Healthcare Utilization Review Expert
16 hours ago
Responsibilities
- Display knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocate on behalf of the patient to secure coverage for needed services.
- Complete pre and re-certifications for inpatient and outpatient services.
- Report appropriate denial and authorization information to designated resources.
- Actively communicate with interdisciplinary teams to acquire pertinent information and give updates on authorizations.
- Participate in treatment teams to ensure staff have knowledge of coverage and collect information for communication with agencies.
Requirements
- Bachelor's degree required; Master's degree preferred.
- Previous utilization review experience in a psychiatric healthcare facility preferred.
- Current unencumbered clinical license strongly preferred.
- CPR certification and Crisis Prevention Training (CPI) preferred.
-
Behavioral Health Utilization Reviewer
15 hours ago
Fort Worth, Texas, United States WellBridge Healthcare Full timeAbout UsWelcome to WellBridge Fort Worth, part of Lifepoint Behavioral Health. We are a nationally known healthcare organization with a diversified delivery network of facilities from coast to coast.We specialize in compassionate behavioral health services, including crisis stabilization, inpatient care, and outpatient treatment for acute mental health and...
-
Scrum Master Expert
7 days ago
Fort Worth, Texas, United States IDR Healthcare Full timeWe are seeking a highly experienced Scrum Master Expert to join our team at IDR Healthcare in Fort Worth, TX. This role is responsible for leading Agile projects and teams utilizing Scrum methodologies.Job OverviewThis position is part of the Information Technology Team within the Information Technology Division. The successful candidate will be responsible...
-
Healthcare Appeals Specialist
3 weeks ago
Fort Worth, Texas, United States CorVel Healthcare Corporation Full timeAbout the RoleCorVel Healthcare Corporation is seeking a highly skilled and detail-oriented Healthcare Appeals Specialist to join our team.Salary & BenefitsWe offer a competitive salary range of $24.49 - $39.34 per hour, as well as a comprehensive benefits package that includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings...
-
Healthcare Professional Wanted
3 weeks ago
Fort Worth, Texas, United States Maxim Healthcare Full timeAbout Maxim Healthcare Services">Maxim Healthcare Services has been a trusted partner in delivering quality patient care for over 30 years. Our commitment to compassionate care and meeting critical healthcare needs has earned us a reputation as a leader in the industry.">Job Overview">We are seeking a dedicated Registered Nurse to join our team of healthcare...
-
Medical Bill Review Nurse Specialist
3 weeks ago
Fort Worth, Texas, United States CorVel Healthcare Corporation Full timeCorVel Healthcare Corporation Overview: CERIS, a division of CorVel Healthcare Corporation, is a certified Great Place to Work Company committed to accuracy and transparency in healthcare payments. We are dedicated to delivering exceptional results and creating incremental value for our valued partners. Estimated Salary Range: $60,846 – $90,940 Job...
-
Healthcare Appeals Coordinator
7 days ago
Fort Worth, Texas, United States CorVel Healthcare Corporation Full timeJob Description:CORVEL HEALTHCARE CORPORATION is currently looking for a Healthcare Appeals Coordinator to join our team. In this role, you will be responsible for addressing provider inquiries and appeals via email, fax, telephone, or written correspondence, ensuring adherence to client policy, industry standards, as well as CMS and state guidelines. This...
-
Healthcare Coordinator RN/Transitions Expert
3 weeks ago
Fort Worth, Texas, United States UnitedHealthcare Full timeOverviewAt UnitedHealthcare, we're simplifying the healthcare experience, creating healthier communities and removing barriers to quality care.The work you do here impacts the lives of millions of people for the better. Our mission is to help people live healthier lives and make the health system work better for everyone.Job SummaryWe're seeking a skilled...
-
Automation Expert Wanted
3 days ago
Fort Worth, Texas, United States IDR Healthcare Full timeWe are looking for an experienced Automation Expert to join our team in Fort Worth, TX. As an Automation Expert, you will be responsible for designing, developing, and maintaining automated test suites for our Attendance Performance System Application.About the Role:Develop and maintain automated test suites using tools like Selenium, Katalon, and...
-
Sheet Metal Fabrication Expert
3 days ago
Fort Worth, Texas, United States Aviation Technical Services Full timeSheet Metal Fabrication ExpertWe are seeking a skilled Sheet Metal Fabrication Expert to join our team at Aviation Technical Services in DFW, Texas. As a Sheet Metal Fabrication Expert, you will be responsible for repairing, replacing, and rebuilding sheet metal components on aircraft.**Key Responsibilities:**Repair, replace, and rebuild A/C component...
