling, Mount Sinai West - Full Time, Days** The ... Utilization Review Specialist coordinates scheduling of all surgical/endoscopic hospital admissions, pre-admission testing and operating room procedures. Seeks… 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: ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary… more
- Randstad US (Boston, MA)
- clinical support specialist - utilization mngmt. + boston , massachusetts (remote) + posted 5 days ago **job details** summary + $23 - $25 per hour + temp to ... medical billing, coding and/or customer service experience. + Knowledge of utilization management process (ie, Health Center, Hospital, Insurance Company, Physician… 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
- Hawaii Pacific Health (Honolulu, HI)
- …experience and training, as well as internal peer equity. **Position** Specialist , Managed Care - Utilization Mgmt **Category** Administrative **Employment ... which provides Hawai'i Pacific Health and its affiliates essential population utilization and financial management support, analyses and modeling. The department… more
- The Mount Sinai Health System (New York, NY)
- …generation of providers as well as regulatory agencies, as needed for Utilization Management activities Demonstrates the knowledge and skills necessary to provide ... and refers to the UM Manager &/or Administrator and/or Physician problematic utilization and quality issues Responsible for the maintenance of accurate data for… 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