Utilization Review Specialist
5 days ago
Canyon Vista Recovery Center is seeking a skilled Utilization Review Specialist to join our team. As a Utilization Review Specialist, you will play a critical role in ensuring that our patients receive the necessary care and services to achieve optimal outcomes.
Key Responsibilities:- Conduct thorough reviews of patient admissions, continued stays, and discharges to ensure medical necessity and compliance with regulatory requirements.
- Communicate effectively with insurance companies, health maintenance organizations (HMOs), and other payers to obtain authorizations and resolve denials.
- Collaborate with healthcare providers to ensure accurate and timely documentation of patient information.
- Develop and maintain accurate and comprehensive records of patient information, including medical history, treatment plans, and outcomes.
- Participate in quality improvement initiatives to enhance patient care and reduce costs.
- Bachelor's degree in a related field, such as nursing, social work, or healthcare administration.
- One or more years of experience in a healthcare setting, preferably in utilization review or a related field.
- Strong analytical and problem-solving skills, with the ability to interpret complex data and make informed decisions.
- Excellent communication and interpersonal skills, with the ability to work effectively with healthcare providers, payers, and other stakeholders.
Canyon Vista Recovery Center offers a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) plan and paid time off. We are committed to providing a supportive and inclusive work environment that fosters professional growth and development.
-
Utilization Review Specialist
1 week ago
Arizona City, Arizona, United States Summit BHC Full timeAbout the JobThe Utilization Review Specialist is responsible for ensuring that patient care meets the highest standards of medical necessity and quality. This role involves reviewing patient admissions, continued stays, and discharge planning to ensure that they align with approved clinical criteria and meet daily deadlines for authorization and other...
-
Clinical Utilization Specialist
2 days ago
Arizona City, Arizona, United States Summit BHC Full timeJob Title: Clinical Utilization SpecialistCanyon Vista Recovery Center is seeking a skilled Clinical Utilization Specialist to join our team. As a key member of our healthcare team, you will be responsible for reviewing and managing the utilization of healthcare services to ensure that they are medically necessary and meet the standards of our facility.Key...
-
Travel Nurse RN Utilization Review
3 weeks ago
Tuba City, Arizona, United States Planet Healthcare Full timeJob DetailsPlanet Healthcare is seeking a skilled travel nurse RN for a utilization review position in Tuba City, Arizona.About the RoleSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, on callEmployment Type: TravelThe ideal candidate will have experience in utilization review and be able to work independently...
-
Travel Nurse RN Utilization Review
3 weeks ago
Tuba City, Arizona, United States Planet Healthcare Full timeJob Title: Travel Nurse RN Utilization ReviewPlanet Healthcare is seeking a skilled travel nurse RN for a Utilization Review position in Arizona.Job Details:Specialty: Utilization ReviewDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, on callEmployment Type: TravelAs a travel nurse RN with Planet Healthcare, you will have the...
-
Travel Nurse RN Utilization Review
2 weeks ago
Tuba City, Arizona, United States Planet Healthcare Full timeJob Title: Travel Nurse RN Utilization ReviewPlanet Healthcare is seeking a skilled travel nurse RN for a Utilization Review position in Tuba City, Arizona.About the JobSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeksHours: 36 hours per weekShift: 12 hours, on callEmployment Type: TravelThe pay package is based on 12 hour shifts and 36 hours per...
-
Travel Nurse RN Utilization Review
5 days ago
Tuba City, Arizona, United States Planet Healthcare Full timeJob Title: Travel Nurse RN Utilization ReviewPlanet Healthcare is seeking a skilled Travel Nurse RN for a Utilization Review position in Tuba City, Arizona.Job Details:Specialty: Utilization ReviewDiscipline: RNDuration: 13 weeksShift: 12 hours, on callEmployment Type: TravelThe pay package is based on 12 hour shifts and 36 hours per week, with a tax-free...
-
Travel Nurse RN Utilization Review
3 weeks ago
Tuba City, Arizona, United States Planet Healthcare Full timeJob Title: Travel Nurse RN Utilization ReviewPlanet Healthcare is seeking a skilled Travel Nurse RN Utilization Review professional to join our team.About the Role:Duration: 13 weeksShift: 12 hours, on callEmployment Type: TravelWe offer a competitive pay package based on 12 hour shifts and 36 hours per week, with a tax-free stipend amount to be...
-
Travel Nurse RN Utilization Review
2 days ago
Tuba City, Arizona, United States Planet Healthcare Full timeJob Title: Travel Nurse RN Utilization ReviewPlanet Healthcare is seeking a skilled travel nurse RN for a utilization review position in Tuba City, Arizona.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, on callEmployment Type: TravelPlanet Healthcare Job ID #4-276945. Pay package...
