Utilization Review Coordinator

Job SummaryWe are seeking a highly organized and detail-oriented Utilization Review Admin to join our team at Insight Global. As a key member of our Department of Care Coordination, this role will play a critical part in enhancing efficiency and timely responsiveness to payor requests.Key ResponsibilitiesManage and triage communication from insurance payors...

Job SummaryThis role is a key member of the Department of Care Coordination, supporting the Utilization Review (UR) team to enhance efficiency and timely responsiveness to payor requests. The primary responsibility is managing and triaging communication from insurance payors via email, fax, and phone inquiries pertaining to clinical requests, approvals,...

Job SummaryWe are seeking a highly skilled and experienced Clinical Utilization Review Specialist to join our team at Innovative Systems Group. As a key member of our team, you will be responsible for ensuring compliance with utilization management and quality review functions performed by medical groups and IPAs participating in our networks.Key...

Job SummaryWe are seeking a highly skilled and experienced Senior Review Coordinator to join our team at Telligen. As a key member of our population health management organization, you will play a critical role in conducting utilization review and medical management for all services, including training and mentoring other team members.Key...

Job Title: Clinical Utilization Review SpecialistCentene Corporation is seeking a highly skilled Clinical Utilization Review Specialist to join our Medical Management/Health Services team. As a key member of our team, you will play a critical role in ensuring that our members receive high-quality, medically necessary care.Job Summary:The Clinical Utilization...

Job OverviewAura Staffing Partners Chicago LLC is seeking a skilled Utilization Review Nurse to join our team. The ideal candidate will play a crucial role in ensuring the appropriate use of healthcare services and resources.Key ResponsibilitiesConduct thorough utilization reviews to assess medical necessity and appropriateness of healthcare...

Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. This role is a critical component of our healthcare recruitment efforts, and we are excited to find the right candidate to fill this position.Key Responsibilities:Conduct comprehensive drug utilization reviews...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. This role is responsible for evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient outcomes.Key Responsibilities:Conduct comprehensive drug...

Job Title: Drug Utilization Review SpecialistAt destinationone Consulting, we are seeking a highly skilled Drug Utilization Review Specialist to join our team. As a key member of our healthcare recruitment team, you will play a crucial role in evaluating medication use patterns to promote safe and effective medication therapy, ensuring optimal patient...

Job SummaryThis is a full-time, onsite position at the University of Illinois at Chicago. The Discharge Planning HURC II will work Tuesday to Saturday from 8 am to 4:30 pm.Key Responsibilities:Coordinate patient services in assigned patient care units or departments.Collaborate with healthcare professionals to ensure seamless patient care.Facilitate...

Job Summary:As a Utilization Specialist at Acadia Healthcare, you will play a critical role in ensuring the efficient and effective use of healthcare resources. You will serve as a liaison between managed care organizations and our facility's professional clinical staff, conducting reviews and coordinating communication regarding reimbursement requirements....

Job SummaryWe are seeking a highly skilled Utilization Management Specialist to join our team at HireOps Staffing LLC. As a key member of our team, you will be responsible for ensuring compliance with Utilization Management (UM) and Quality Review (QR) functions performed by Medical Groups/IPAs participating in our networks.Key ResponsibilitiesReview and...

Job Summary:This position is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating in the networks. The ideal candidate will have a strong clinical background, excellent analytical and communication skills, and the ability to work effectively in a team...

Dane Street, a certified "Great Place to Work" company, is seeking 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 out when we...

Job Title: Utilization ManagerCarolina Therapeutic Services Health is seeking a highly skilled Utilization Manager to join our team. As a Utilization Manager, you will play a critical role in ensuring the continuity of care and quality of service to our consumers.Key Responsibilities:Develop authorizations with Managed Care Organizations (MCOs) to ensure...

Job Title: Nurse Reviewer IJob Summary:The Nurse Reviewer I is a critical role in our organization, responsible for conducting preauthorization, out of network, and appropriateness of treatment reviews for diagnostic imaging services. This position requires a strong understanding of clinical and department guidelines, as well as excellent communication...

Job SummaryThe University of Illinois Chicago is seeking a highly skilled Utilities Engineer to join its team. As a key member of the Utilities Department, you will provide engineering-related support and services to ensure energy and cost efficiencies across the campus.Key ResponsibilitiesProvide engineering analyses and evaluations to identify and...

Job SummaryThe University of Illinois Chicago is seeking a highly skilled Utilities Engineer to join its team. As a key member of the Utilities Department, this individual will provide engineering-related support and services to ensure energy and cost efficiencies across the campus.Key ResponsibilitiesProvide engineering analyses and evaluations to identify...

Job SummaryWe are seeking a highly skilled Clinical Review Specialist to join our team at Universal Health Services, Inc. As a key member of our Utilization Management team, you will be responsible for performing timely and accurate clinical reviews with all payer types to secure authorization for initial and continued treatment.ResponsibilitiesConduct daily...

Job 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 analyzing documents for complex litigation matters.Key Responsibilities:Review and analyze documents using electronic review platforms to...