Utilization Review Specialist
4 weeks ago
The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures. Performs concurrent and retrospective reviews on all patients. Monitors level and quality of care. Responsible for the proactive management of patients with the objective of improving quality outcomes and decreasing costs. Evaluates and provides feedback to treating physicians regarding a patient's discharge plans and available covered services, including identifying alternative levels of care that may be covered. Monitors all utilization reports to assure compliance with reporting and turnaround times. Addresses care issues with the Director of Clinical Services and Chief Medical Officer/Medical Director as appropriate. Coordinates an interdisciplinary approach to support continuity of care. Provides utilization management, transfer coordination, discharge planning, and issuance of all appropriate authorization for covered services as needed. Identifies and recommends opportunities for cost savings and improving the quality of care across the continuum. Clarifies health plan medical benefits, policies and procedures for members, physicians, staff, contract providers, and outside agencies. RequirementsRequirements Bachelor's degree in Social Work or related field required. Clinical Licensure in the State of Nevada preferred, no required Knowledge of medical terminology, medical records, and appropriate medical coding system. Working knowledge with software and/or equipment (Microsoft Office applications including Outlook, Word, Excel and PowerPoint). Maintains confidentiality of patients at all times. BenefitsWe proudly offer the following benefits available first of the month following just one month of employment: Competitive rates Flexible schedules Tuition reimbursement Comprehensive package of benefits to include: Medical Dental Vision Life, Pet, Identity Theft Insurance 401k Generous paid time off Short Term and Long Term Disability
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Utilization Review Specialist
7 days ago
Reno, United States Reno Behavioral Healthcare Hospital Full timeThe UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures. + Performs concurrent and retrospective reviews on...
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Utilization Review Specialist
3 weeks ago
Reno, United States Renobehavioral Full timeThe UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures. Performs concurrent and retrospective reviews on...
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Utilization Review Specialist
2 weeks ago
Reno, United States Reno Behavioral Healthcare Hospital Full timeJob DescriptionJob DescriptionThe UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures.Performs concurrent...
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Utilization Review Specialist
3 weeks ago
Reno, Nevada, United States Reno Behavioral Healthcare Hospital Full timeThe UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness and efficiency of medical services and procedures. Performs concurrent and retrospective...
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Director of Utility Services
6 days ago
Reno, United States City of Reno Full timeClassification Description Summary Under general administrative direction, plans, directs, manages, and oversees the activities and operations of the Utility Services Department, including planning, directing, and reviewing the activities of the department; provides professional and technical staff assistance; represents the City on water supply, sewer,...
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Inventory Specialist
2 days ago
Reno, United States Westinghouse Electric Company Full timeSupports Plant operations, by ensuring critical spare parts and services are purchased and delivered on time, in an efficient manner. Primary Duties: Follows all procedures, in the Safe Manual procedures. Reviews purchase requisitions for accuracy, i Inventory, Specialist, Manufacturing, Retail, Support, Shipping
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Program Specialist
1 day ago
Reno, United States Amtec Human Resources Full timeSUMMARY: The Program Specialist acts as a liaison between members and dealers for the Auto buying program. This role will be responsible for gathering information, researching, communicating and educating all parties on the guidelines of the program. They will also ensure incoming and outgoing calls are processed accurately and in a timely manner with...
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Customer Service Specialist
5 days ago
Reno, United States Amtec Inc. Full timeCustomer Service SpecialistReno, NV 89502, United StatesESSENTIAL DUTIES AND RESPONSIBILITIES:Program Specialists will interact with Members, Dealers (including General Managers and Principals), Sales team, and various internal departments via phone and email using appropriate business acumen. The Program Specialist must demonstrate the ability to remain...
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Customer Service Specialist
5 days ago
Reno, United States Amtec Inc. Full timeCustomer Service SpecialistReno, NV 89502, United StatesESSENTIAL DUTIES AND RESPONSIBILITIES:Program Specialists will interact with Members, Dealers (including General Managers and Principals), Sales team, and various internal departments via phone and email using appropriate business acumen. The Program Specialist must demonstrate the ability to remain...
