Utilization Review Specialist jobs

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Utilization Review Specialist
Treatment Management Company - Atlanta, GA
Communicate daily/or as required with the Utilization Review Director. On an ongoing basis, identify potential review problems and discuss them with multi...
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RN - Utilization Review Specialist - 100% FTE, Day
UW Health - 65 reviews - Madison, WI
Utilization Review Specialist. Recent experience as an inpatient utilization review nurse or utilization management coordinator....
Utilization Review Specialist
Crossroads - Portland, ME
Crossroads, a highly respected nonprofit addiction and behavioral health treatment provider is seeking a full-time (40 hours) Utilization Review Specialist to...
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Utilization Review Case Manager - Behavioral Medicine - PT

St. Joseph Medical Center - 187 reviews - Houston, TX 77002 (Downtown area)
The Utilization Review Case Management specialist ensures patient treatment days through assisting with pre-certifications, concurrent reviews and discharges,...

Medical Management Specialist I-II, Richmond VA

Anthem, Inc. - 2,423 reviews - Richmond, VA
Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information....

RN Utilization Review (Remote)

R.A.M. Healthcare Consulting Group, Inc. - New York, NY
In this position, the utilization review nurse will:. Utilization review/case management:. Be responsible for utilization review and discharge planning for...
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Clinical Documentation Specialist - Remote

Ovation, LLC - Pittsburgh, PA
Knowledge of computer technology, quality assurance activities, DRG, Utilization review highly preferred. May perform retrospective reviews to determine trends...

Clinical Specialist – Fort Lauderdale, FL - NeuWave Medical

Johnson & Johnson Family of Companies - 2,384 reviews - Fort Lauderdale, FL
The Clinical specialist develops and maintains strong relationships with new and existing customers and performs account development activities creating...

Clinical Documentation Integrity Specialist

Sarasota Memorial Health Care System - 174 reviews - Sarasota, FL
Reviews inpatient and select outpatient medical records while patients are still in-house (concurrent review) for proper documentation....

Utiliz Review Specialist

Memorial Hermann - 1,470 reviews - Katy, TX
Utilization reviews may extend through continued stay and involve discharge planning activities under the direction of an RN Case Manager....

Electronic Review Specialist

Inovalon - 295 reviews - Columbia, MD
The incumbent will communicate any changes, updates or issues to Lead Review Specialist, Senior Lead Review Specialist or Operations Manager....

Utilization Review Specialist

MENTOR NETWORK - 598 reviews - Martinsburg, WV
Utilization Review Specialist Primary Location:. The Utilization Review Specialist manages at least two full time employees....

Utilization Review Specialist- CSCC U.D.P

Nationwide Children's Hospital - 303 reviews - Columbus, OH 43205 (Near East area)
Concurrent Utilization Review. The UR Specialist identifies over and under utilization of resources through medical record review of patient stays....
Utilization Review Specialist
Newport Academy - 10 reviews - Corona del Mar, CA
Utilization Review Specialist Responsibilities:. Newport Academy, the premier adolescent treatment program, is seeking a Utilization Review Specialist....
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Clinical Documentation Improvement Specialist
Utilization review and / or coding experience preferred. The Clinical Documentation Specialist reviews and analyzes health records to identify relevant...