45 results for Utilization Review Specialist Jobs

Overview: Come join the nation's largest provider of behavioral healthcare for adolescents at our newly built hospital in Upper St. Clair! Southwood Children's Behavioral Healthcare is seeking an additional member for their Utilization Review team. Position open to both part-time and full-time inter...

DescriptionRiverside Healthcare is seeking a skilled and detail-oriented Utilization Review Specialist to join our team in Kankakee, Illinois. This role is pivotal in evaluating the appropriateness of patient care services and ensuring that the care provided aligns with clinical guidelines and payer...

ResponsibilitiesAre you caring, compassionate and hardworking? Our facility can provide a place for you to thrive and continue your professional development. Stonington Institute, a division of one of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS), ...

Triangle Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health ...

DescriptionSummary:The purpose of the Utilization Management Nurse is to support the physician, the interdisciplinary team, and organization with the underlying objective of enhancing the quality of clinical outcomes while managing the cost of care and providing timely and accurate clinical informat...

OCD Institute | Texas is seeking a dedicated and compassionate Billing & Utilization Review Specialist to join our team. As a Billing & Utilization Review Specialist, you will play a crucial role in providing care to individuals facing mental health challenges. Your responsibilities will inc...

LOCATION: George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035Our MissionSince 1967, Odyssey House has gone beyond helping individuals beat drugs and alcohol. We help rebuild lives. There’s more to recovery than just getting clean. We help individuals get healthy agai...

This position is available in the MS Department of Mental Health’s (DMH) Office of Utilization Review (OUR) which is part of the Bureau of Certification & Quality Outcomes. The OUR reviews the utilization of behavioral health services and intellectual and developmental disability services for state-...

Company: MVP Recovery Location: system wide About Us: MVP Recovery is a leading behavioral health company dedicated to providing comprehensive care and support to individuals seeking recovery from substance use and mental health disorders. We offer a compassionate and holistic approach to treatmen...

Analyzes patient records to determine legitimacy of admission, treatment, and length of stay in the health-care facility to comply with government and insurance company reimbursement policies: Analyzes insurance, governmental, and accrediting agency standards to determine criteria concerning admissi...