-
Healthcare Training Specialist
1 hour ago
Fort Worth, Texas, United States ONE Elite Staffing Full timeJob DescriptionWe are seeking a skilled Healthcare Training Specialist to join our team at ONE Elite Staffing. This role involves designing, developing, and delivering comprehensive Epic training programs for healthcare professionals.About the RoleThis is an exciting opportunity to work in a fast-paced environment, utilizing your expertise to create engaging...
-
Home Healthcare Professional
3 weeks ago
Fort Worth, Texas, United States Maxim Healthcare Full timeAbout UsMaxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees, and communities for over 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care, and behavioral care for individuals with chronic and acute illnesses and disabilities.Job SummaryWe are...
-
Customer Relations Representative
3 weeks ago
Fort Worth, Texas, United States Nicole Dawson - State Farm Agent Full timeJob DescriptionAs a Customer Relations Representative at Nicole Dawson - State Farm Agent, you will play a pivotal role in marketing financial products that manage everyday risks. With a deep understanding of financial products, you will employ a consultative approach to educate customers on their financial options, leveraging your analytical precision to...
-
Account Growth Expert
2 days ago
Fort Worth, Texas, United States Koddi Full timeAbout the Opportunity:We are seeking an experienced Account Growth Expert to join our team. In this role, you will be responsible for developing and executing strategies to drive growth and revenue for our clients. You will work closely with our digital marketing analysts to ensure that each account has a clear service plan and problem-solves any...
-
Financial Planning Expert
3 weeks ago
Fort Worth, Texas, United States NW Mutual - Ft. Worth - Agency - Self Opportunity Full timeUnparalleled Career OpportunityIn an industry where financial security is paramount, we invite ambitious individuals to join our esteemed team as a Financial Planning Expert. As a Wealth Management Advisor at NW Mutual - Ft. Worth - Agency - Self Opportunity, you will be instrumental in crafting bespoke financial plans that empower clients to achieve their...
-
Aviation Maintenance Documentation Expert
3 weeks ago
Fort Worth, Texas, United States Pyramid Consulting, Inc Full timeWe are hiring an Aviation Maintenance Documentation Expert to join our team at Pyramid Consulting, Inc. in Fort Worth, TX.This is a contract opportunity with the potential for long-term employment, and we are looking for someone who can learn and understand the policies and procedures of the ACM Digital Data department.The Aviation Maintenance Documentation...
-
Healthcare Advocate Professional
3 weeks ago
Fort Worth, Texas, United States Serenity Healthcare Full timeOverviewSerenity Healthcare is a leader in the field of healthcare technology, utilizing advanced medical devices to provide patients with long-term success even when other treatments have failed.Estimated Salary$42,000 - $60,000 per year (dependent on experience and location)Job DescriptionWe are seeking a Client Care Specialist for our Fort Worth, TX...
-
Customer Support Expert
1 hour ago
Fort Worth, Texas, United States Family Car Group Full timeService Advisor OpportunityWe are seeking a Customer Support Expert to join our service team at Family Car Group. As a key member of our team, you will be responsible for delivering outstanding customer service and ensuring that our clients receive the best possible experience.Key Responsibilities:Communicate with customers to understand their needs and...
-
Compliance Specialist
3 weeks ago
Fort Worth, Texas, United States Texas Bank Full timeCompany OverviewTexasBank is a reputable financial institution committed to providing exceptional services to its customers. As a Compliance Specialist - Mortgage Prefunding Expert, you will play a crucial role in ensuring that all mortgage files are thoroughly reviewed and meet the required investor guidelines.
-
Boundary Resolution Expert
7 days ago
Fort Worth, Texas, United States Landpoint Full timeJob Description:The Boundary Resolution Expert will play a critical role in ensuring accurate land surveying services and maintaining industry standards. This position will be responsible for overseeing boundary resolution, data quality, accuracy, and completeness of land surveying projects. The ideal candidate will have a strong background in land surveying...
-
Electrical Design Expert
7 days ago
Fort Worth, Texas, United States Qualus Full timeAbout the RoleWe are seeking an Electrical Design Expert to join our team at Qualus. This role will be responsible for designing substations, including general arrangement, equipment and electrical layout, elevation views, cable trench, grounding, conduit drawings, details, bills of material, and AC and DC power systems.Key ResponsibilitiesDesign substations...