Utilization Review Jobs in USA

Position SummaryThe Director of Clinical & Cost Containment is a senior strategic role within Strategic Benefit Resources (SBR) responsible for leading the clinical consulting and cost containment program capabilities that differentiate SBRs self-funded solutions in the wholesale distribution market...

Dunwoody Behavioral Healthcare LLC is an evidence-based client-centered treatment program that offers clients with all levels of need therapeutic interventions in an environment that is warm and welcoming. DBHC offers PHP Day and evening IOP and Residential treatment so that clients can receive care...

DescriptionInpatient TherapistSchedule: Full-timeYour experience mattersTriangle Springs is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to ot...

Foster Care Case Management SupervisorSUMMARYProvides clinical supervision to clinical case managers to the foster care programs. Overseeing the case management services provided to people served development and implementation of service plans and ensuring the quality of the services. Regularly revi...

When you join our team youre not just starting a job youre becoming part of a compassionate community dedicated to making a meaningful difference every day. If youre driven by purpose committed to service and ready to empower others we invite you to build your career with us.Position Type:FTE (37.5...

OverviewErlanger Behavioral Health Hospital in Chattanooga Tennessee is a psychiatric hospital that offers mental health care for a wide range of age groups including adolescents adults and geriatric patients.BENEFITS:Tuition ReimbursementCompetitive hourly rate with shift differentials availableStr...

OverviewRN Admissions Acute Behavioral Health opportunityuat River Place Behavioral HealthFull-time NIGHTS3 12s and every other weekendRate up to $42 per hourDepending on years experienceShift diffs up to $7hr(depending on day of week and hours)River Place Behavioral Health a service of Ochsner Heal...

Center for Human Development Inc. is seeking a full-timeBehavioral Health Clinical Supervisorto provide direct clinical supervision of designated services in one or more health service areas.Works under the general supervision of the Director of Behavioral Health. Supervises clinical staff working t...

OverviewThe PFC/CAC assesses patients financial and insurance information in order to determine Medicaid Marketplace or other Community Programs or Resources. Assists with the actual insurance enrollment processes. Manages accounts that require a detailed large scope analysis of payment/insurance op...

Overview$2000 Sign On Bonus Available!North Port Behavioral Health is seeking compassionate and clinically driven Admissions Counselors to join our team in North Port Florida. As the first point of contact for individuals seeking treatment youll play a critical role in helping patients and families...

Excited to grow your careerWe value our talented employees and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you we encourage you to apply!If you want to make a differ...

Physical Therapist Assistant Duties include Utilizes evidence-based practice to support clinical interventions. Provides rehabilitative skilled and medically necessary treatment intervention to patients with physical functioning disorders per regulatory and clinical practice requirements under the...

About the OrganizationLotus Healthcare Billing is a behavioral health billing operation based in Boca Raton Florida supporting treatment programs through insurance authorization utilization review and payer communication. The team works closely with clinical staff to ensure that patients can access...

*Shifts are weekdays.The Utilization Reviewer reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.Responsibilities:...

Position: LPN Intake / Admissions Coordinator (Weekends only)Are you a passionate Intake Specialist looking to join a team to improve behavioral health in your community We would like for you to consider our Intake Specialist opportunity for our state of the art hospital and carry out our vision of...

At Blue Cross and Blue Shield of Nebraska we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.Our team is the power behind that promise. And as the industry rapidly evolves and we seek ways to optimize business processes...

Imagine a career at one of the nations most advanced health networks.Be part of an exceptional health care experience. Join the inspired passionate team at Lehigh Valley Health Network a nationally recognized forward-thinking organization offering plenty of opportunity to do great work.LVHN has been...

SummaryJob Description:PRN DaysJob SummaryThis Registered Nurse position is responsible for coordinating the patient needs with the Cooperative Care Team throughout the continuum of care by an interdisciplinary approach that integrates settings services health care practitioners and care levels. The...

DescriptionDischarge Coordinator Behavioral HealthSchedule: Part time - weekdays (8-4pm 3 days a week)Your experience mattersBrentwood Springs is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize you...

OverviewAcadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast.This position is 100% remote.Highlights of this role include: Ability to verify benefits information for assigned facility. 1 weekend day shift Friday Sat...