Utilization Review Supervisor

Responsible for performing specific tasks required for an efficient and effective hospital utilization review program for Behavioral Health (Psychiatric or Addiction) Services. The incumbent is responsible for carrying out activities that meet the objectives of the hospital utilization review program. The hospital Utilization Review Plan describes the...

Job DescriptionJob DescriptionAt A Beautiful Mind, Inc., our employees are driven by a deep sense of service, high standards of professionalism and a responsibility to better the public good. We are currently seeking an Utilization Reviewer/Trainer who has a passion for providing the highest quality care in an institutional, secure setting. Come join a team...

ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. * Monitor patient length of stay...

Role Description: This full-time role is responsible for provisioning accurate and timely coverage determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal policies and procedures. Regardless of the final determination, the Physician Reviewer is responsible for ensuring medically...

Dane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday - Friday work week while maintaining client-mandated turnaround times. We will reach...

Summary The Inpatient Pharmacy Supervisor is fully responsible for the daily professional, distributive and administrative operation of the Inpatient Pharmacy at Jesse Brown VA Medical Center. The Inpatient Pharmacy Supervisor serves as first-line supervisor as reflected on the organizational chart for inpatient pharmacists and the Inpatient Pharmacy...

**Responsibilities**: **JOB SUMMARY**: Performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payer’s criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers, effectively coordinating collection of all...

Hire Counsel has an immediate opportunity to work with one of the top law firms on a document review position. We are seeking licensed attorneys for a document review project that's available remotely, which is expected to start March 8, 2023.Responsibilities Include:Review documents for relevance and privilege for ongoing litigation Utilize e-Discovery...

Responsibilities JOB SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party reviewers, effectively coordinating collection of all supporting data to...

Job DescriptionJob DescriptionWe are looking to hire skilled Maintenance Mechanic Supervisor to work at a well-established food processing plant near Chicago's southside. (Maintenance Supervisors will be required to have their own basic hand tools & toolbox)MUST haves for this position: Food production industry experience.Starting Salary: $56K to...

**Quality Assurance Utilization for Program Planning** 4534 S Western Ave Chicago, IL 60609 Full Time **Healthcare Alternative Systems, Inc. (H.A.S.) **is a 501 (c) 3 non-profit organization providing behavioral health services to Chicago and the surrounding communities. We offer a continuum of programs addressing substance abuse, mental health,...

Responsibilities JOB SUMMARY: Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for all appeals utilizing nationally recognized criteria to determine medical...

Responsibilities of the Supervisor of Case Management:This is a fantastic leadership opportunity for a talented LSW/LCSW/RN who is looking to expand their career. This position is 50% administrative and 50% clinical. It includes managing a 50% caseload of acute inpatient rehabilitation patients and 50% is towards various administrative responsibilities to...

Responsibilities of the Supervisor of Case Management:This is a fantastic leadership opportunity for a talented LSW/LCSW/RN who is looking to expand their career. This position is 50% administrative and 50% clinical. It includes managing a 50% caseload of acute inpatient rehabilitation patients and 50% is towards various administrative responsibilities to...

**Maintenance & Utilities Manager** **Chicago, Illinois** **Position is 100% on-site** **Skills and Certifications**: Engineering / Bachelors Degree Authorized to work in the US without sponsorship Strong TPM experience The Utilities Maintenance Manager is directly responsible for improving the total uptime performance of the site’s Utilities assets...

_**This position is not eligible for telework ( remote/ work from home)**_ For more than 24 years, CVR's team of professionals has provided technical assistance and program management to affordable housing programs across the country. CVR prides itself on providing extensive training, mentoring, and succession planning to its employees. We continue to...

Responsible for all denial and appeal activities for the Utilization Management department, including Expedited Appeals, Standard Appeals, External Independent Reviews, Retrospective Reviews, and State Fair Hearings. Review clinical information for a Appeals, Management, Behavioral Health, Coordinator, Healthcare

Job DescriptionJob DescriptionHire Resolve is currently seeking a skilled Tax Supervisor to join our client's public accounting team of professionals in Chicago, IL. As a Tax Supervisor, you will play a key role in overseeing the preparation and review of tax returns for individuals, businesses, and trusts. You will also be responsible for providing tax...

Job DescriptionJob DescriptionHire Resolve is currently seeking a skilled Tax Supervisor to join our client's public accounting team of professionals in Chicago, IL. As a Tax Supervisor, you will play a key role in overseeing the preparation and review of tax returns for individuals, businesses, and trusts. You will also be responsible for providing tax...

Hire Resolve is currently seeking a skilled Tax Supervisor to join our client's public accounting team of professionals in Chicago, IL. As a Tax Supervisor, you will play a key role in overseeing the preparation and review of tax returns for individuals, businesses, and trusts. You will also be responsible for providing tax planning and consulting services...