Showing 1-20 of 4,046
Showing 1-20 of 4,046

Utilization Review Specialist jobs

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Partners HealthCare at Home(PHC and PHH)-Waltham, MAEst. $37,000 - $50,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

PHH Utilization Mgmt. Key metric goals include process measures, case mix, episodes per admission, budgeted utilization, quality outcomes, LUPA’s, and...

R1 RCM-RemoteEst. $57,000 - $82,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The Utilization Review Specialist will determine the appropriate cases for review, utilizing client specific guidelines....

Santa Clara Family Health Plan-Campbell, CA $72,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Facilitate successful transition of care for members who move between care settings by coordinating services for medical appointments, pharmacy assistance and...

Dane Street-Palm Beach Gardens, FLEst. $35,000 - $49,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Has experience in medical terminology, nursing, claims management, utilization review, pre-certification, medical administration or QA in a medical or business...

HMS-Texas, ALEst. $57,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Clinical Quality Reviewer - Utilization Review - Remote. This person is responsible for complex quality reviews to determine if decision by review staff matches...

Fort Lauderdale Hospital-Fort Lauderdale, FLEst. $58,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Documentation Specialist position is responsible for. Review of records against B-Tag standards and other....

Strategic Behavioral Health, LLC-Las Vegas, NVEst. $59,000 - $86,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Overall responsibility for inpatient Utilization Review for assigned patients. Utilization Review experience in an acute inpatient behavioral health care...

Fremont Hospital-Fremont, CAEst. $55,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

(part-time) Utilization Review Specialist. The Utilization Review (UR) Specialist is. Chart audits and other items as requested by the Utilization Review....

Anthem, Inc.-Waukesha, WIEst. $42,000 - $56,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information....

UC Irvine Health-Orange, CA $76,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Ability to establish and maintain effective working relationships across the HealthSystemAbility to influence and work collaboratively with physicians and all...

Veterans Affairs, Veterans Health Administration-Dayton, OH $51,000 - $66,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Applying online will allow you to review and track the status of your application. The incumbent is assigned to the Material Management Section of Logistics...

Palm Healthcare Company, Inc.-Delray Beach, FLEst. $41,000 - $56,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

The Per Diem Utilization Review Specialist functions as the primary liaison between the funding agents and all other related parties....

UnitedHealth Group-Seguin, TX

Coordinates initial screening for UM claim reviews through claim queue. Provides clerical support to PHC clinical staff in their medical necessity review...

UnitedHealth Group-Gonzales, TX

Coordinates initial screening for UM claim reviews through claim queue. Provides clerical support to PHC clinical staff in their medical necessity review...

UnitedHealth Group-Shiner, TX

Coordinates initial screening for UM claim reviews through claim queue. Provides clerical support to PHC clinical staff in their medical necessity review...

UnitedHealth Group-New Braunfels, TX

Coordinates initial screening for UM claim reviews through claim queue. Provides clerical support to PHC clinical staff in their medical necessity review...

UnitedHealth Group-Texas

Coordinates initial screening for UM claim reviews through claim queue. Provides clerical support to PHC clinical staff in their medical necessity review...

UnitedHealth Group-San Antonio, TX

Coordinates initial screening for UM claim reviews through claim queue. Provides clerical support to PHC clinical staff in their medical necessity review...

Fairfax County Park Foundation-Fairfax, VA $63,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Reviews and updates programs policies and procedures annually. Supervises child care specialists and support staff assigned to the program....

Conifer-Texas

And (b) initiate a review worksheet. Conducts follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon...


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