Utilization Review SpecialistVirtualVocations • Columbus, Ohio, United States
Utilization Review Specialist
VirtualVocations • Columbus, Ohio, United States
30+ days ago
Job type
- Full-time
Job description
A company is looking for a Utilization Review Specialist.
Key Responsibilities
Review and process Independent Review (IR) requests for potential conflicts of interest
Request and organize additional medical documentation for Physician Advisors
Ensure all work meets Client, State, Federal, and URAC compliance standards
Qualifications
High school diploma or equivalent required
Minimum of 1 year in a healthcare-related setting required
Knowledge of HIPAA rules and regulations required
Prior experience in utilization review, medical management, or insurance preferred
Create a job alert for this search
Utilization Review Specialist • Columbus, Ohio, United States
Related jobs
The Buckeye Ranch is seeking a Utilization Supervisor to join our Care Management Entity (CME).The Utilization Supervisor is responsible for the day-to-day oversight and ongoing development of data...Show more
Access And Reimbursement Manager.At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care mi...Show more
We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide.
We work hard, care deeply and reach further to...Show more
The Clinical Patient Access Manager has primary responsibility for the daily management of all front desk and administrative operations at the ambulatory rehab locations.
This includes direction and...Show more We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide.
We work hard, care deeply and reach further to...Show more 
American Medical Staffing is seeking a local contract nurse Correctional for a local contract nursing job in London, Ohio.
Job Description & Requirements.We’re living in the new normal.Liv...Show more
Clinical Patient Access Manager.The Clinical Patient Access Manager has primary responsibility for the daily management of all front desk and administrative operations at the ambulatory rehab locat...Show more We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide.
We work hard, care deeply and reach further to...Show more 
Full-time employees will work 40 hours per week Monday-Friday 11am-7pm shift.At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing pre...Show more
Ensemble Health Partners 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...Show more
This individual will be responsible for reviewing electronic new business intake forms submitted in connection with new business for existing and new firm clients, conducting searches of the Firm&#...Show more
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a variety o...Show more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a variety o...Show more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a variety o...Show more 
We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide.
We work hard, care deeply and reach further to...Show more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a variety o...Show more 
At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission.We're a growing pharm...Show more
We are more than a health system.We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide.
We work hard, care deeply and reach further to...Show more
Title Examiners are responsible for abstracting and examining documents from the public records and providing title opinions based on the facts and documentation.
This is achieved by using extensive...Show more
Nightingale Nurses is seeking a travel CT Technologist for a travel job in Washington Court House, Ohio.Job Description & Requirements.
You may not realize it, but as an RN with real world hospi...Show more
Utilization Supervisor
The Buckeye Ranch • Columbus, OH, US
Full-time
Last updated: 30+ days ago • Promoted
Sr. Access & Reimbursement Manager (Southern Ohio)
Eisai • Columbus, OH, US
Full-time
Last updated: 30+ days ago • Promoted
Medical Unit 3 Fulltime Nightshift RN
OhioHealth • Columbus, OH, US
Full-time
Last updated: 12 days ago • Promoted
Clinical Patient Access Manager
Ohio State University Wexner Medical Center • Columbus, OH, United States
Full-time
Last updated: 4 days ago • Promoted
Staff RN Endoscopy, Part-time Days (Grady)
OhioHealth • Delaware, OH, US
Part-time
Last updated: 4 days ago • Promoted
Registered Nurse - Correctional
American Medical Staffing • London, OH, US
Full-time
Last updated: 30+ days ago • Promoted
Clinical Patient Access Manager
Ohio State University • Columbus, OH, US
Full-time
Last updated: 2 days ago • Promoted
Endoscopy RN, Full-time, Days (Grady)
OhioHealth • Delaware, OH, US
Full-time
Last updated: 4 days ago • Promoted
Intake Specialist
giftHEALTH Inc • Columbus, OH, US
Full-time
Last updated: 24 days ago • Promoted
Patient Access Specialist
Ensemble Health Partners • Washington Court House, OH, US
Full-time
Last updated: 30+ days ago • Promoted
Client Intake Specialist
Frost Brown Todd LLP • Columbus, OH, US
Full-time
Last updated: 7 days ago • Promoted
Restaurant Delivery - Sign Up in Minutes
DoorDash • Lancaster, OH, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Restaurant Delivery - Sign Up and Start Earning
DoorDash • Lancaster, OH, United States
Full-time +1
Last updated: 1 day ago • Promoted
Delivery Driver - Sign Up in Minutes
DoorDash • Lancaster, OH, United States
Full-time +1
Last updated: 1 day ago • Promoted
RN, Observation Unit, FT Nights
OhioHealth • Columbus, OH, US
Full-time
Last updated: 30+ days ago • Promoted
Restaurant Delivery - Flexible Schedule
DoorDash • Lancaster, OH, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Senior Manager, Access & Reimbursement Manager - Cleveland, Columbus, Akron, OH - Field Based
Eisai • Columbus, OH, United States
Full-time
Last updated: 17 days ago • Promoted
RN Observation, FT Nights
OhioHealth • Columbus, OH, US
Full-time
Last updated: 19 days ago • Promoted
Title Examiner Central States (MI, OH, KY) - Westcor Land Title Insurance Company
Ardan Inc • Columbus, OH, US
Full-time
Last updated: 16 days ago • Promoted
Travel CT & X-ray Technologist
Nightingale Nurses • Washington Court House, OH, US
Full-time
Last updated: 11 days ago • Promoted