Top 10 Utilization review nurse Jobs in Martinez, Ga

Utilization Review Clinician
Lighthouse Care Center of Augusta —Augusta, GA
- Full-time
- LMFT
- Psychiatry
- RN License
- Health insurance
- Dental insurance
9d
MDS Coordinator
Brandon Wilde —Evans, GA
- Up to $90,000 a year
- Full-time
- RN License
- BLS Certification
- Pass drug screening
- AD&D insurance
- Paid holidays
DIR - UTILIZATION REVIEW / MGMT
Lighthouse Care Center of Augusta —Augusta, GA
- Full-time
- Nursing
- Psychiatry
- RN License
- Health insurance
- Dental insurance
Medical Case Manager I
CorVel Corporation —Augusta, GA
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
6d
RN MDS Coordinator
Azalea Health Center by Harborview —Augusta, GA
- $38 - $45 an hour
- Full-time
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
4d
RN Case Manager
Serene Health —Augusta, GA
- $90,000 - $110,000 a year
- Full-time
- Background check
- Spanish
- Nursing
- Paid holidays
- Disability insurance
Quick Apply
3d
Case Manager ( RN / RT / SW / LPN )
Select Specialty Hospital - Augusta —Augusta, GA
- Full-time
- RN License
- Inpatient
- Mid-level
- Dental insurance
- Paid time off
1d

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Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
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Utilization Review Specialist - Autism
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utilization review nurse jobs near martinez, ga

Utilization Review Clinician

Lighthouse Care Center of Augusta -
Augusta, GA

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Job Details

Full-time
9 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Referral program

Qualifications

Behavioral health hospital experience
Direct patient care
Mental health facility experience
Utilization management
Resource utilization in healthcare

Full Job Description

Responsibilities:

Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15-years. Located in Augusta, GA our 84-bed facility provides a therapeutic setting for those seeking treatment for mental illness. Lighthouse Care Center offers unique and individualized programming for adolescents and adults that sets us apart from many other treatment facilities, and our tenured team includes seasoned medical staff.

Website: https://www.LighthouseCareCenters.com

The Utilization Review Clinician opportunity is a key member of the Lighthouse Case Management team who will integrate and coordinate clinical content with a keen focus on patient care; ensuring that delivery of high-quality and cost-effective treatment is consistent with the mission, vision, and values of Universal Health Services and in accordance with government regulation, licensing and accreditation requirements. Under the direction of the UR Manager, the Utilization Review Coordinator is responsible for conducting clinical review of data to determine eligibility respective to pre-certification and continued stay reviews.

Job Duties/ Responsibilities:

Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/authorizing entities to ensure initial precertification and continued authorization is achieved.
Ensure input of pre-certifications and continued stay reviews into Midas, follow-up on unfinished pre-certifications from the day before, coordinate with the treatment team on any follow-ups necessary, verify insurance coverage at the first of the month, and post patient payments into MS4.
Trained in all aspects relative to timely gathering of clinical criteria, communication of clinical criteria, and entry of supporting clinical criteria into computer based systems, in addition to other job duties.

Benefit Highlights

Referral Bonus Program
Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
Career development opportunities within UHS and its 300+ Subsidiaries!
More information is available on our Benefits Guest Website: uhsguest.com

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications:

EDUCATION AND EXPERIENCE

Masters level education in social science field (social work, counseling, sociology, psychology).

Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC)

Nurses with a current GA or Multistate license encouraged to apply. (LPN, RN)

Must have 2 years of experience in a psychiatric health care setting, delivery of care to psychiatric and/or chemically dependent patients and utilization review.

CERTIFICATIONS, LICENSES, REGISTRATION

LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred.

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utilization review nurse jobs in martinez, ga

Utilization Review Clinician

MDS Coordinator

DIR - UTILIZATION REVIEW / MGMT

Medical Case Manager I

RN MDS Coordinator

RN Case Manager

Case Manager ( RN / RT / SW / LPN )

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