Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT ... Responds to insurance requests for clinical reviews within time frames designated by contractual ...
Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT ... Responds to insurance requests for clinical reviews within time frames designated by contractual ...
Utilization Management Director
Orange, CA · On-site
$200K - $235K/yr
... contractual, and organizational requirements. * Support audit readiness and maintain accurate ... Competitivesalaryand benefits package, including health, life dental, and vision insurance, 403(b) ...
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Utilization Management Director
Orange, CA · On-site
$200K - $235K/yr
... contractual, and organizational requirements. * Support audit readiness and maintain accurate ... Competitivesalaryand benefits package, including health, life dental, and vision insurance, 403(b) ...
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Quick apply
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Utilization Management Nurse
Dalton, GA · On-site
... contractual eligibility. * Regular and predictable attendance. * Consistently demonstrates ... Dental Insurance * Employee Assistance Program * Flexible Spending Account * Health & Wellness ...
Utilization Management Nurse
Dalton, GA · On-site
... contractual eligibility. * Regular and predictable attendance. * Consistently demonstrates ... Dental Insurance * Employee Assistance Program * Flexible Spending Account * Health & Wellness ...
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Utilization Management Nurse
Chapel Hill, NC · On-site +1
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Utilization Management Nurse
Chapel Hill, NC · On-site +1
The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standards, contractual requirements, and a member's benefit coverage while working ...
Utilization Management Leadership * Oversee dental prior authorization, retrospective review, appeals, and utilization management programs. * Ensure decisions are evidence-based, timely, compliant ...
Utilization Management Leadership * Oversee dental prior authorization, retrospective review, appeals, and utilization management programs. * Ensure decisions are evidence-based, timely, compliant ...
We are seeking a Director, Utilization Management to join our team at Independent Living Systems ... coordination of required contractual and regulatory submissions. * Develop and track key ...
We are seeking a Director, Utilization Management to join our team at Independent Living Systems ... coordination of required contractual and regulatory submissions. * Develop and track key ...
As a Utilization Management Clinical Dental Processor, you will leverage your dental clinical ... contractual obligations are fulfilled. Additionally, you will complete clinical scripts, review ...
As a Utilization Management Clinical Dental Processor, you will leverage your dental clinical ... contractual obligations are fulfilled. Additionally, you will complete clinical scripts, review ...
As a Utilization Management Clinical Dental Processor, you will leverage your dental clinical ... contractual obligations are fulfilled. Additionally, you will complete clinical scripts, review ...
As a Utilization Management Clinical Dental Processor, you will leverage your dental clinical ... contractual obligations are fulfilled. Additionally, you will complete clinical scripts, review ...
... contractual and regulatory turnaround times established by SIHO and CMS - Assist to resolve ... management, utilization review, and medical necessity - Act and perform within the scope of ...
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... contractual and regulatory turnaround times established by SIHO and CMS - Assist to resolve ... management, utilization review, and medical necessity - Act and perform within the scope of ...
As a Utilization Management Clinical Dental Processor, you will leverage your dental clinical ... contractual obligations are fulfilled. Additionally, you will complete clinical scripts, review ...
As a Utilization Management Clinical Dental Processor, you will leverage your dental clinical ... contractual obligations are fulfilled. Additionally, you will complete clinical scripts, review ...
Provides utilization information to commercial carriers per contractual arrangement * Assists with discharge planning and case management activities Experience Requirements: * 3-5 Years - Case ...
Provides utilization information to commercial carriers per contractual arrangement * Assists with discharge planning and case management activities Experience Requirements: * 3-5 Years - Case ...
... contractual, and regulatory requirements. * Review clinical information and make coverage ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
... contractual, and regulatory requirements. * Review clinical information and make coverage ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
The supervisor coordinates across teams to support meeting contractual metrics and timeliness ... Medical, Dental and Vision Coverage * Paid time off * 401(k) Retirement Savings Plan (with matching)
The supervisor coordinates across teams to support meeting contractual metrics and timeliness ... Medical, Dental and Vision Coverage * Paid time off * 401(k) Retirement Savings Plan (with matching)
... contractual, and regulatory requirements. * Review clinical information and make coverage ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
... contractual, and regulatory requirements. * Review clinical information and make coverage ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...
