45 results for Utilization Review Specialist Jobs

Sycamore 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 ...

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....

DescriptionThe Idaho Youth Ranch is one of the oldest non-profit agencies in the state of Idaho. Our mission:We unite for Idaho’s youth by providing accessible programs and services that nurture hope, healing, and resilience.How will you impact our mission? Be a part of setting a new standard for re...

THE PERKS FOOSBALL TABLE JUICE BAR AIR HOCKEY IN-OFFICE MASSAGES We also offer a team discount program for electronics, cell phones, dining, travel expenses and more. We have a work hard, play hard mentality and believe that the office should be a fun place to spend time. THE WORK ENVIRONMENT In ord...

Job SummaryResponsible for requesting and obtaining prior authorizations for treatment services from several treatment modalities within the agency in a timely manner to ensure no gaps in care or coverage. Authorizations are to be obtained from entities inclusive of but not limited to pay sources: M...

Purpose StatementProactively monitor utilization of services for patients and optimize reimbursement for the facility. Review for quality of services provided and medical necessity.Essential FunctionsAct as liaison between managed care organizations and the facility’s professional clinical staff.Con...

Responsible for knowledge of clinical criteria and managed care requirements, completing pre and re-certifications for services, communicating with interdisciplinary teams, and participating in treatment teams to ensure coverage knowledge.

Utilization Review Specialist | Wooded Glen Recovery Center | Henryville, IndianaAbout the Job:**ON SITE POSITION**PURPOSE STATEMENT:The Utilization Specialist is responsible for reviewing of assigned admissions, continued stays, utilization practices and discharge planning according to approved cli...

Thank you for considering a career at Ensemble Health Partners!Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a c...

OverviewAdvanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, and mental health issues. We put behavioral health front and center, providing assistance to people with substance abuse issues, addictions and mental...