Utilization Review Specialist Jobs

Overview ​PURPOSE STATEMENT: ​Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ​ESSENTIAL FUNCTIONS: ​Act as liaison between managed care organizations and the facility professional clinical staff. ​Conduct reviews, in accordance w

​Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner.We are seeking to add an ABA U

The Utilization Review Specialist's primary role is the liaison between the hospitals inpatient and ambulatory services and the managed care organizations. The UR specialist is responsible for a wide range of administrative responsibilities including obtaining authorization for all levels of care, m

Overview ​PURPOSE STATEMENT: ​Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ​ESSENTIAL FUNCTIONS: ​Act as liaison between managed care organizations and the facility professional clinical staff. ​Conduct reviews, in accordance w

Job Posting TitleUtilization Review Specialist I Agency452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV. Supervisory OrganizationTulsa Center Behavioral Health Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will be ac

The Utilization Review Specialist (URS) exercises independent judgment and professional discretion in the practice of case management to a select group of patients. The URS collaborates with physicians to ensure that patients are at the appropriate level of care with use of clinical based guidelines

Job Title: Quality Review & Utilization Specialist DEPARTMENT: Quality Review LOCATION: Home Care-330 Monroe Ave, Rochester, NY HOURS: Per Week: 40 Hours SCHEDULE: 8:30am-5:00pm Monday-Friday EDUCATION:BS (Required) LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AH

Scope of work: Provides health information, interacts, and acts as a resource for providers for complex clinical situations to ensure appropriate use of preservice and concurrent acute medical and/or behavioral health care services. Assesses appropriateness of preservice and concurrent requests for