Utilization Review Coordinator
5 days ago
Healing the Body and Mind:
NeuroPsychiatric Hospital is a leading healthcare provider with a unique approach to neuropsychiatric and complex medical care. Founded 15 years ago, we have established ourselves as the largest hospital system in the nation, serving patients with both neurological and medical needs.
Our Mission:
We strive to provide unrivaled quality care to our patients through an interdisciplinary focus and multi-specialty approach. Our facilities are designed to cater to a population that has previously been underserved, and we are committed to making a positive impact on their lives.
Overview:
We are seeking a skilled Utilization Review Coordinator to join our team. This role will involve coordinating patient services across the continuum of care, promoting effective utilization, and monitoring health resources. The ideal candidate will have strong knowledge of medications, exceptional time management, data entry, and communication skills.
Responsibilities:
- Filing documents as needed.
- Initial Precertification with payors.
- Concurrent Clinical review with payors.
- Document in the electronic system daily in real time.
- Admission audit.
- Ensures that CONs/RONs and CMS certifications are completed by provider.
Requirements:
- An undergraduate or graduate degree in behavioral health or a Registered Nurse (RN).
- QMA, CMA, CCM, ACM, or MA (preferred).
What We Offer:
- Competitive pay rates.
- Medical, Dental, and Vision Insurance.
- NPH 401(k) plan with up to 4% Company match.
- Employee Assistance Program (EAP) Programs.
- Generous PTO and Time Off Policy.
- Special tuition offers through Capella University.
- Work/life balance with great professional growth opportunities.
- Employee Discounts through LifeMart.
-
Utilization Review Coordinator
4 weeks ago
Phoenix, Arizona, United States NeuroPsychiatric Hospitals Full timeAbout UsNeuroPsychiatric Hospital is a leading healthcare provider with a unique approach to neuropsychiatric and complex medical care. With a strong focus on interdisciplinary collaboration, our facilities offer unrivaled quality care to patients across the United States.Job OverviewWe are seeking a skilled Utilization Review Coordinator to join our team....
-
Clinical Utilization Reviewer
3 weeks ago
Phoenix, Arizona, United States Triwest Healthcare Full timeJob SummaryThe Clinical Utilization Reviewer is responsible for reviewing and making decisions about the appropriateness and level of beneficiary care being provided to ensure cost-effective care and proper utilization of resources.Key ResponsibilitiesConducts prior authorization, continued stay, and referral management activities.Assesses medical necessity...
-
Utilization Review Authorization Specialist
4 days ago
Phoenix, Arizona, United States Sanctuary Recovery Centers Full timeJob Title: Utilization Review Authorization SpecialistThe Utilization Review Authorization Specialist is a critical role at Sanctuary Recovery Centers, responsible for ensuring timely and appropriate care for our patients. This position requires strong communication and organizational skills, as well as a deep understanding of healthcare regulations and...
-
Clinical Utilization Reviewer
5 days ago
Phoenix, Arizona, United States Triwest Healthcare Full timeJob SummaryThe Utilization Management Clinical Reviewer plays a critical role in ensuring the delivery of cost-effective and high-quality care to our nation's heroes. As a key member of our team, you will be responsible for reviewing and making decisions about the appropriateness and level of beneficiary care, ensuring that resources are utilized efficiently...
-
Clinical Utilization Review Specialist
5 days ago
Phoenix, Arizona, United States Centene Corporation Full timeJob Title: Clinical Utilization Review SpecialistJoin Centene Corporation, a leading healthcare company, as a Clinical Utilization Review Specialist. In this role, you will play a critical part in ensuring the quality and appropriateness of care for our 28 million members.Job Summary:We are seeking a highly skilled Clinical Utilization Review Specialist to...
-
Utility Associate
11 hours ago
Phoenix, Arizona, United States RPM Living Full timeAre you looking for a challenging role in property utilities management? RPM Living is seeking a skilled Utility Associate to coordinate and manage property utilities in an assigned region.Key Responsibilities:Coordinate and manage property utilities in an assigned regionCommunicate with billing providers and utility providers to facilitate discussions and...
-
Utility Services Coordinator
3 weeks ago
Phoenix, Arizona, United States Avenue5 Residential Full timeJob Title: Utility SpecialistThe Utility Specialist at Avenue5 Residential works closely with national suppliers to manage utilities at properties, encompassing services such as utility billing, waste management, telecom, WiFi, and other related services. This role is responsible for assisting in the coordination and delivery of these services, ensuring...
