Texas Licensed Utilization Review Specialist
VirtualVocationsOgden, Utah, United Statesjob_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 • Ogden, Utah, United States
Job_description.internal_linking.related_jobs 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 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 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 A company is looking for a Workers Compensation Claims Examiner for MD, VA & DC jurisdictions.Key Responsibilities Analyze and process claims to ensure timely resolution through investigation and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 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 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_1_day 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 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 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 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 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 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 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 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 A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Manage and resolve workers compensation claims by analyzing exposure and planning appropriate actions ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours 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 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 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
Prior Authorization Specialist
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Eligibility Specialist
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Licensed Physician Reviewer
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Workers Compensation Claims Examiner
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medicare Eligibility Representative
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Health Claims Examiner
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Enrollment Eligibility Representative
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Healthcare Credentialing Coordinator
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Patient Access Specialist
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Intake Specialist
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Records Specialist
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Workers' Compensation Claims Examiner
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Pennsylvania Licensed Clinical Appeals Reviewer
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Remote Medical Insurance Verifier
VirtualVocationsOgden, Utah, United Statesserp_jobs.filters.remote
serp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Workers Compensation Claims Adjuster (GA Licensed)
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Referral Program Coordinator
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Insurance Authorization Specialist
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
ABA Intake Admin Assistant
VirtualVocationsOgden, Utah, United Statesserp_jobs.job_card.full_time