Utilization Review SpecialistVirtualVocations • Yonkers, New York, United States
Utilization Review Specialist
VirtualVocations • Yonkers, New York, United States
job_description.job_card.variable_days_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.
Key Responsibilities
Review and process Independent Review (IR) requests for potential conflicts of interest
Request and organize additional medical documentation for Physician Advisors
Ensure all work meets Client, State, Federal, and URAC compliance standards
Qualifications
High school diploma or equivalent required
Minimum of 1 year in a healthcare-related setting required
Knowledge of HIPAA rules and regulations required
Prior experience in utilization review, medical management, or insurance preferred
serp_jobs.job_alerts.create_a_job
Utilization Review Specialist • Yonkers, New York, United States
Job_description.internal_linking.related_jobs
Healthcare staff can work anywhere.Monday, Tuesday, Thursday and Friday (9am-5pm) Wednesday (11am 7pm).A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs...serp_jobs.internal_linking.show_more
Safe Way Forward Program (SWF).IPV) with comprehensive general prevention services, including case management, and therapeutic intervention services to address the IPV.
This joint prevention-clinica...serp_jobs.internal_linking.show_more
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_more
Thank you for considering Progyny!.Progyny is looking for a Utilization Management Coordinator to support all utilization review cases with an expanded focus on compliance and accreditation standar...serp_jobs.internal_linking.show_more
At Relativity we make software to help users organize data, discover the truth, and act on it.Our e-discovery platform is used by more than 13,000 organizations around the world to manage large vol...serp_jobs.internal_linking.show_more
Pay is based on several factors which vary based on position.These include labor markets and in some instances may include education, work experience and certifications.In addition to your pay...serp_jobs.internal_linking.show_more
Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide ran...serp_jobs.internal_linking.show_more Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide ran...serp_jobs.internal_linking.show_more Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide ran...serp_jobs.internal_linking.show_more 
Behavioral Health Utilization Management Clinician.Water Street, 7th Floor, New York, NY 10004 .New Yorkers by uniting communities through care.
We believe that Health care is a right, not a priv...serp_jobs.internal_linking.show_more
When determining a base salary or hourly rate, several factors may be considered as applicable such as years of relevant experience, education, credentials.
We have had the privilege of caring for t...serp_jobs.internal_linking.show_more Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the top five national health plans, regional hea...serp_jobs.internal_linking.show_more 
Assesses member needs and identifies solutions that promote high quality and cost-effective health care services.Manages providers, members, team, or care manager generated requests for medical ser...serp_jobs.internal_linking.show_more
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a variety o...serp_jobs.internal_linking.show_more Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide ran...serp_jobs.internal_linking.show_more Thank you for considering Progyny!.Progyny is looking for a Utilization Management Coordinator to support all utilization review cases.
This coordinator will be directly responsible for reviewing an...serp_jobs.internal_linking.show_more 
Northern Riverview Healthcare Center.Registered Nurse (RN) Unit Manager.Handle all supervisory duties for assigned unit.Help establish and implement employee policies and procedures.Mentor less exp...serp_jobs.internal_linking.show_more
The challenges of affordable healthcare continue to create new opportunities.Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are exp...serp_jobs.internal_linking.show_more
Supervisor of Utilization Management - Concurrent Review.Charles Street, New York, NY 10014.VillageCare is looking for a motivated RN for our Supervisor of Utilization Management - Concurrent Revie...serp_jobs.internal_linking.show_more Access and Reimbursement Manager (ARM) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide ran...serp_jobs.internal_linking.show_more
Utilization Manager
Samaritan Village • New York, NY, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Quality Improvement Specialist
Children's Aid Society • The Bronx, NY, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Inpatient DRG Reviewer
Zelis Healthcare, LLC • Morristown, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Management Coordinator - Compliance
PROGYNY • New York, NY, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Product Manager - Review
Relativity • Newark, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Operations Manager - Flow Center - Perth Amboy, NJ
Target • Perth Amboy, NJ, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Access & Reimbursement Manager (ARM) - Renal - Minneapolis (Remote)
Novartis Group Companies • East Hanover, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Access & Reimbursement Manager, Cardiovascular - Indianapolis, Indiana Territory - Remote
Novartis Group Companies • East Hanover, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Access & Reimbursement Manager - CV - Miami (Remote)
Novartis Group Companies • East Hanover, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Behavioral Health Utilization Management Clinician
MetroPlus Health Plan • New York, NY, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Review Manager RN
Christian Health • Wyckoff, NJ, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Inpatient DRG Sr. Reviewer
Zelis Healthcare, LLC • Morristown, NJ, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinical Evaluation Manager - Utilization Management
VNS Health • New York, NY, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Restaurant Delivery - Sign Up in Minutes
DoorDash • Parsippany-Troy Hills, NJ, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Access and Reimbursement Manager - CV - San Jose (Remote)
Novartis Group Companies • East Hanover, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Management Coordinator
PROGYNY • New York, NY, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Registered Nurse (RN) Unit Manager
Northern Riverview Center • Haverstraw, NY, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Member Operations Specialist
Metropolitan Jewish Health System • New York, NY, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Supervisor of Utilization Management
Village Care • New York, NY, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Access & Reimbursement Manager (ARM) - Renal - Long Beach, CA (Remote)
Novartis Group Companies • East Hanover, NJ, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted