Talent.com
Utilization Review Clinical Liaison
Utilization Review Clinical LiaisonVirtualVocations • Arlington, Texas, United States
No longer accepting applications
Utilization Review Clinical Liaison

Utilization Review Clinical Liaison

VirtualVocations • Arlington, Texas, United States
17 days ago
Job type
  • Full-time
Job description

A company is looking for a Utilization Review Clinical Liaison.

Key Responsibilities

Serve as the primary point of contact for 1st level utilization review (UR) cases

Coordinate 2nd level escalations based on 1st level protocols

Assist with triaging incoming cases, assessing urgency, and routing appropriately

Qualifications

High school diploma or equivalent required

Minimum of 2 years of experience in a healthcare environment

Familiarity with medical terminology and patient scheduling or triage coordination

Strong organizational skills

Experience in patient scheduling or triage coordination

Create a job alert for this search

Utilization Clinical • Arlington, Texas, United States

Related jobs
Hawaii Licensed Utilization Review Clinician

Hawaii Licensed Utilization Review Clinician

VirtualVocations • Irving, Texas, United States
Full-time
A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure medical appropriateness Perfo...Show more
Last updated: 3 days ago • Promoted
Registered Nurse Utilization Manager

Registered Nurse Utilization Manager

VirtualVocations • Garland, Texas, United States
Full-time
A company is looking for a Manager, Utilization Management (Remote).Key Responsibilities Manage a team of UM Nurse Analysts, guiding workload and supporting team development Partner with leaders...Show more
Last updated: 30+ days ago • Promoted
Licensed Clinical Operations VP

Licensed Clinical Operations VP

VirtualVocations • Garland, Texas, United States
Full-time
A company is looking for a VP, Clinical Operations.Key Responsibilities Oversee care delivery and practice management teams, focusing on innovative care model improvements and achieving departmen...Show more
Last updated: 1 day ago • Promoted
Maine Licensed Utilization Review Nurse

Maine Licensed Utilization Review Nurse

VirtualVocations • Grand Prairie, Texas, United States
Full-time
A company is looking for a Utilization Review Nurse - Remote.Key Responsibilities Review prior authorization requests for medical necessity and manage medical claims disputes Coordinate transiti...Show more
Last updated: 30+ days ago • Promoted
Clinical Liaison, SNF

Clinical Liaison, SNF

Christian Care Centers- Mesquite • Mesquite, TX, USA
Full-time
Quick Apply
Join Christian Care Centers-Mesquite as a.This onsite role, located in Mesquite, TX, offers the chance to make a tangible difference in the lives of our patients and their families.You'll collabora...Show more
Last updated: 8 days ago
Associate Director, Clinical Trial Operations - remote

Associate Director, Clinical Trial Operations - remote

CPC • Dallas, TX, US
Remote
Full-time
We are looking for an Associate Director of Clinical Trial Operations to join our team!.Are you a self-driven leader who can provide excellent leadership and oversight to the Operations team while ...Show more
Last updated: 30+ days ago • Promoted
Ohio Licensed Utilization Management RN

Ohio Licensed Utilization Management RN

VirtualVocations • Mesquite, Texas, United States
Full-time
A company is looking for a Utilization Management RN Reviewer.Key Responsibilities Conduct admission, concurrent, and retrospective reviews of patient charts and clinical systems Collaborate wit...Show more
Last updated: 4 days ago • Promoted
Tennessee Licensed Utilization Review Clinician

Tennessee Licensed Utilization Review Clinician

VirtualVocations • Mesquite, Texas, United States
Full-time
A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluate member's treatment for mental health and substance abuse to ensure medical appropriatenes...Show more
Last updated: 5 days ago • Promoted
RN Licensed Utilization Management Director

RN Licensed Utilization Management Director

VirtualVocations • Mesquite, Texas, United States
Full-time
A company is looking for a Director, Utilization Management Support Operations.Key Responsibilities Directs the utilization management team to ensure compliance with policies and procedures for o...Show more
Last updated: 3 days ago • Promoted
Director, Clinical Review

Director, Clinical Review

SmithRx • Plano, TX, US
Full-time
SmithRx is a rapidly growing, venture-backed Health-Tech company.Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug ...Show more
Last updated: 30+ days ago • Promoted
Center Base Clinical Director - ABA Therapy

Center Base Clinical Director - ABA Therapy

Bright achievements • Addison, TX, US
Full-time
A leading provider of Applied Behavior Analysis (ABA) therapy dedicated to improving the lives of individuals with autism and related disorders. Our center near Dallas, Texas, offers a support...Show more
Last updated: 30+ days ago • Promoted
DC Licensed Utilization Nurse Reviewer

DC Licensed Utilization Nurse Reviewer

VirtualVocations • Irving, Texas, United States
Full-time
A company is looking for a Utilization Nurse Reviewer (Remote).Key Responsibilities Conduct timely clinical chart reviews and communicate effectively with third-party payers Review admission ser...Show more
Last updated: 4 days ago • Promoted
Tennessee RN Utilization Review

Tennessee RN Utilization Review

VirtualVocations • Irving, Texas, United States
Full-time
A company is looking for an RN Utilization Review.Key Responsibilities Perform clinical assessments and evaluate injured employees' treatment utilization and compliance Collaborate with healthca...Show more
Last updated: 5 days ago • Promoted
Senior Utilization Management Assistant

Senior Utilization Management Assistant

VirtualVocations • Mesquite, Texas, United States
Full-time
A company is looking for a Senior Utilization Management Assistant for per diem day shifts in Torrance, CA.Key Responsibilities Provide support to the Care Management team in coordinating patient...Show more
Last updated: 2 days ago • Promoted
LVN Clinical Liaison

LVN Clinical Liaison

Choice Health At Home • Dallas, TX, US
Full-time
LVN Liaison To Work UTSW Hospital System.Are you looking to step away from hands on patient care and move into a role that will assist the UTSW patients in their transistion home? •Background in he...Show more
Last updated: 26 days ago • Promoted
Licensed Utilization Review Clinician

Licensed Utilization Review Clinician

VirtualVocations • Grand Prairie, Texas, United States
Full-time
A company is looking for a Utilization Review Clinician - ABA.Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services to ensure medica...Show more
Last updated: 30+ days ago • Promoted
Minnesota Licensed Utilization Review Nurse

Minnesota Licensed Utilization Review Nurse

VirtualVocations • Carrollton, Texas, United States
Full-time
A company is looking for a Utilization Review Nurse responsible for managing pre-claim prior authorization denials for pharmacy and medical benefits. Key Responsibilities Review and assess prior a...Show more
Last updated: 3 days ago • Promoted
Senior Manager Clinical Operations

Senior Manager Clinical Operations

VirtualVocations • Grand Prairie, Texas, United States
Full-time
A company is looking for a Senior Manager Clinical Operations.Key Responsibilities Drive operational results to achieve quality outcomes and reduce avoidable hospitalizations Manage performance ...Show more
Last updated: 2 days ago • Promoted