Talent.com
Texas Licensed Utilization Review Specialist

Texas Licensed Utilization Review Specialist

VirtualVocationsOgden, Utah, United States
2 days 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 • Ogden, Utah, United States

Related jobs
  • Promoted
  • New!
Utilization Review Clinical Liaison

Utilization Review Clinical Liaison

VirtualVocationsOgden, Utah, United States
Full-time
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 escalat...Show moreLast updated: 19 hours ago
  • Promoted
Credentialing Specialist

Credentialing Specialist

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Credentialing Specialist to manage the credentialing process for reviewers.Key Responsibilities Conduct initial and recredentialing processes, including data entry, ver...Show moreLast updated: 30+ days ago
  • Promoted
California Licensed Regulatory Specialist

California Licensed Regulatory Specialist

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Regulatory Specialist (Health Care).Key Responsibilities Support compliance efforts related to state insurance and clinical licensure Develop processes and lead custom...Show moreLast updated: 1 day ago
  • Promoted
Behavior Technician ($500 Bonus!)

Behavior Technician ($500 Bonus!)

ABS KidsLayton, UT, US
Full-time
Increase for RBT certification.Paid drive time / mileage reimbursement.Paid time off earned for every hour worked!.LAUNCH career path - clear milestones with rewards including bonuses and promotion...Show moreLast updated: 13 days ago
  • Promoted
Florida Licensed UR Manager

Florida Licensed UR Manager

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Regional Utilization Review (UR) Manager to oversee and support utilization review operations across multiple facilities. Key Responsibilities Manage and support facilit...Show moreLast updated: 1 day ago
  • Promoted
Utilization Review Administrative Assistant

Utilization Review Administrative Assistant

VirtualVocationsOgden, Utah, United States
Part-time
A company is looking for a Part-Time Remote Utilization Review / Admin Assistant.Key Responsibilities Manage intake paperwork and maintain organized electronic documentation in SharePoint Communic...Show moreLast updated: 1 day ago
  • Promoted
Texas Licensed Commercial Title Examiner

Texas Licensed Commercial Title Examiner

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Commercial Title Examiner responsible for providing nationwide title services and supporting real estate transactions. Key Responsibilities Compiles, investigates, and e...Show moreLast updated: 2 days ago
  • Promoted
Texas Licensed Clinical Pharmacy Manager

Texas Licensed Clinical Pharmacy Manager

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Manager of Clinical Pharmacy Programs to join their Pharmacy team.Key Responsibilities Oversee clinical pharmacy programs and manage affordability projects Collaborate...Show moreLast updated: 2 days ago
  • Promoted
Tennessee Licensed Clinical Review Manager

Tennessee Licensed Clinical Review Manager

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Clinical Review Manager to oversee medical reviews for utilization management.Key Responsibilities Initiate referrals for appropriate coordination of care Assist in co...Show moreLast updated: 8 days ago
  • Promoted
Tennessee Licensed Senior Medical Reviewer

Tennessee Licensed Senior Medical Reviewer

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Registered Nurse Senior Medical Reviewer (Home Health and Hospice).Key Responsibilities Acts as team leader for medical review and case management, providing guidance a...Show moreLast updated: 6 days ago
  • Promoted
  • New!
Ohio Licensed Utilization Nurse Consultant

Ohio Licensed Utilization Nurse Consultant

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Utilization Management Nurse Consultant.Key Responsibilities Assess, plan, implement, coordinate, monitor, and evaluate healthcare services / benefits for members Gather...Show moreLast updated: 17 hours ago
  • Promoted
State Licensed Utilization Review Nurse

State Licensed Utilization Review Nurse

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Utilization Review Nurse (PRN).Key Responsibilities Review and evaluate electronic medical records for emergency admissions to assess medical necessity Apply clinical ...Show moreLast updated: 1 day ago
  • Promoted
Wisconsin Licensed Eligibility Specialist

Wisconsin Licensed Eligibility Specialist

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Title IV-E Eligibility Specialist for a contract-to-hire opportunity.Key Responsibilities Complete timely initial and six-month Title IV-E recommendations and track req...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Utah Licensed Account Specialist

Utah Licensed Account Specialist

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for an Account Specialist, Collections.Key Responsibilities Service a portfolio of small and medium-sized business customer accounts through various contact methods to collec...Show moreLast updated: 13 hours ago
  • Promoted
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Oregon Licensed Utilization Review Nurse

Oregon Licensed Utilization Review Nurse

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Utilization Review Nurse.Key Responsibilities Monitor utilization practices from preadmission to discharge to ensure cost-effective resource use and quality patient car...Show moreLast updated: 9 hours ago
  • Promoted
Experienced CDL-A Truck Driver - Earn $67,391 / Year + Home Time Options

Experienced CDL-A Truck Driver - Earn $67,391 / Year + Home Time Options

Hub GroupHuntsville, UT, US
Full-time
Hub Group is Now Hiring CDL-A Drivers in North Salt Lake City, UT!.Earn $67,391 per Year - Multiple Home Time Options - Excellent Benefits. Local and regional routes available.High-quality medical, ...Show moreLast updated: 6 days ago
  • Promoted
  • New!
Referral / Pre-Auth Specialist

Referral / Pre-Auth Specialist

VirtualVocationsOgden, Utah, United States
Full-time
A company is looking for a Referral / Pre-Auth Specialist for a full-time remote position.Key Responsibilities Process and document referral or prior authorization requests from clinical areas Man...Show moreLast updated: 15 hours ago