The supervisor coordinates across teams to support meeting contractual metrics and timeliness ... Medical, Dental and Vision Coverage * Paid time off * 401(k) Retirement Savings Plan (with matching)
The supervisor coordinates across teams to support meeting contractual metrics and timeliness ... Medical, Dental and Vision Coverage * Paid time off * 401(k) Retirement Savings Plan (with matching)
Utilization Management Nurse
Dalton, GA · On-site
... and contractual eligibility. Regular and predictable attendance Consistently demonstrates ... Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program ...
Utilization Management Nurse
Dalton, GA · On-site
... and contractual eligibility. Regular and predictable attendance Consistently demonstrates ... Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program ...
Utilization Management Nurse
Dalton, GA · On-site
... contractual eligibility. • Regular and predictable attendance • Consistently demonstrates ... Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program ...
Utilization Management Nurse
Dalton, GA · On-site
... contractual eligibility. • Regular and predictable attendance • Consistently demonstrates ... Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program ...
Utilization Management Nurse
Dalton, GA · On-site
... contractual eligibility. • Regular and predictable attendance • Consistently demonstrates ... Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program ...
Utilization Management Nurse
Dalton, GA · On-site
... contractual eligibility. • Regular and predictable attendance • Consistently demonstrates ... Dental Insurance Employee Assistance Program Flexible Spending Account Health & Wellness Program ...
Contractual Dental Utilization Management information
See salary details
$39K - $50.3K
15% of jobs
$50.3K - $61.5K
8% of jobs
$63.2K is the 25th percentile. Wages below this are outliers.
$61.5K - $72.8K
15% of jobs
The median wage is $79.9K / yr.
$72.8K - $84.1K
20% of jobs
$84.1K - $95.4K
11% of jobs
$101K is the 75th percentile. Wages above this are outliers.
$95.4K - $106.6K
13% of jobs
$106.6K - $117.9K
5% of jobs
$117.9K - $129.2K
3% of jobs
$129.2K - $140.5K
4% of jobs
$140.5K - $151.7K
3% of jobs
$151.7K - $163K
3% of jobs
$39K
$89.5K
$163K
How much do contractual dental utilization management jobs pay per year?
What is the difference between Contractual Dental Utilization Management vs Dental Claims Examiner?
| Aspect | Contractual Dental Utilization Management | Dental Claims Examiner |
|---|---|---|
| Credentials | Typically requires dental or healthcare certifications, knowledge of utilization review | Requires dental coding and claims processing certifications |
| Work Environment | Insurance companies, third-party administrators, healthcare organizations | Insurance companies, dental offices, claims processing centers |
| Employer & Industry Usage | Used in health insurance and dental benefit plans for review and approval | Used to process and adjudicate dental insurance claims |
Contractual Dental Utilization Management focuses on reviewing dental services for necessity and appropriateness before approval, while Dental Claims Examiners process and verify dental insurance claims after services are rendered. Both roles require knowledge of dental procedures and insurance policies but serve different points in the claims process.
What cities are hiring for Contractual Dental Utilization Management jobs?
Cities with the most Contractual Dental Utilization Management job openings:
What are the most commonly searched types of Dental Utilization Management jobs?
The most popular types of Dental Utilization Management jobs are:
What states have the most Contractual Dental Utilization Management jobs?
States with the most job openings for Contractual Dental Utilization Management jobs include:
Per diem
Medical, Retirement, PTO
Posted 28 days ago
Job description
PRN - Must have weekday availability between 7am - 7pm
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report , we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare-no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
- Learn more about these and other UTSW employee benefits!
Required
- Education
High School Diploma
- Experience
5 years of hospital and/or insurance industry experience.
- Education
Some college preferred.
- Assists in faxing initial, concurrent or discharge reviews to insurance companies.
- Documents information submitted/received by phone or fax from insurance companies into Epic.
- Manages phone and fax lines. Processes incoming faxes, scans documents and other clerical duties as deemed necessary to assist with the facilitation of Utilization Management functions.
- Communicates with insurance company to obtain pending authorizations.
- Responds to insurance requests for clinical reviews within time frames designated by contractual obligations.
- Generates and submits EPIC reports specific to third party payers.
- Maintains departmental productivity, quality metrics and completes assigned tasks in compliance with regulatory and departmental requirements.
- Assists in faxing initial, concurrent or discharge reviews to insurance companies.
- Calls payors to notify them of patient's admission, updates Payor Communication in EPIC, monitors work queue to ensure timely notification of admission.
- Performs other duties as assigned.
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.