Utilization Review SpecialistVirtualVocations • Toledo, Ohio, United States
Utilization Review Specialist
VirtualVocations • Toledo, Ohio, 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 • Toledo, Ohio, United States
Job_description.internal_linking.related_jobs A company is looking for a Utilization Management Intake Coordinator.Key Responsibilities Handles incoming authorization requests efficiently and accurately Determines authorization requirements...serp_jobs.internal_linking.show_more 
Are you currently enrolled in SRNA program or a newly graduated CRNA ready to take the next step in your career? At NorthStar, were excited to welcome the next generation of CRNA professionals!.Nor...serp_jobs.internal_linking.show_more A company is looking for a Utilization Review Nurse.Key Responsibilities Perform prospective, concurrent, and retrospective utilization reviews using evidence-based guidelines Evaluate severity ...serp_jobs.internal_linking.show_more 
Linen Distribution Team Leader.We're looking for a friendly, compassionate, leader to join our linen distribution team! Manage the hospital's linen program to support effective distribution, collec...serp_jobs.internal_linking.show_more A company is looking for an Intake Specialist.Key Responsibilities Accurately enter referrals and communicate with referral sources to ensure documentation is completed Review medical records fo...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management RN.Key Responsibilities Monitor admissions and perform medical necessity reviews for initial and continued stays Collaborate with the multidisci...serp_jobs.internal_linking.show_more A company is looking for a Utilization Rev Appeals Specialist.Key Responsibilities Review patient medical records to determine reasons for denials and required appeals Collaborate with various d...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Nurse to review and monitor healthcare service utilization for members.
Key Responsibilities Conducts concurrent and retrospective reviews of faci...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Supervisor (Remote within Arkansas).Key Responsibilities Manage and oversee Utilization Management activities Ensure clinical programs meet high...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 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 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 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 A company is looking for a Utilization Management Assistant to join their healthcare team.Key Responsibilities Answer first level calls in Utilization Review for HealthCheck360 participants Eval...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 A company is looking for an Outcomes Specialist.Key Responsibilities Identify and implement operational performance improvement projects aligned with organizational goals Collaborate with variou...serp_jobs.internal_linking.show_more 
Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_more
Fall Into a Rewarding CareerThis Fall – Now Hiring : RN Unit Manager.This fall, step into a leadership role at The Gardens of St.
Francis, where compassionate care and teamwork define our missi...serp_jobs.internal_linking.show_more
Utilization Management Coordinator
VirtualVocations • Toledo, Ohio, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
CRNA - Anesthesiology job available in Oregon, Ohio
NorthStar Anesthesia • Oregon, OH, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Utilization Review Nurse
VirtualVocations • Toledo, Ohio, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Linen Utilization Manager
HHS • Toledo, OH, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Intake Specialist
VirtualVocations • Toledo, Ohio, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Florida Licensed Utilization Management RN
VirtualVocations • Toledo, Ohio, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Review Appeals Specialist
VirtualVocations • Toledo, Ohio, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Utilization Management Nurse
VirtualVocations • Toledo, Ohio, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Arkansas Licensed Utilization Supervisor
VirtualVocations • Toledo, Ohio, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Delivery Driver - Sign Up in Minutes
DoorDash • Flat Rock, MI, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Restaurant Delivery - Sign Up in Minutes
DoorDash • Flat Rock, MI, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Restaurant Delivery - Sign Up and Start Earning
DoorDash • Flat Rock, MI, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Dashers - Sign Up and Start Earning
DoorDash • Tecumseh, MI, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Management Assistant
VirtualVocations • Toledo, Ohio, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Restaurant Delivery - Flexible Schedule
DoorDash • Monroe, MI, United States
serp_jobs.job_card.full_time +1
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
RN Outcomes Specialist
VirtualVocations • Toledo, Ohio, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Tax Expert
Intuit • Erie, MI, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Unit Manager - 2nd Shift
The Gardens of St. Francis • Oregon, OH, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new