Offres d'emploi
Trouvez des postes près de chez vous, sur site, hybrides ou à distance.- Emplois similaires à : Acquisition Utilization Specialist
Utilization Specialist
Acadia HealthcareBrooksville
Overview Are you prepared for the impact you can make in your UR career at a well-respected treatment center in Brooksville, Florida? If so, you may enjoy working at Sabal Palms Recovery Center, an ad
Utilization Review Specialist
Emory HealthcareAtlantaOverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs
Utilization Review Specialist
Umpqua HealthWinstonUtilization Review SpecialistHYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE- Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a health
Utilization Review Specialist
St. Charles Health SystemBendRelief, Days Pay range: $27.74 - $41.61 ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT: Utilization Man
Utilization Specialist
Acadia HealthcareRiverdaleOverviewPURPOSE STATEMENT:Proactively monitor utilization of services for patients to optimize reimbursement for the facility.ResponsibilitiesESSENTIAL FUNCTIONS:Act as liaison between managed care or
Utilization Review Specialist I
State of OklahomaTulsaJob Posting Title Utilization Review Specialist I Agency 452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV. Supervisory Organization Tulsa Center Behavioral Health Job Posting End DateRefer to the date liste
Utilization Review Specialist I
Department of Mental Health and Substance Abuse ServicesTulsaUtilization Review Specialist I Join a team that CARES! Here at ODMHSAS, we believe in I.C.A.R.E. – Integrity, Compassion, Accountability, Respect, and Excellence. Our mission is to promote healthy co
Utilization Review Specialist / RN
Emory HealthcareAtlantaOverview Be inspired.Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership program
Loan Acquisition Specialist
OneMain FinancialSpartanburgAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialFort MillAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialBelmontAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialChesneeAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialMorrowAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialGastoniaAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialShivelyAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialRio RanchoAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialMyrtle BeachAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialWaipahuAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialRivertonAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialWoodland ParkAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialRock IslandAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialFort MillAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialConcordAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialSpokaneAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Loan Acquisition Specialist
OneMain FinancialCaliforniaAt OneMain, Loan Sales Specialists empower customers by listening to their needs and providing access to friendly, fast, and affordable financing for life’s expenses. In this role, our team members th
Utilization Specialist
- Brooksville, Florida, United States
- Brooksville, Florida, United States
À propos
We are looking to for a Full Time Utilization Review Specialist to join our team. The UR specialist proactively monitors utilization of services for patients to optimize reimbursement for the facility. Schedule: Monday-Friday - 40 hours per week Benefit Eligible!Pay range for this position is $20 - $23/hr.ResponsibilitiesESSENTIAL FUNCTIONS:
Act as liaison between managed care organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
Conduct quality reviews for medical necessity and services provided.
Facilitate peer review calls between facility and external organizations.
Initiate and complete the formal appeal process for denied admissions or continued stay.
Assist the admissions department with pre-certifications of care.
Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
OTHER FUNCTIONS:
Perform other functions and tasks as assigned.
QualificationsEDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Required Education: High school diploma or equivalent.
Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
First aid may be required based on state or facility requirements.
ADDITIONAL REGULATORY REQUIREMENTS:While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. SPRC
Compétences linguistiques
- English
Cette offre provient d’une plateforme partenaire de TieTalent. Cliquez sur « Postuler maintenant » pour soumettre votre candidature directement sur leur site.