-
Dry Utility Scheduling Coordinator
3 weeks ago
Phoenix, Arizona, United States VW CONNECT Full timeJob Title: Dry Utility Scheduling CoordinatorJob Summary:We are seeking a skilled Dry Utility Scheduling Coordinator to join our team at VW CONNECT. As a key member of our construction team, you will be responsible for scheduling multiple crews and jobs while providing exceptional customer service.Key Responsibilities:Schedule and coordinate dry utility...
-
Dry Utility Scheduling Coordinator
4 days ago
Phoenix, Arizona, United States VWConnect Full timeDry Utility Scheduling CoordinatorWe are seeking a skilled Dry Utility Scheduling Coordinator to join our team at VWConnect. As a key member of our construction team, you will be responsible for scheduling multiple crews and jobs while providing excellent customer service through effective communication.Key Responsibilities:Follow office workflow procedures...
-
Dry Utility Scheduling Coordinator
3 weeks ago
Phoenix, Arizona, United States VW CONNECT Full timeDry Utility Scheduling Coordinator RoleWe are seeking a skilled Construction Coordinator to undertake scheduling multiple crews and jobs while providing excellent customer service. This is a full-time position that requires strong organizational and communication skills.Key Responsibilities:Coordinate scheduling for multiple crews and jobsProvide excellent...
-
Dry Utility Scheduling Coordinator
4 weeks ago
Phoenix, Arizona, United States VW CONNECT Full timeDry Utility Scheduling CoordinatorWe are seeking a skilled and organized Dry Utility Scheduling Coordinator to join our team at VW Connect. As a key member of our construction team, you will be responsible for scheduling multiple crews and jobs while providing exceptional customer service through effective communication.This is a full-time, in-office...
-
Dry Utility Scheduling Coordinator
4 days ago
Phoenix, Arizona, United States VWConnect Full timeDry Utility Scheduling CoordinatorWe are seeking a skilled and organized Dry Utility Scheduling Coordinator to join our team at VWConnect. As a key member of our construction team, you will be responsible for scheduling multiple crews and jobs while providing exceptional customer service through effective communication.This is a full-time, in-office position...
-
Dry Utility Scheduling Coordinator
4 days ago
Phoenix, Arizona, United States VW CONNECT Full timeDry Utility Scheduling CoordinatorWe are seeking a skilled Construction Coordinator to undertake scheduling multiple crews and jobs while providing excellent customer service through effective communication and coordination. This is a full-time position that requires strong organizational and time management skills.Key Responsibilities:Coordinate scheduling...
-
Senior Attorney/Partner in Charge
3 weeks ago
Phoenix, Arizona, United States Denovo Review Full timeJob OpportunityDenovo Review, a leading plaintiff's trial law firm, is seeking an experienced senior partner-level attorney to lead their Scottsdale, AZ office. The ideal candidate will have a strong background in personal injury litigation, with a focus on product liability law, particularly in medical device and pharmaceutical areas.Key...
-
Personal Injury Attorney
3 weeks ago
Phoenix, Arizona, United States Denovo Review Full timeJob Title: Pre-Litigation Personal Injury AttorneyDenovo Review is seeking a highly skilled Pre-Litigation Personal Injury Attorney to join our team in Phoenix, AZ. As a key member of our litigation team, you will play a critical role in managing and facilitating legal matters related to personal injury cases before they reach the litigation phase.Key...
-
Document Review Specialist
4 weeks ago
Phoenix, Arizona, United States KLDiscovery Full timeJob Title: Document ReviewerWe are seeking a skilled Document Reviewer to join our team at KLDiscovery. As a Document Reviewer, you will play a critical role in supporting our clients' litigation needs by reviewing and coding documents for relevancy, confidentiality, and privilege.Key Responsibilities:Review and code documents using electronic review...
-
Utilization Management Nurse Consultant
5 days ago
Phoenix, Arizona, United States CVS Health Full timeJob SummaryCVS Health is seeking a highly skilled Utilization Management Nurse Consultant to join our team. As a key member of our clinical team, you will work closely with providers to secure additional information for prior authorization reviews, utilizing your clinical expertise to coordinate, document, and communicate all aspects of the...
-
Clinical Utilization Management Consultant
4 days ago
Phoenix, Arizona, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our clinical team, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key ResponsibilitiesApply critical thinking and clinical expertise to review and authorize...
-
Clinical Utilization Management Specialist
4 days ago
Phoenix, Arizona, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key ResponsibilitiesApply critical thinking and clinical expertise to review...
-
Phoenix, Arizona, United States CVS Health Full timeJob SummaryCVS Health is seeking a highly skilled Oncology and Transplant Utilization Management Nurse Consultant to join our team. As a key member of our clinical team, you will work in a clinical telephone queue, collaborating with providers to secure additional information for prior authorization reviews. Your clinical expertise will be utilized to...