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Customer Service Specialist
3 days ago
Reno, United States Amtec, LLC Full timeCustomer Service Specialist Reno, NV 89502, United States ESSENTIAL DUTIES AND RESPONSIBILITIES: Program Specialists will interact with Members, Dealers (including General Managers and Principals), Sales team, and various internal departments via phone and email using appropriate business acumen. The Program Specialist must demonstrate the ability to remain...
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Project Controls Specialist
7 days ago
Reno, United States Westinghouse Nuclear Full timeProject Controls Specialist - 1 Year Contract Denver, CO - Must live within a drivable distance, onsite role Are you interested in being part of an innovative team that supports Westinghouse's mission to provide clean energy solutions? At WECTEC Staffing Services, a wholly-owned subsidiary of Westinghouse Electric Company LLC, we recognize that our...
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Court Specialist
3 weeks ago
Reno, United States CareerBuilder Full timeClassification Description Summary Under supervision, performs a wide variety of specialized clerical, technical, and administrative duties in support of the Reno Municipal Court operations and services including in the areas of records management, data entry, sentence compliance, public service counter, and courtroom support. Court Specialist I: This is the...
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Retention Specialist
3 weeks ago
Reno, United States Nevada Corporate Headquarters Full timeRetention Specialist Nevada Corporate Headquarters, Inc. (NCH) has been launching businesses and careers since 1989! We focus on inspiring our employees to provide an excellent customer experience that assists our clients through every step of establishing a successful business. We promote an environment that is fun, energetic, and supportive! Our growing...
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Retention Specialist
3 weeks ago
Reno, United States Nevada Corporate Headquarters Full timeJob DescriptionJob DescriptionSalary: $15 an Hour + Commission + BonusesRetention SpecialistNevada Corporate Headquarters, Inc. (NCH) has been launching businesses and careers since 1989! We focus on inspiring our employees to provide an excellent customer experience that assists our clients through every step of establishing a successful business. We...
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Renewals Specialist
5 days ago
Reno, United States Nevada Corporate Headquarters Full timeJob DescriptionJob DescriptionSalary: $15 an Hour + Commission + BonusesRenewals SpecialistNevada Corporate Headquarters, Inc. (NCH) has been launching businesses and careers since 1989! We focus on inspiring our employees to provide an excellent customer experience that assists our clients through every step of establishing a successful business. We promote...
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Retention Specialist
3 weeks ago
Reno, United States Nevada Corporate Headquarters Inc. Full timeJob DescriptionJob DescriptionRetention SpecialistNevada Corporate Headquarters, Inc. (NCH) has been launching businesses and careers since 1989! We focus on inspiring our employees to provide an excellent customer experience that assists our clients through every step of establishing a successful business. We promote an environment that is fun, energetic,...
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Corporate Parts Support Specialist
7 days ago
Reno, United States EquipmentShare Full timeEquipmentShare is Hiring a Corporate Parts Support Specialist EquipmentShare is searching for a Corporate Parts Support Specialist for our corporate office to support our team as the department continues to grow. This is a remote position that will cover Reno, NV and the surrounding locations within the Region. EquipmentShare is seeking a Corporate Parts...
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Retention Specialist
5 days ago
Reno, United States Nevada Corporate Headquarters Full timeJob Description Job Description Salary: $15 an Hour + Commission + BonusesRetention SpecialistNevada Corporate Headquarters, Inc. (NCH) has been launching businesses and careers since 1989! We focus on inspiring our employees to provide an excellent customer experience that assists our clients through every step of establishing a successful business. We...
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Contracts Specialist
22 hours ago
Reno, United States Threshold Brands Full timeJob DescriptionJob DescriptionSalary: $23 - $25.00Founded in 1979, Pestmaster Services has grown into a nationally-recognized pest management company specializing in government contract services using an integrated pest management (IPM) approach. Today, we are the 2nd largest provider of pest control services to the Federal Government and utilizing our...
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IT Support Specialist
1 week ago
Reno, Nevada, United States Hamilton Company Full timeCompany OverviewHamilton Company is a worldwide leader in the design and manufacture of manual, semi-automated and robotic products for precision fluid measuring. We specialize in the development, manufacturing and customization of precision measurement devices, automated liquid handling stations, and sample management systems. For more than 60 years,...