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Utilization Review Coordinator
Port St. Lucie, Florida, United States
OnsiteFull Time
2+ YOECoordinate insurance reviews, monitor authorizations, review records, prepare reports and appeals; RN or LPN or equivalent clinician experience, CPR required, 2+ years preferred, knowledge of utilization review and medical terminology.
1mo
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Utilization Review Coordinator
Franklin or United States
OnsiteFull Time
0+ YOEManage utilization review processes, secure authorizations, communicate with payers, document authorization activity, and support process improvement. H.S. diploma/GED required; 0-2 years utilization review or admissions experience.
1mo
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Utilization Review Coordinator
West Columbia, South Carolina, United States
OnsiteFull Time
2+ YOEMasters in a recognized mental health field or RN; minimum 2 years psychiatric experience in chart analysis and utilization review; strong oral/written communication; knowledge of external review organizations and payor systems.
23h
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Utilization Review Coordinator
Allentown, Pennsylvania, United States
$20/hr RemoteFull Time
3+ YOEAssociate degree required, 3+ years utilization review or related healthcare experience, intermediate Microsoft Office/Excel skills, knowledge of precertification/appeals and medical records.
Microsoft Excel, Microsoft Word, Microsoft Office
3mo
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Utilization Review Coordinator
Indianapolis, Indiana, United States
OnsiteTemporary
2+ YOEBachelor’s in Behavioral Health, Social Work, Counseling, Nursing or Psychology; Master’s preferred. 2+ years utilization review and case management in hospital setting; CCM/ACM preferred.
2w
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Utilization Review Coordinator
Jacksonville, Florida, United States
OnsiteFull Time
2+ YOEBachelor's in healthcare or related, 2+ years utilization review or clinical experience, knowledge of medical terminology, payer guidelines, insurance authorization processes, strong analytic and communication skills.
Electronic Health Records (EHR), utilization management software
1w
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Utilization Review Coordinator
Blackwood, New Jersey, United States
$42/hr OnsiteFull Time
3+ YOEBachelor's degree, 3+ years inpatient behavioral health experience; knowledge of medical necessity criteria, concurrent review, payer authorization; strong clinical assessment, documentation, and communication skills.
Electronic Medical Records (EMR)
1mo
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LVN Utilization Review Coordinator
Ventura, California, United States
OnsiteFull Time
Associate or equivalent training; LVN and LPT required; one year utilization/chart review experience preferred; computer, data entry and filing skills; performs data collection, non-medical analysis, recordkeeping and clerical support.
2w
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Utilization Review Coordinator
Chandler, Arizona, United States
OnsiteFull Time
2+ YOEClinical experience required or 2+ years working with the facility population; high school diploma required; preferred healthcare degree; preferred clinical licensure; CPR and de-escalation/restraint training.
3w
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Utilization Review Coordinator
Long Beach, California, United States
$26-$28/hr OnsiteFull Time
2+ YOEAuditing charts, managing Medi-Cal/TAR submissions and appeals, verifying insurance eligibility, maintaining patient and payer records, 2+ years behavioral health/hospital experience, EHR proficiency, strong communication and computer skills.
Electronic Health Records (EHR), LA County TAR Unit Database, Medi-Cal system
1mo
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Utilization Review Coordinator - PRN position
Georgetown, Texas, United States
OnsitePart Time
Prefer bachelor\u0002s (nursing) and 3-5 years admitting/financial counseling experience; 2 years clinical experience preferred. Previous utilization review or case management desirable. Must obtain CPR and facility de-escalation/crisis management certification within 30 days.
1mo
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Utilization Review Nurse RN
Randallstown, Maryland, United States
$40-$62/hr OnsitePart Time
Utilization review experience required; BSN from CCNE-accredited school required (with exceptions for internal candidates); discharge planning and care coordination skills.
1w
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Manager of Utilization Review
Franklin, Tennessee, United States
OnsiteFull Time
3+ YOEManage daily utilization review operations, lead and coach coordinators, perform medical record reviews, audit quality, support denial prevention and regulatory compliance.
1mo
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RN Utilization Review Specialist
Nyack, New York, United States
$110k/yr OnsiteFull Time
4+ YOENY registered nurse required; performs utilization management, discharge planning, concurrent reviews using Interqual, documents medical necessity, coordinates care across team; 4-6 years clinical experience preferred.
Interqual, Care Management database, H/C PRI/Screen
1mo
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Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote
Troy, Michigan, United States
RemoteFull Time
3+ YOERHIT, RHIA, or related coding certification required; minimum 3+ years clinical experience preferred; utilization management/case management experience preferred; Monday–Friday daytime availability.
InterQual
1mo
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Utilization Review Specialist I
Tulsa, Oklahoma, United States
$17/hr OnsiteFull Time
4+ YOEBachelor's degree or 4 years administrative/clerical experience (or equivalent), ability to review clinical documentation, coordinate authorizations, pass OSBI background check, and hold a valid driver’s license.
6d
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Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] – Behavioral Health
Phoenix, Arizona, United States
$24-$29/hr OnsiteFull Time
2+ YOE2+ years utilization review or behavioral health administration experience, knowledge of AHCCCS authorization and timely filing, EHR experience, strong communication and organizational skills.
AHCCCS, EHR, InterQual, ASAM
1mo
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Utilization Review Specialist I
Tulsa, Oklahoma, United States
$17/hr OnsiteFull Time
4+ YOEBachelor's degree or 4 years clerical/administrative experience; review clinical documentation, screen admissions/continued stay criteria, coordinate authorizations; valid driver\u0002s license and ability to pass OSBI background check.
1w
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Utilization Review Associate
Augusta, Arkansas, United States
OnsiteFull Time
2+ YOEHigh school diploma, 2 years office experience with Microsoft Office, ability to use EMR and electronic data systems, recordkeeping and reporting skills, scheduling and coordination experience.
Microsoft Office, Electronic Medical Record
1mo
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Hybrid, Per-diem Utilization Review RN
Fort Lauderdale, Florida, United States
HybridPart Time
Licensed RN in Florida required; graduate of accredited nursing school; BSN preferred; knowledge of utilization management and MCG/InterQual criteria; ability to review admissions, monitor authorizations, and coordinate physician advisor referrals.
MCG, InterQual
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