Talent.com
Texas Licensed Utilization Review Specialist

Texas Licensed Utilization Review Specialist

VirtualVocationsElizabeth, New Jersey, United States
1 day 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 • Elizabeth, New Jersey, United States

Related jobs
  • Promoted
Intake & Registration Specialist

Intake & Registration Specialist

Columbia UniversityNew York, NY, United States
Full-time
Job Type : Officer of Administration.Salary Range : $65,800 - $72,000.The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departm...Show moreLast updated: 7 days ago
  • Promoted
CA PERT SENIOR CASE REVIEWER

CA PERT SENIOR CASE REVIEWER

City of New YorkNew York, NY, US
Full-time +1
Applicants must be permanent in the Principal Administrative Associate Civil Service Title.The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with A...Show moreLast updated: 30+ days ago
  • Promoted
Utilization Review Specialist

Utilization Review Specialist

Odyssey House INCNew York, NY, US
Full-time
REPORTS : Director of Utilization Review.George Rosenfield Center for Recovery - 13 Hell Gate Circle, Ward's Island, NY 10035. Under the direction of the Director of Utilization Review, the Speci...Show moreLast updated: 30+ days ago
  • Promoted
NCA PERT CASE REVIEWER

NCA PERT CASE REVIEWER

City of New YorkNew York, NY, US
Full-time +1
MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE The DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs admini...Show moreLast updated: 30+ days ago
  • Promoted
MENTAL HEALTH CLERK

MENTAL HEALTH CLERK

The GEO GroupNewark, NJ, US
Full-time
Are you looking for a career you can feel good about? We hire only those that strive to do their best.By joining our family, you'll receive the honor and recognition that comes with working for...Show moreLast updated: 30+ days ago
Disability Services Assessor

Disability Services Assessor

Tap Growth aiManhattan, new york, US
Full-time
We're Hiring : IDD Assessor - Adult Services!.Individual Developmental Disabilities Assessor (Coordinated Assessment System (CAS) Assessor) to conduct assessments for adults with intellectual and de...Show moreLast updated: 2 days ago
  • Promoted
CASE REVIEW SPECIALIST

CASE REVIEW SPECIALIST

City of New YorkNew York, NY, US
Full-time
The Data Integrity unit reviews, processes and updates data on Child Support Management System (CSMS) and Automated State Support Tracking System (ASSETS) case level and account level cases to ensu...Show moreLast updated: 30+ days ago
  • Promoted
Health Benefit Rep - Westchester (Bilingual)

Health Benefit Rep - Westchester (Bilingual)

CenteneYonkers, NY, US
Full-time +1
Community Field Based Position.You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, n...Show moreLast updated: 10 days ago
  • Promoted
Health Benefit Rep

Health Benefit Rep

CenteneBronx, NY, US
Full-time +1
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll ha...Show moreLast updated: 10 days ago
  • Promoted
Treatment / Scheduling Coordinator

Treatment / Scheduling Coordinator

Astera-OneOncologySomerset, NJ, US
Full-time
Oncology Treatment / Scheduling Coordinator.Our Oncology practice is looking for a Treatment / Scheduling Coordinator for our Somerset New Jersey location. Responsible for scheduling all patient appoint...Show moreLast updated: 30+ days ago
  • Promoted
Prior Authorization Specialist

Prior Authorization Specialist

BrightSpring Health ServicesTotowa, NJ, United States
Full-time
Prior Authorization Specialist.This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations.This role requires ...Show moreLast updated: 30+ days ago
  • Promoted
Intake Coordinator

Intake Coordinator

Alpaca HealthNew York, NY, United States
Full-time
In this role, you'll be the first friendly voice they meet.You’ll be the first point of contact for families seeking services, helping guide them through the intake process with care and clarity.Ou...Show moreLast updated: 1 day ago
  • Promoted
CA PERT SENIOR CASE REVIEWER

CA PERT SENIOR CASE REVIEWER

NYC JobsNew York, NY, US
Full-time +1
Principal Administrative Associate III.Applicants must be permanent in the Principal Administrative Associate Civil Service Title. The Office of Quality Assurance & Fiscal Integrity ensures the inte...Show moreLast updated: 30+ days ago
  • Promoted
Surgical Authorization Specialist

Surgical Authorization Specialist

Progressive Spine and Orthopaedics LLCClifton, NJ, United States
Full-time
JOB TITLE : Surgical Authorization Specialist SUMMARY : The Surgical Authorization Specialist at Progressive Spine & Orthopaedics is responsible for securing and managing surgical authorizat...Show moreLast updated: 13 days ago
  • Promoted
PHA Data Entry

PHA Data Entry

City of New YorkLong Island City, NY, US
Full-time +1
Agency : Department of Health / Mental Hygiene.ONLY PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE PUBLIC HEALTH ASSISTANT (SH) CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY.Division / ...Show moreLast updated: 30+ days ago
  • Promoted
Medicaid / Medicare Billing Specialist

Medicaid / Medicare Billing Specialist

Hudson Regional HospitalClifton, NJ, US
Full-time
Insurance Claims Resolution Specialist.Responsible for the timely and accurate resolution of insurance claims, primarily for Medicare, Medicaid, and HMO plans. This role involves follow-up on claims...Show moreLast updated: 26 days ago
  • Promoted
Intake Coordinator (New York)

Intake Coordinator (New York)

Alpaca HealthNew York, NY, US
Part-time
In this role, you'll be the first friendly voice they meet.Youll be the first point of contact for families seeking services, helping guide them through the intake process with care and clarity.Our...Show moreLast updated: 1 day ago
  • Promoted
Intake Coordinator

Intake Coordinator

SportsMed Physical TherapyGlen Rock, NJ, US
Full-time
SportsMed Physical Therapy is seeking an Intake Coordinator to join our team.This person will have a key role within the organization as the first point of contact for our patients.We are looking f...Show moreLast updated: 30+ days ago
  • Promoted
Health Access Rep

Health Access Rep

Capital HealthPennington, NJ, US
Full-time +1
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology.Capi...Show moreLast updated: 30+ days ago
  • Promoted
Administrative Assistant II-MSH

Administrative Assistant II-MSH

Mount Sinai HospitalNew York, NY, US
Full-time
The Administrative Assistant II is an experienced administrative support person who provides a wide variety of administrative support services including budget preparation and control activities, p...Show moreLast updated: 30+ days ago