Talent.com
Texas Licensed Utilization Review Specialist

Texas Licensed Utilization Review Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Utilization Review Specialist to monitor and ensure the effective use of outpatient services.

Key Responsibilities

Establish and maintain methods for ensuring medical necessity and appropriateness of outpatient admissions

Perform concurrent reviews to justify extended patient stays and document findings

Compile monthly reports and statistics for the Utilization Review Committee

Required Qualifications

Graduation from an accredited university in Psychology, Sociology, or a similar behavioral health field

One year of utilization review experience preferred

Active CPR Certification

serp_jobs.job_alerts.create_a_job

Utilization Review Specialist • Albuquerque, New Mexico, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Health Claims Examiner

Health Claims Examiner

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Health Claims Examiner I.Key Responsibilities Review medical documents to ensure completeness and validity for claim adjudication Determine covered services and calcul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Enrollment Eligibility Representative

Enrollment Eligibility Representative

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for an Enrollment - Eligibility Representative.Key Responsibilities Research benefits, eligibility, and site of care for Medicare Part B members Communicate with doctor's of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Eligibility Specialist

Eligibility Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for an Eligibility Specialist to manage and maintain accurate eligibility and enrollment records for health and welfare benefit plans. Key Responsibilities : Process eligibilit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Referral Program Coordinator

Referral Program Coordinator

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Referral Program Coordinator.Key Responsibilities Process internal, incoming, and external referrals for Ambulatory services, procedures, and medications Obtain prior ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medical Records Specialist

Medical Records Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Medical Records Specialist.Key Responsibilities Coordinate and oversee the collection and administration of medical records from healthcare providers Create thorough c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Insurance Authorization Specialist

Insurance Authorization Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Specialist responsible for authorizing appointments and procedures.Key Responsibilities Identify patients requiring pre-certification or pre-authorization fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
MENTAL HEALTH TECH I

MENTAL HEALTH TECH I

University of New Mexico - HospitalsLos Lunas, NM, US
serp_jobs.job_card.full_time
Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials.Compensation for this role is based on a number of factors, including but not limited to experience, education...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Arizona Licensed Authorization Representative

Arizona Licensed Authorization Representative

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a PAS Pre-Service Authorization Representative to handle insurance authorization requests and verification. Key Responsibilities Obtain and complete insurance authorizatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed Physician Reviewer

Licensed Physician Reviewer

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Physician Reviewer - Utilization Review.Key Responsibilities Conduct timely medical reviews to ensure compliance with quality parameters Make clinical determinations b...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Patient Access Specialist

Patient Access Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.part_time
A company is looking for a Patient Access Specialist, Part-time, Days (Remote - Must reside in IL, IN, IA, or WI).Key Responsibilities Provide exceptional customer service and maintain patient co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Remote Medical Insurance Verifier

Remote Medical Insurance Verifier

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
ABA Intake Admin Assistant

ABA Intake Admin Assistant

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for an ABA Intake & Authorizations Admin Assistant - Spanish Speaking.Key Responsibilities Facilitate the client onboarding process and ensure accurate documentation and comm...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medicare Eligibility Representative

Medicare Eligibility Representative

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for an Enrollment - Eligibility Representative.Key Responsibilities Research benefits, eligibility, and site of care for Medicare Part B members Communicate with doctor's of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Prior Authorization Specialist

Prior Authorization Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Prior Authorization Specialist to manage the initiation and processing of prior authorization requests. Key Responsibilities Initiate, process, and oversee clinical revi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Workers' Compensation Claims Examiner

Workers' Compensation Claims Examiner

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Examiner, Medical Only.Key Responsibilities Investigate workers' compensation claims for medical care without lost wages Approve medical treatments, schedule ap...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Healthcare Credentialing Coordinator

Healthcare Credentialing Coordinator

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Healthcare Credentialing Coordinator - Part-Time - Remote.Key Responsibilities Manage the full lifecycle of the credentialing and re-credentialing process for healthcar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Intake Specialist

Intake Specialist

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for an Intake Specialist to manage patient referrals and documentation in a healthcare environment.Key Responsibilities Accurately enter referrals and communicate with referr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Pennsylvania Licensed Clinical Appeals Reviewer

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsAlbuquerque, New Mexico, United States
serp_jobs.job_card.full_time
A company is looking for a Clinical Appeals Reviewer.Key Responsibilities Process appeals while ensuring compliance with regulatory milestones Review medical records for documentation and billin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day