utilization review therapy

Position Summary The Utilization Review (UR) Specialist is responsible for obtaining and maintaining insurance authorizations for clients receiving substance use disorder treatment services. This position works closely with clinical staff, admissions, and insurance companies to ensure medical necessity documentation is accurate, authorizations are obtained...

Now Hiring: RN Utilization Review - Washington, DCAre you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in Washington, DC and make a real impact in patient care!In this role, you'll be at the forefront of healthcare, delivering top-notch care with precision and...

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Dallas Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Dallas Regional Medical Center is a...

Company DescriptionIntegrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide...

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** JOB DESCRIPTION: RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. JOB RESPONSIBILITIES: This position is...

DescriptionThe Director of Utilization Review manages the day-to-day operations of our Utilization Review (UR) department. You will lead a team that tracks authorized care, monitors lengths of stay, and ensures that clinical documentation supports medical necessity. You act as the main bridge between our clinical staff, medical providers, and external...

DescriptionJob SummaryThe Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, hospital staff, and clinical specialists to secure timely authorizations for hospital admissions and extended stays. The Utilization Review...

Company DescriptionHealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail...

Description Under the direction of the Manager, UM, this position will review requests for medical services against National Clinical Guidelines. The UM Nurse uses judgment in selecting appropriate guidelines and in applying general policies and procedures. Responsible for assuring the receipt of high quality, cost-efficient medical outcomes for those...

MACON COMMUNITY HOSPITALPosition DescriptionDepartment Name:  Care ManagementEmployee Name:Job Title: Utilization Review NurseEffective Date:Reports to (Title): Care Management DirectorSupervises:(Positions)N/AI have reviewed these job requirements and verify that I can perform all essential functions of this position. I understand that information...

About Us Specialized Care for the Patients Who Need It Most.NeuroPsychiatric Hospitals (NPH) is dedicated to providing unparalleled service to our patients, team members, physicians, and families. We dare to do things differently, bringing together compassionate care, specialized expertise, and an interdisciplinary approach to meet the unique...

Company DescriptionOne of the largest health benefits companies in the United States. Through its networks nationwide, the company delivers a number of leading health benefit solutions through a broad portfolio of integrated health care plans and related services, along with a wide range of specialty products such as life and disability insurance benefits,...

Hello,Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application:Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted...

DescriptionYour experience matters At Columbus Springs-East, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you’ll support those that are in our facilities who are interfacing and providing care to our patients...

DescriptionYour experience matters At Sycamore Springs, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you’ll support those that are in our facilities who are interfacing and providing care to our patients and...

Job Title: Utilization Review Manager Job Summary:Walker Health Services is seeking an experienced and strategic Utilization Review Manager to lead our Utilization Review (UR) department. This individual will be responsible for overseeing the UR process, ensuring compliance with state-specific guidelines, and developing policies and procedures for both...

This position is ON-SITE at the corporate office in West Palm Beach.   Ambrosia Behavioral Health is seeking an experienced Utilization Review (UR) Specialist to join our Revenue Cycle team in South Florida.  Ambrosia provides comprehensive behavioral health treatment for adults and adolescents across Mental Health and Substance Use Disorder...

Description Remedial Pro is a specialized medical billing company serving substance abuse treatment and behavioral health providers. Through services including benefits verification, billing and claims submission, and utilization review, we help treatment centers optimize revenue cycle management while focusing on delivering exceptional patient care. Our...

This position is responsible for overseeing and optimizing the utilization of resources, promoting efficiency and improving patient outcomes. The Manager of Utilization Review plays a crucial role in monitoring the quality of care provided, coordinating with various departments and implementing strategies to minimize costs while maintaining high standards of...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps...