Top 14 Utilization Review Spec Jobs

UTILIZATION REV SPEC I
Aspire Health Partners —Orlando, FL
- Full-time
- Clean driving record
- High school diploma or GED
- Driver's License
Quick Apply
Case Management Authorization. Spec IP
Emory Healthcare —Atlanta, GA
- $24.12 - $29.39 an hour
- Part-time
- Mid-level
- High school diploma or GED
- Ability to lift 50 pounds
- Wellness program
- Health insurance
6d
Clinical Document Spec
University of Rochester —Rochester, NY
- $81,307 - $109,761 a year
- Full-time
- Nursing
- Medicine
- Surgery
Billing and Collections Spec II, RMF Denials Management
DHR Health —Edinburg, TX
- Weekends as needed
- Spanish
- Basic math
- HIPAA
Adult+Minors Independent Clinical Reviewer / Cultural Spec
Ocean View Psychiatric Hospital —Colton, CA
- Medicine
- Psychiatry
- Mid-level
PT Spec I- Part-time- Santee
Sharp HealthCare —Santee, CA
- $46.11 - $66.65 an hour
- Part-time
- BLS Certification
- Physical & Rehabilitation Medicine
- HIPAA
Clinical Transition Spec RN Wknd - CFH
Carle Health —Urbana, IL
- $35.87 - $58.37 an hour
- Full-time
- Nursing
- RN License
- Inpatient
- Health insurance
12d
PT Spec I-SRS-Per Diem- San Diego County Float
Sharp HealthCare —Santee, CA
- $50.72 - $73.31 an hour
- 8 hour shift
- BLS Certification
- Physical & Rehabilitation Medicine
- HIPAA
Utilization Management Spec RN
MultiCare Health System —United States
- $98,336.16 - $174,826.08 a year
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
3d

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Case Management Authorization. Spec IP
Emory Healthcare —Atlanta, GA
Assists with providing technical and clerical support, as directed. Submit appropriate admission and continued stay clinical documentation supporting services…
$24.12 - $29.39 an hour
6d
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APIUM SWARMING TECHNOLOGIES INC —San Diego, CA
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UTILIZATION REV SPEC I

Aspire Health Partners -
Orlando, FL

Quick Apply

Job Details

Full-time

Qualifications

High school diploma or GED
Driver's License

Full Job Description

Behavioral Health Utilization Review Specialist I

Aspire Health Partners, Inc.

Make a Difference in Behavioral Health Care

At Aspire Health Partners, we are dedicated to transforming lives through compassionate, high-quality behavioral healthcare. As Florida’s largest nonprofit behavioral health provider, we serve diverse populations across Central Florida and are committed to clinical excellence and meaningful impact.

We are currently seeking a Utilization Review Specialist to join our team and play a key role in ensuring our clients receive the care they need while supporting effective coordination with insurance providers.

Position Summary

In this role, you will coordinate and manage insurance utilization review activities for hospitalized clients. You’ll work closely with clinical teams, insurance representatives, and internal departments to ensure timely authorizations, support treatment planning, and contribute to high-quality patient outcomes.

Key Responsibilities

Partner daily with the Access Center and/or Crisis Response Center (CRC) to identify clients needing utilization review
Communicate clinical information to insurance reviewers to secure authorizations and extended lengths of stay
Collaborate with attending psychiatrists on clinical assessments and treatment recommendations
Participate in interdisciplinary treatment team meetings to support care for managed care clients
Provide constructive clinical feedback to enhance service delivery and patient care
Ensure accurate authorization details are submitted to Patient Accounts for billing
Review client charts for potential denial issues and support appeal processes when needed
Maintain strict adherence to ethical standards, confidentiality, and organizational policies

Qualifications

Required:

High School Diploma or equivalent
Level II Background clearance- All Aspire Health Partners Internships and Careers require Level 2 clearance, with Aspire covering fingerprinting costs. Click https://info.flclearinghouse.c... to learn more.
Valid driver’s license with an acceptable driving record per organizational guidelines

Preferred:

Experience in behavioral health, utilization review, or managed care environments
LPN or RN experience
Strong communication, documentation, and organizational skills

Why Join Aspire?

Mission-driven organization making a real impact in your community
Collaborative, team-focused work environment
Opportunities for growth and professional development
A role where your work directly supports quality care and patient outcomes

Equal Opportunity Employer

Aspire Health Partners is a drug-free workplace and an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will be considered without regard to race, color, religion, national origin, sex, age, disability, or veteran status.

Quick Apply

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Utilization Review Spec jobs

UTILIZATION REV SPEC I

Case Management Authorization. Spec IP

Clinical Document Spec

Billing and Collections Spec II, RMF Denials Management

Adult+Minors Independent Clinical Reviewer / Cultural Spec

PT Spec I- Part-time- Santee

Clinical Transition Spec RN Wknd - CFH

PT Spec I-SRS-Per Diem- San Diego County Float

Utilization Management Spec RN

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