Job Opportunities

OverviewPURPOSE STATEMENT:Proactively monitor utilization of services for patients to optimize reimbursement for the facility.ResponsibilitiesESSENTIAL FUNCTIONS:Act as liaison between managed care or

Job description Cadence Care Network believes in building a cohesive team of managers and staff. We know that our employees are our most valuable assets in delivering quality service to the children a

Job DescriptionYour experience mattersCopper Springs East Behavioral Health is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a pr

OverviewSalary Range:LMFT/LPCC/LCSW $33.00 - $50.00 per hour - Based on ExperienceSalary Range: LVN $33.00 - $43.75 per hour - Based on ExperienceSalary Range: RN: $60.00 - per hour - Based on Experie

OverviewPURPOSE 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 Position Summary: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for patien

Utilization Review Specialist Senior - 143435 At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute

Salary Range $24.03 - $24.75 Hourly Position Type Full Time Job Shift Any Education Level 2 Year Degree Description Position Summary: Person in this position is responsible for collecting clinical inf

OverviewPosition: Full Time (40hrs), Day, M - FSalary Range:LMFT/LPCC/LCSW $33.00 - $50.00 per hour - Based on ExperienceSalary Range: LVN $33.00 - $43.75 per hour - Based on ExperienceSalary Range: R

What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspe

Utilization Review Specialist The Utilization Review Specialist evaluates and processes medical, dental, and optical referral requests and medical claims; approves or denies referrals and/or claims as

Overview Pacific Grove Hospital in Riverside, CA., is a leader in behavioral healthcare, providing superior healthcare treatment to the people, communities, and military installations we serve. We are

The Utilization Review Support Specialist completes and documents in Cone Healthlink (CHL/EPIC) payor communication to include notification of beneficiary admission per payor requirements and timeline

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work with minimal supervision. Current sound clinical knowledge; knowledge

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work with minimal supervision. Current sound clinical knowledge; knowledge

Overview: Schedule: M-F (Day Shift) Job Description Summary: Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of i

OverviewPURPOSE STATEMENT:Proactively monitor utilization of services for patients to optimize reimbursement for the facility.About Sierra Tucson For 40 years, Sierra Tucson has been a place of peace,

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work with minimal supervision. Current sound clinical knowledge; knowledge

Acquisition Specialist Work out of our Miami HQ 3 days a week! Join our team as an Acquisition Specialist at Boats Group. In this role, you will be responsible for calling and engaging with boat broke

Clinical Quality And Utilization Review Specialist Under the supervision of the Director of Utilization Management, the Clinical Quality and Utilization Review Specialist performs a dual role encompas

Program Lead On Electronic Client Database SystemsProgram lead on electronic client database systems. Maintains and organizes client and program data ensuring accuracy and completeness. Analyzes and t

Location: Avera Addiction Care Center-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate depe

Overview About the Role: At JG Wentworth, we are the Structured Settlement Industry leader, helping people access financial flexibility when they need it most— and we’re looking for motivated, entry-l

At JG Wentworth , we are the Structured Settlement Industry leader, helping people access financial flexibility when they need it most— and we’re looking for motivated, entry‑level professionals to jo