UTILIZATION REVIEW SPECIALIST jobs in UNITED STATES, United Kingdom

. Essential functions must occur simultaneously; therefore, the specialist must be able to appropriately handle and prioritize... and/or denial of services. Ability to review, analyze and summarize reports and have effective oral and written communication skills...

Sanford Health

for analyzing and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic..., maintain grant and contract files, review contracts, develops progress reports, and reviews closed grant for completeness...

Sanford Health

and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic initiative. Coordinates... observation, medical record review, staff feedbacks and other appropriate sources. Monitor and maintain compliance with statewide...

Sanford Health

of inpatient admissions and continued stay. Educates medical staff/other health care professionals regarding utilization management... and quality requirements. Makes recommendations and provides financial and utilization management (UM) information...

Corewell Health

The Clinical Care Manager is responsible for utilization management by conducting utilization review activities... necessity criteria and apply that knowledge in all work activities. Complete Utilization Management activities including...

Community Behavioral Health

Utilization Review Specialist Job Description Unique opportunity to join Maryhaven, Central Ohio’s largest... review functions. The Utilization Review Specialist manages daily operations, which include supervising the staff performing...

Maryhaven

NV Energy Position Title: Plant Accounting Project Specialist Job ID: 107090 Location: Reno, NV Facility..., and maintains efficiencies for this process. Supports the Business Transformation initiative by driving the preparation and review...

NV Energy

Description Summary: The Clinical Documentation Specialist (CDS) position is responsible for facilitating... and expertise through comprehensive assessment and review of inpatient medical records. The CDS will facilitate accurate DRG...

Christus Health

Description Summary: The Clinical Documentation Specialist (CDS) position is responsible for facilitating... and expertise through comprehensive assessment and review of inpatient medical records. The CDS will facilitate accurate DRG...

Christus Health

Email Submit RN Utilization Specialist-Utilization Review Full Time Days Location Palos Heights, Illinois Business Unit Palos.... Description The RN Utilization Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics...

Northwestern Medicine

Email Submit RN Utilization Specialist-Utilization Review Full Time Days Location Palos Heights, Illinois Business Unit Palos.... Description The RN Utilization Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics...

Northwestern Medicine

for better? Job Description The RN Utilization Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics... and accreditation standards. The RN Utilization Specialist (RNUS) is an experienced registered professional nurse with extensive...

Northwestern Medicine

for better? Job Description The RN Utilization Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics... and accreditation standards. The RN Utilization Specialist (RNUS) is an experienced registered professional nurse with extensive...

Northwestern Medicine

utilization review processes and participates in the resolution of retrospective reimbursement issues including appeals, PACER... Position Summary: In conjunction with the admitting/attending physician, the UR Specialist RN assists in determining the...

McLaren Health Care

and dedicated to service excellence. Pride Institute is seeking a dynamic and talented Utilization Review Specialist to serve... within the Utilization Management team. The Utilization Review Specialist is responsible for overseeing the Utilization Review...

Universal Health Services

and dedicated to service excellence. Pride Institute is seeking a dynamic and talented Utilization Review Specialist to serve... within the Utilization Management team. The Utilization Review Specialist is responsible for overseeing the Utilization Review...

TMC Bonham Hospital

to hire Utilization Review Specialists to join our corporate UR Team in NJ! The Utilization Review Specialist collaborates... with Avenues Recovery facilities regarding Utilization Review (UR) and ensures that all clients are authorized for treatment at the...

Avenues Recovery