must be fully vaccinated or have a valid exemption. SUMMARY: The Utilization Review Specialist reviews patient charts... and quality outcomes. The Utilization Review Specialist is responsible for development and implementation of process improvement...
Overview: Utilization Review Specialist 7a - 3:30p Beckett Springs, part of Lifepoint Behavioral Health... as assigned. Qualifications: Qualifications: Bachelor’s degree required. Master’s degree preferred. * Previous utilization...
that touches lives. Utilization Review Specialist (URS) West Chester, Ohio Req ID 2025-20255 Post Date Mar. 03, 2025... required. Master's degree preferred. * Previous utilization review experience in a psychiatric healthcare facility preferred. Current...
pays between $28.90- $35.45/hr based on experience We are seeking Virtual Utilization Review Specialists to join our team... and administration Educates hospital and medical staff regarding utilization review program. Maintains a calm, rational, professional...
Virtual Utilization Review Specialists who are interested in compressed, weekend work schedules. The schedules we are offering... and administration Educates hospital and medical staff regarding utilization review program Maintains a calm, rational, professional...
information to report on utilization, non-certified days (including identified causes and appeal information), discharges... necessity and services provided. Facilitate peer review calls between facility and external organizations. Initiate...
quality? We're seeking a dedicated Utilization Review Specialist (URS) to join our team and ensure that the services provided... for individuals seeking a path towards recovery and improved well-being. Join our team as a Utilization Review Specialist and make...
quality? We're seeking a dedicated Utilization Review Specialist (URS) to join our team and ensure that the services provided... for individuals seeking a path towards recovery and improved well-being. Join our team as a Utilization Review Specialist and make...
Specialist, you'll analyze, select and classify applications for life insurance of a more complex nature according to established... appropriate risk class. This may include but not limited to, making fluid-less underwriting decisions as well as the utilization...
Specialist assesses the clinical documentation through extensive review of the medical record, interacts with multiple members... Documentation Specialist • Performs review of facility inpatient encounters to ensure hospital case-mix index and severity profiles...
Authorization Specialist Cleveland, OH, USA Req #1131 Saturday, March 1, 2025 Job Summary The Prior... Authorization Specialist plays an integral role in optimizing the plan of care for Managed Care patients. They are responsible...
with third party payers and their Utilization Review Departments to assure procedures are authorized and medically necessary. The...The Precert Specialist is directly responsible and accountable to the Precertification Department Manager. The Precert...
Job Description: Job Overview: The Ambulatory Care Clinical Pharmacist Specialist in Endocrinology is responsible... for ensuring safe, effective, and prompt medication therapy management for patients within the clinic setting. The specialist...
Job Title: Specialist, Electrical Engineering Job Code: 20913 Job Location: Cincinnati, OH Schedule: 4/10.... You would also assume the responsibility of presenting designs to internal and external customers for review, and addressing technical...
: Resource Utilization The nursing professional development specialist considers factors related to quality, safety...Job Description The Professional Development Specialist (PDS) is a self-directed, professional registered nurse...
: Resource Utilization The nursing professional development specialist considers factors related to quality, safety...Job Description The Professional Development Specialist (PDS) is a self-directed, professional registered nurse...
with some autonomy but guided by established policies or review of end results. The job allows modification of procedures and practices... Engineering Specialist. Knowledge level is comparable to a Bachelor's degree from an accredited university or college ( or a high...
growth goals. Effectively and independently source new business opportunities and work within defined credit review..., verbal and written. Proficient in all Microsoft Office Software and familiarity with CRM utilization for sales tracking...
in writing & by telephone customers related to pharmacy benefits. Review medication decisions in orders, motions, and prior... authorizations to determine prescription benefit coverage. Perform processing of prior authorization requests and Drug Utilization...
Reports (SARs). An investigator may review consumer and commercial DDAs, loans, lines of credit, debit and credit cards... in chronological order through utilization of a case management system. Report investigative findings to the appropriate designee...