Utilization Review Coordinator

Utilization Review SpecialistESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. *...

We are seeking a Utilization Review Supervisor to lead a team of specialists in obtaining appropriate insurance authorization for our patients to receive Behavioral Health treatment at high levels of care. In addition to overseeing and providing direction to the team, the UR Supervisor must possess exemplary organizational skills, and have a clear passion in...

Job DescriptionJob DescriptionAt A Beautiful Mind, Inc., our employees are driven by a deep sense of service, high standards of professionalism and a responsibility to better the public good. We are currently seeking an Utilization Reviewer/Trainer who has a passion for providing the highest quality care in an institutional, secure setting. Come join a team...

Weekly outpatient therapy isn't always enough, and a trip to the ER isn't the only answer. Patients and their families rely on Compass Health Center when in crisis - every day, we help people overcome depression, anxiety, suicidality, obsessions/compulsions, trauma, chronic pain, and other obstacles in order for our patients to live freely. **About This...

Responsibilities JOB SUMMARY: Performs timely, daily pre-certifications, to secure initial authorization based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department and Utilization Management Department. Obtains billing and insurance information, verification of...

Job DescriptionJob DescriptionJ&M Business Solutions LLC: Your Gateway to Direct Hire OpportunitiesWelcome to J&M Business Solutions LLC, your trusted partner in finding direct hire employment opportunities. As a one-woman recruitment act, I specialize in connecting talented individuals like you with reputable clients seeking permanent or contract direct...

Position Title: Quality Improvement Coordinator Department: Management and General Reports to: Vice President of Quality Improvement, Impact & Analysis Position Objective and Summary: The Quality Improvement (QI) Coordinator provides data support to the Quality Improvement (QI) team in order to drive improvement with quality priorities and...

**Accountant I - Utilities Administration - UIC** **Hiring Department**: Utilities - UIC **Location**: Chicago, IL USA **Requisition ID**: 1024952 **Posting Close Date**: May 6, 2024 **About the University of Illinois Chicago** UIC is among the nation’s preeminent urban public research universities, a Carnegie RU/VH research institution, and the...

Position Summary:The credentialing coordinator is responsible for leading, coordinating, monitoring, and maintaining the credentialing/re-credentialing process for all payers and all providers in the Humboldt Park Health Partners network. The coordinator will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies, while...

The credentialing coordinator is responsible for leading, coordinating, monitoring, and maintaining the credentialing/re-credentialing process for all payers and all providers in the Humboldt Park Health Partners network. The coordinator will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and...

Position Summary: The credentialing coordinator is responsible for leading, coordinating, monitoring, and maintaining the credentialing/re-credentialing process for all payers and all providers in the Humboldt Park Health Partners network. The coordinator will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies,...

J&M Business Solutions LLC: Your Gateway to Direct Hire Opportunities Welcome to J&M Business Solutions LLC, your trusted partner in finding direct hire employment opportunities. As a one-woman recruitment act, I specialize in connecting talented individuals like you with reputable clients seeking permanent or contract direct hires. Unlike traditional...

Dane Street, a certified "Great Place to Work'' company, is searching for 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...

**Title**: Utility Distribution Auditor **FLSA Status**: Non-Exempt **Reports To**: Regional Supervisor **Effective**: 03/2024 As our next Utility Distribution Auditor, you’re on your way to the open road and traveling the trails! We keep the lights on anywhere there’s a power line - whether in the city, the rural countryside, or deep in the remote...

ResponsibilitiesJOB SUMMARY: Performs timely, daily pre-certifications, to secure initial authorization based on payer's criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions Department and Utilization Management Department. Obtains billing and insurance information, verification of...

As one of the nation’s largest legal staffing providers, Hire Counsel is registering candidates for upcoming document review projects with AmLaw 100 Firms, government agencies, and industry-leading technology companies. Hire Counsel is seeking licensed attorneys for a document review project in Oklahoma to work remotely from their home. ...

As one of the nation’s largest legal staffing providers, Hire Counsel is registering candidates for upcoming document review projects with AmLaw 100 Firms, government agencies, and industry-leading technology companies. Hire Counsel is seeking licensed attorneys for a document review project in Illinois to work remotely from their home. ...

Job DescriptionJob DescriptionHoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, strategy, and people, is hiring a Contract Review Consultant to provide contract review solutions to meet client needs. The consultant will analyze and provide suggested changes to...

CTS Health Services is a community mental health services center that specializes in a holistic approach to health and wellness for children, parents, and adults of varying circumstances and mental challenges. We provide one-on-one behavioral interventions for our clients and their support circles to help our clients navigate through life within their...

Job DescriptionJob DescriptionSalary: MMR Consulting is an engineering and consulting firm specializing in the pharmaceutical, and biotechnology industries in the US and Canada. Its services include Engineering, Project Management, and other Consulting services. MMR’s Engineering expertise includes Process, Automation, Facilities engineering....