-
Travel Nurse RN Utilization Review
3 weeks ago
Tuba City, Arizona, United States Planet Healthcare Full timeJob OpportunityPlanet Healthcare is seeking a skilled travel nurse RN for a utilization review position in Tuba City, Arizona.Job DetailsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, on callEmployment Type: TravelPlanet Healthcare offers a competitive pay package based on 12 hour shifts and 36 hours per week,...
-
Travel Nurse RN Utilization Review
2 weeks ago
Tuba City, Arizona, United States Planet Healthcare Full timeJob Title: Travel Nurse On Call RNPlanet Healthcare is seeking a skilled travel nurse RN for a Utilization Review position in Tuba City, Arizona.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, on callEmployment Type: TravelThe pay package is based on 12 hour shifts and 36 hours per...
-
Estimator - Underground Utilities Specialist
1 month ago
Arizona City, Arizona, United States Arrowmark LLC Full timeJob SummaryArrowmark LLC is seeking an experienced Estimator to join our team in the role of Underground Utilities Estimator. This position involves managing the bidding process, negotiating contract terms, and interfacing with Contractors and Subcontractors.Key ResponsibilitiesManage the bidding process for underground utilities projects, including seeking...
-
Utilities Control Center Specialist
5 days ago
Arizona City, Arizona, United States Arizona State Gov Full timeJob SummaryAs a Utilities Control Center Operator with the State of Arizona, you will play a critical role in monitoring and operating the Supervisory Control and Data Acquisition system. This position requires strong communication skills, as you will be responsible for receiving after-hours calls from customers and dispatching personnel as needed. Your...
-
Quality Assurance Specialist
2 weeks ago
Arizona City, Arizona, United States Amphenol Borisch Technologies Full timeJob Title: Quality Assurance SpecialistAmphenol Borisch Technologies is seeking a Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality of our products and services.Key Responsibilities:Assist Quality Engineers with identifying opportunities for improving processes and...
-
Medical Billing Specialist
1 day ago
Arizona City, Arizona, United States Quipt Home Medical Full timeJob OverviewWe are a leading provider of clinical respiratory equipment, DME, and services seeking a skilled Billing Specialist to join our team.The ideal candidate will have prior experience in medical billing, a strong understanding of Medicare guidelines, and excellent communication skills.Key ResponsibilitiesReview clinical documentation to ensure...
-
Utility Specialist II
1 week ago
Lake Havasu City, Arizona, United States GovernmentJobs Full timeJob SummaryGovernmentJobs is seeking a skilled Utility Specialist II to perform intermediate work in construction, repair, and maintenance of water distribution, treatment, and production infrastructure and equipment. The ideal candidate will have experience in water distribution functions and be able to work independently with minimal supervision.Key...
-
Clinical Support Specialist
4 weeks ago
Arizona City, Arizona, United States Sevita Full timeAbout the RoleWe are seeking a dedicated and compassionate Clinical Support Specialist to join our team at Sevita. As a Clinical Support Specialist, you will play a vital role in providing high-quality support services to individuals with intellectual and developmental disabilities.Key ResponsibilitiesAssist with Daily Activities: Provide support with daily...
-
Insurance Agency Development Specialist
3 weeks ago
Arizona City, Arizona, United States Horace Mann Full time{"Job Title": "Insurance Agency Development Specialist", "Job Summary": "Horace Mann is seeking an Insurance Agency Development Specialist to lead and consult with new agents to help them develop strong, successful agencies, increase revenue, and contribute to long-term, profitable company growth. This field leader position requires extensive travel and...
-
Collections Specialist
2 days ago
Arizona City, Arizona, United States Nesco Resource Full timeJob Title: Collections SpecialistWe are seeking a skilled Collections Specialist to join our team at Nesco Resource. As a Collections Specialist, you will be responsible for performing collections activities for our institutional loans, private loans, and past-due collections for all inactive student accounts.Key Responsibilities:Make outbound calls, send...
-
Quality Assurance Specialist
1 month ago
Arizona City, Arizona, United States Amphenol Borisch Technologies Full timeJob SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at Amphenol Borisch Technologies. As a Quality Assurance Specialist, you will play a critical role in ensuring the quality of our products and services.Key ResponsibilitiesQuality Assurance: Assist Quality Engineers in identifying opportunities for process improvements...
-
Intake Coordinator
2 weeks ago
Arizona City, Arizona, United States Zarephath Community Services Full timeJob SummaryWe are seeking a highly skilled and compassionate Intake Specialist to join our team at Zarephath Community Services. As an Intake Specialist, you will play a critical role in facilitating the intake, admission, and utilization review process for incoming clients. Your primary responsibility will be to schedule intake meetings, perform insurance...