Utilization Review Specialist jobs

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Utilization Review Specialist
White Sands Treatment Center - Fort Lauderdale, FL
Our Utilization Review Specialist is responsible for establishing and maintaining positive and effective communication with managed care companies....
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Utilization Review Specialist
Harbor Village Inc. - Miami, FL
Our Utilization / Chart Review Specialist is responsible for establishing and maintaining positive and effective communication with insurance companies....
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Performance Improvement Clinical Specialist Peer Review
Partnership HealthPlan of CA 3 reviews - Fairfield, CA
Performs Facility Site Reviews (resources and medical record review) per contractual requirements. Provider Preventable Conditions – reviews and requests...
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Clinical Denial Specialist, 8 hours, Case Mgmt.

LAHEY CLINIC 78 reviews - Beverly, MA 01915
The denials specialist attends denials meetings. The denials specialist collects and trends the data as it relates to denials and reports that data to the...

Community Outreach & Planning Specialist

U.S. Department of Labor 39 reviews - Albany, NY 12207  +3 locations
$71,012 - $92,316 a year
Your evaluation may also include a review by an HR Specialist or panel and may include other assessment tools (ex....

Utilization Review Specialist

Acadia Healthcare Facilities - Fayetteville, AR
3 to 5 years Experience in Utilization Management/Review, Intake or Case management preferred. Reviews clinical documentation from denied stays against criteria...

Utilization Review Specialist

Brattleboro Retreat 11 reviews - Brattleboro, VT
Conduct retrospective reviews as requested by manager of Utilization Review. Communication of information to clinical staff, physicians and fiscal services...

Utilization Review Specialist

Vantage Point of Northwest Arkansas - Fayetteville, AR
3 to 5 years Experience in Utilization Management/Review, Intake or Case management preferred. Reviews clinical documentation from denied stays against criteria...

Utilization Review Specialist

Universal Health Services - Palm Springs, CA  +1 location
Reviews weekly UR update information. Completes a thorough review of all clinical documentation. Essential Duties and Responsibilities Reviews and understands...

Utliization Review Specialist

Southwest Behavioral Health Services 50 reviews - Phoenix, AZ
We are currently looking for a Utilization Review Specialist to join our Crisis Recovery Unit! Utilization Review and/or case management experience working with...

UTILZATION REVIEW SPECIALIST

Yale New Haven Hospital 181 reviews - New Haven, CT 06511 (Newhallville area)
The Utilization Review Specialist (URS) performs utilization review activities as pertains to medical necessity of admissions for all patients in accordance...

Utilization Review Specialist

Maine Coast Memorial Hospital 6 reviews - Ellsworth, ME
Implements and evaluates the needs of patients for discharge planning and utilization review. Promotes effective utilization of resources and assumes a...

Utilization Review Specialist -- Westpark Springs

Springstone - Richmond, TX 77407
Utilization Review Specialist facilitates clinical pertinence reviews on all patient admissions and continued stays....
Clinical Documentation Specialist
Maricopa Integrated Health System 48 reviews - Phoenix, AZ
Under the direction of the Director of Care Management, The Clinical Documentation Specialist provides clinically based concurrent and retrospective review of...
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Appeals/Denial Specialist II
Molina Healthcare 191 reviews - Charleston, SC
Two years Utilization Review experience and two years of. Enters denials and requests for appeal into information system and prepares documentation for further...
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Company with Utilization Review Specialist jobs
Recognized for outstanding critical care, emergency, ICU and burn care, we're medical professionals bringing the best care to Maricopa Co.