Utilization Review Director

Utilization Review SpecialistAcadia Healthcare Inc. is seeking a highly skilled Utilization Review Specialist to optimize reimbursement and ensure the best possible care for our patients.Optimize Reimbursement and Patient CareConcurrent and Retrospective ReviewsLiaison and CollaborationStaff Management and DevelopmentProgram Evaluation and ComplianceKey...

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another...

Job SummaryWe are seeking a highly skilled Director of Utilization Management to join our team at Acadia Healthcare. As a key member of our leadership team, you will be responsible for overseeing the utilization management program, ensuring compliance with regulations, and optimizing reimbursement for our facilities.Key ResponsibilitiesUtilization Review:...

Pyramid Consulting is seeking a skilled LPN/LVN professional to fill a local contract position in a Utilization Review role.Job RequirementsSpecialty: Utilization ReviewDiscipline: LPN/LVN40 hours per weekShift: 8 hours, daysEmployment Type: Local ContractThe ideal candidate will possess strong placement coordination, utilization review, and discharge...

Overview:Harbor Oaks Hospital is looking for a PRN - Utilization Review Manager to join our team!Harbor Oaks Hospital, New Baltimore's leading Mental Health and Addiction Treatment Center is seeking a passionate Utilization Review Manager to work at our facility in New Baltimore, MI.Non-Exempt PositionMonday - Friday - Day Shift (2 days per week)Rate of Pay:...

Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient’s provider benefits for their needs.Conduct and oversee concurrent and retrospective reviews for all patients.Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review...

Job SummaryCapital Health is seeking a highly skilled Utilization Review Registered Nurse to join our team. As a key member of our clinical staff, you will play a critical role in ensuring the highest quality patient care and optimizing resource utilization.Key ResponsibilitiesConduct thorough chart reviews to identify quality, timeliness, and...

About the RoleWe are seeking a highly skilled Licensed Utilization Review Senior to join our team at Elevance Health. As a key member of our clinical review team, you will play a critical role in ensuring that our members receive the most appropriate and cost-effective care possible.Key ResponsibilitiesConduct thorough reviews of medical records to determine...

Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one...

Job SummaryKYYBA, Inc is seeking a highly skilled Clinical Review Analyst to join our team. As a Clinical Review Analyst, you will be responsible for performing prospective, concurrent, and retrospective reviews of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service, and...

The Ferreira Group is a consortium of privately held and commonly owned, large-scale construction companies that perform civil, site, drilling, pile driving, electrical transmission and distribution (overhead and underground), specialty underground cable, traffic signalization, underground utility (gas, water, and sewer), marine, renewable energy, and...

Job DescriptionJob DescriptionThe Business Practices Director is responsible for assuring a best practices business environment for the Jewish Federation and its 16 local agencies.  The Director will review the agencies’ financial reports and internal controls, and identify and resolve any potential areas of concern.  DUTIES AND RESPONSIBILITIES:•  ...

Job DescriptionJob DescriptionThe Director, Business Practices is responsible for assuring a best practices business environment for the Jewish Federation and its 16 local agencies.  The Director will review the agencies’ financial reports and internal controls, and identify and resolve any potential areas of concern.  DUTIES AND RESPONSIBILITIES:•  ...

Description JOB SUMMARY: A Speech Language Pathologist (SLP) administers speech therapy to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/Nursing Supervisor. Speech therapy services are furnished only...

Job Summary:Physician Empire is seeking a highly experienced and skilled Medical Director to join our team at our 120-bed psychiatric facility. As a key member of our Leadership Team, you will be responsible for overseeing our OPPE and FPPE processes, PI/Quality program, utilization review committee, and physician recruitment/retention efforts.Key...

Job Title: Nursing Program Director Posting Number: 20110545 Pay Rate: Salary commensurate with experience Position Type: Faculty Key Responsibilities : Juniata College invites applications for the position of Director of the Nursing Program. This tenure-track, 12-month role offers a unique opportunity to lead and provide strategic direction for our nursing...

About the Role:OpTech is seeking a skilled Healthcare Review Analyst to join our team. As a key member of our organization, you will play a critical role in ensuring the quality and integrity of our healthcare services.Responsibilities:Conduct thorough reviews of inpatient, outpatient, ambulatory, and ancillary services to verify medical necessity,...

Position OverviewIn this pivotal role, the Vice President of Financial Operations will report directly to the Chief Executive Officer and will be tasked with overseeing the financial management of Jewish Family Service of Metropolitan Detroit.The VP will collaborate closely with the CEO, the Board of Directors, and the Finance and Audit Committees, along...

Job DescriptionJob DescriptionThe Business Practices Director is responsible for assuring a best practices business environment for the Jewish Federation and its 16 local agencies.  The Director will review the agencies’ financial reports and internal controls, and identify and resolve any potential areas of concern.  This is a part-time position,...

Description A Registered Physical Therapist (PT) administers physical therapy to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Director of Clinical Services/Nursing Supervisor. QUALIFICATIONS: 1. Graduate from a physical...