Talent.com
Texas Licensed Utilization Review Specialist

Texas Licensed Utilization Review Specialist

VirtualVocationsOlympia, Washington, United States
8 hours ago
Job type
  • Full-time
Job description

A company is looking for a Utilization Review Specialist to monitor and ensure the effective use of outpatient services.

Key Responsibilities

Establish and maintain methods for ensuring medical necessity and appropriateness of outpatient admissions

Perform concurrent reviews to justify extended patient stays and document findings

Compile monthly reports and statistics for the Utilization Review Committee

Required Qualifications

Graduation from an accredited university in Psychology, Sociology, or a similar behavioral health field

One year of utilization review experience preferred

Active CPR Certification

Create a job alert for this search

Utilization Review Specialist • Olympia, Washington, United States

Related jobs
  • Promoted
Medicare Eligibility Representative

Medicare Eligibility Representative

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for an Enrollment - Eligibility Representative.Key Responsibilities Research benefits, eligibility, and site of care for Medicare Part B members Communicate with doctor's of...Show moreLast updated: 1 day ago
  • Promoted
Remote Medical Insurance Verifier

Remote Medical Insurance Verifier

VirtualVocationsOlympia, Washington, United States
Remote
Full-time
A company is looking for a Remote Medical Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls ...Show moreLast updated: 1 day ago
  • Promoted
Eligibility Specialist

Eligibility Specialist

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for an Eligibility Specialist to manage and maintain accurate eligibility and enrollment records for health and welfare benefit plans. Key Responsibilities : Process eligibilit...Show moreLast updated: 30+ days ago
  • Promoted
Health Information Specialist I

Health Information Specialist I

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Health Information Specialist I - OnBase Indexer.Key Responsibilities : Perform chart processing functions including preparation, scanning, indexing, and quality review ...Show moreLast updated: 1 day ago
  • Promoted
Medicare Enrollment Representative

Medicare Enrollment Representative

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Medicare Enrollment Representative II.Key Responsibilities Maintains accurate eligibility records for individuals and employer groups Processes enrollments, plan chang...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Workers' Compensation Claims Adjuster (FL, RI, TX Licensed)

Workers' Compensation Claims Adjuster (FL, RI, TX Licensed)

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Workers' Compensation Claims Adjuster to manage complex claims in various jurisdictions across the United States. Key Responsibilities Adjudicate higher complexity worke...Show moreLast updated: 10 hours ago
  • Promoted
Health Information Analyst

Health Information Analyst

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Health Information Discharge Analyst I.Key Responsibilities Reviews inpatient records to ensure completion of discharge summaries and identifies deficiencies Updates d...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
California Licensed Review Nurse

California Licensed Review Nurse

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.Key Responsibilities Conduct utilization management, including Prior Authorization Re...Show moreLast updated: less than 1 hour ago
  • Promoted
Medical Record Imaging Technician

Medical Record Imaging Technician

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Risk Adjustment Scheduling and Imaging Technician.Key Responsibilities Load medical records into the coding system and link them to appropriate chart IDs Schedule appo...Show moreLast updated: 1 day ago
  • Promoted
Medical Record Technician

Medical Record Technician

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Risk Adjustment Medical Record Scheduling & Imaging Technician.Key Responsibilities Load medical records into the coding system and link to appropriate chart IDs Sched...Show moreLast updated: 1 day ago
  • Promoted
Healthcare Credentialing Coordinator

Healthcare Credentialing Coordinator

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Healthcare Credentialing Coordinator, part-time and remote.Key Responsibilities Manage the credentialing and re-credentialing process for healthcare providers, ensuring...Show moreLast updated: 1 day ago
  • Promoted
Accreditation Specialist

Accreditation Specialist

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for an Accreditation Specialist to lead quality improvement efforts and ensure NCQA Health Plan Accreditation. Key Responsibilities : Develops and prepares documentation for NC...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Seasonal Eligibility Research Representative

Seasonal Eligibility Research Representative

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for an Eligibility Research Rep I (Seasonal - Remote, $15 / hr).Key Responsibilities Research and resolve member eligibility requests while maintaining production and accuracy ...Show moreLast updated: 8 hours ago
  • Promoted
Michigan Licensed Clinical Document Specialist

Michigan Licensed Clinical Document Specialist

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Clinical Document Specialist for a full-time remote position.Key Responsibilities Utilize clinical, coding, and Clinical Documentation Integrity (CDI) knowledge to enha...Show moreLast updated: 1 day ago
  • Promoted
Workers' Compensation Claims Examiner

Workers' Compensation Claims Examiner

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Claims Examiner, Medical Only.Key Responsibilities Investigate workers' compensation claims for medical care without lost wages Approve medical treatments, schedule ap...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Licensed Physician Reviewer

Licensed Physician Reviewer

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Physician Reviewer - Utilization Review.Key Responsibilities Conduct timely medical reviews to ensure compliance with quality parameters Make clinical determinations b...Show moreLast updated: 10 hours ago
  • Promoted
Patient Screening Specialist

Patient Screening Specialist

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Patient Screening Specialist to efficiently screen, schedule, and guide patients through the clinical trial process. Key Responsibilities Conduct phone screenings to ass...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Pennsylvania Licensed Clinical Appeals Reviewer

Pennsylvania Licensed Clinical Appeals Reviewer

VirtualVocationsOlympia, Washington, United States
Full-time
A company is looking for a Clinical Appeals Reviewer.Key Responsibilities Process appeals while ensuring compliance with regulatory milestones Review medical records for documentation and billin...Show moreLast updated: 14 hours ago