Utilization Review Specialist

Overview Shift: 7am - 3:30pm PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of...

Job DescriptionJob DescriptionAbout The RoleBHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity reviews. This position reports to the Director, Clinical Programs.This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities...

Job DescriptionJob DescriptionAbout The RoleBHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical quality oversite. This position reports to the Clinical Program Manager.This job description is not designed to cover or contain a comprehensive listing of activities, duties...

About The RoleBHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical quality oversite. This position reports to the Clinical Program Manager.This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities and...

**Salary** - $19.14 - $36.65 Hourly**Location** - Wesley Chapel, FL**Job Type** - Full Time**Job Number** - 12040-0424**Department** - Utilities Water & Wastewater O & M**Division** - Water Services**Opening Date** - 04/26/2024**Closing Date** - 5/2/2024 11:59 PM Eastern**Salary Range** - $19.14 - $36.65**Salary Disclosure** - Pay rates are based on...

**Salary** - $19.14 - $36.65 Hourly**Location** - Wesley Chapel, FL**Job Type** - Full Time**Job Number** - 12040-0524R**Department** - Utilities Water & Wastewater O & M**Opening Date** - 05/24/2024**Closing Date** - 6/6/2024 11:59 PM Eastern**Salary Range** - $19.14 - $36.65**Salary Disclosure** - Pay rates are based on education, skill, experience level...

OverviewPRNPURPOSE STATEMENT: Clinical professional responsible for inquiries, assessments and admissions to facility. ResponsibilitiesESSENTIAL FUNCTIONS: Facilitate admissions and assessment processes for incoming patients. Respond to inquiries about the facility within facility policy timeframes. Schedule/complete pre-admission assessments and...

Overview: Mid-shift 3p-11p (rotates every other weekend) ? PURPOSE STATEMENT: ?Clinical professional responsible for inquiries, assessments and admissions to facility. Responsibilities: ?ESSENTIAL FUNCTIONS: ?Facilitate admissions and assessment processes for incoming patients. ?Respond to inquiries about the facility within facility policy timeframes....

Overview Mid-shift 3p-11p (rotates every other weekend) PURPOSE STATEMENT: Clinical professional responsible for inquiries, assessments and admissions to facility. ResponsibilitiesESSENTIAL FUNCTIONS: Facilitate admissions and assessment processes for incoming patients. Respond to inquiries about the facility within facility policy timeframes. ...

Role Requirements: Board Certified or Board Eligible required Outpatient setting Phone call coverage is 1:7 Monday - Friday 8:00 am to 5:00 pm See ages 12+ Opportunity to participate in a larger Medicare Advantage contract. Practice Highlights: Thriving physician-led, professionally managed healthcare system Excellent brand recognition Dynamic...

Date Posted: 2024-03-18 Country: United States of America Location: Wesley Chapel Tanic Office WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional...

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.A LITTLE BIT ABOUT FCS Since 1984, Florida Cancer...

All the benefits and perks you need for you and your family: · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others...

**All the benefits and perks you need for you and your family:** Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body,...

Overview: Night Thurs-Mon 11p-7a (schedule could be flexible)? PURPOSE STATEMENT: ?Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resources utilization. Responsibilities: ?ESSENTIAL...

All the benefits and perks you need for you and your family: · Paid Days Off from Day One · Student Loan Repayment Program · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that...

Our Vision is to be the best choice for healthcare in our communityFlorida Medical Clinic invites you to explore the Family Practice/Internal Medicine opportunities with a thriving physician-led, professionally managed healthcare system. Established in 1993, Florida Medical Clinic has been a leader in the healthcare industry for more than 30 years. Now a...

Our Vision is to be the best choice for healthcare in our community Florida Medical Clinic invites you to explore the Family Practice/Internal Medicine opportunities with a thriving physician-led, professionally managed healthcare system. Established in 1993, Florida Medical Clinic has been a leader in the healthcare industry for more than 30 years. Now a...

Job DescriptionJob DescriptionOur Vision is to be the best choice for healthcare in our communityFlorida Medical Clinic invites you to explore the Family Practice/Internal Medicine opportunities with a thriving physician-led, professionally managed healthcare system. Established in 1993, Florida Medical Clinic has been a leader in the healthcare industry for...

Job Details Description Are you looking to work for a practice that offers stability and operates with integrity? Would you like to work for a dentist with an excellent reputation in the community and among dental peers? Look no further. Coast Dental & Orthodontics follows COVID-19 CDC Guidelines and ADA recommendations and makes every effort to...