Fremont, CA · On-site
$32.35 - $43.63/hr
Utilization Review Liaison Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is ...
Fremont, CA · On-site
$32.35 - $43.63/hr
Utilization Review Liaison Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
The Director of Utilization Review is a key member of the Lighthouse Case Management Team who will integrate and coordinate a patient centric therapeutic strategy with a keen focus on clinical ...
Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the assisting ...
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Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the assisting ...
Washington, DC · On-site
Now Hiring: RN Utilization Review - Washington, DC Are you a passionate RN professional looking for ... Competitive compensation and weekly direct deposit * Compliance Support Specialist & Onboarding ...
Washington, DC · On-site
Now Hiring: RN Utilization Review - Washington, DC Are you a passionate RN professional looking for ... Competitive compensation and weekly direct deposit * Compliance Support Specialist & Onboarding ...
Fremont, CA · On-site
$32.35 - $43.63/hr
Description Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the ...
Fremont, CA · On-site
$32.35 - $43.63/hr
Description Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the ...
Fremont, CA · On-site
$32.35 - $43.63/hr
Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the assisting ...
Fremont, CA · On-site
$32.35 - $43.63/hr
Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the assisting ...
Beaver, PA · On-site
The Director of Utilization Review (UR) is to manage effectively and efficiently all aspects of the MDS/ Case management / Restorative/ Care planning/ 5 Star and Quality Measures while capturing ...
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Beaver, PA · On-site
The Director of Utilization Review (UR) is to manage effectively and efficiently all aspects of the MDS/ Case management / Restorative/ Care planning/ 5 Star and Quality Measures while capturing ...
Norfolk, VA · On-site
$80 - $100/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...
Norfolk, VA · On-site
$80 - $100/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...
Kotzebue, AK · On-site
$100 - $125/hr
Submits Quarterly reports to CMO and CNO for Board of Director meetings. Works closely with Coders and Billers to insure accurate, timely billing information. Completes Utilization Review processes ...
Kotzebue, AK · On-site
$100 - $125/hr
Submits Quarterly reports to CMO and CNO for Board of Director meetings. Works closely with Coders and Billers to insure accurate, timely billing information. Completes Utilization Review processes ...
Norfolk, VA · On-site +1
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...
Norfolk, VA · On-site +1
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...
Norfolk, VA · On-site
$60 - $80/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...
Norfolk, VA · On-site
$60 - $80/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...
Kotzebue, AK · On-site
Submits Quarterly reports to CMO and CNO for Board of Director meetings. * Works closely with Coders and Billers to insure accurate, timely billing information. * Completes Utilization Review ...
Kotzebue, AK · On-site
Submits Quarterly reports to CMO and CNO for Board of Director meetings. * Works closely with Coders and Billers to insure accurate, timely billing information. * Completes Utilization Review ...
Fremont, CA · On-site
$32.35 - $43.63/hr
Description Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the ...
Fremont, CA · On-site
$32.35 - $43.63/hr
Description Salary Range: $32.35 - $43.63 + applicable differentials Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the ...
$60 - $80/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...
$60 - $80/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ...
Kotzebue, AK · On-site
$100 - $125/hr
Submits Quarterly reports to CMO and CNO for Board of Director meetings. * Works closely with Coders and Billers to insure accurate, timely billing information. * Completes Utilization Review ...
Kotzebue, AK · On-site
$100 - $125/hr
Submits Quarterly reports to CMO and CNO for Board of Director meetings. * Works closely with Coders and Billers to insure accurate, timely billing information. * Completes Utilization Review ...
Aurora, CO · On-site
$64K/yr
Reporting to the Director of Utilization Review with a dotted-line relationship to the Director of ... Optum, Aetna, Cigna, Anthem/Elevance, Colorado Access, state Medicaid programs, and Medicaid ...
Aurora, CO · On-site
$64K/yr
Reporting to the Director of Utilization Review with a dotted-line relationship to the Director of ... Optum, Aetna, Cigna, Anthem/Elevance, Colorado Access, state Medicaid programs, and Medicaid ...
The Director of Utilization Review is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management ...
The Director of Utilization Review is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management ...
The Director of Utilization Review is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management ...
The Director of Utilization Review is responsible for directing and overseeing the Utilization Program for Inpatient and Outpatient services. This includes the implementation of case management ...
... The Director Utilization Management is responsible for oversight and management of all utilization review/case management activities for the facility's inpatient, partial hospitalization, and ...
... The Director Utilization Management is responsible for oversight and management of all utilization review/case management activities for the facility's inpatient, partial hospitalization, and ...
$18K - $24K
1% of jobs
$24K - $30K
3% of jobs
$30K - $36K
11% of jobs
$39.9K is the 25th percentile. Wages below this are outliers.
$36K - $42K
16% of jobs
$42K - $48K
15% of jobs
The median wage is $49.8K / yr.
$48K - $54K
16% of jobs
$59K is the 75th percentile. Wages above this are outliers.
$54K - $60K
17% of jobs
$60K - $66K
9% of jobs
$66K - $72K
7% of jobs
$72K - $78K
3% of jobs
$78K - $84K
2% of jobs
$18K
$52.3K
$84K
| Aspect | Director Optum Utilization Review | Utilization Review Manager |
|---|---|---|
| Certifications | Typically requires certifications like CCM or URAC accreditation | Often requires similar certifications, may vary by employer |
| Work Environment | Works within Optum or similar healthcare organizations, overseeing utilization review processes | Manages utilization review teams, often within healthcare providers or insurance companies |
| Responsibilities | Strategic oversight of utilization review policies, compliance, and team leadership | Supervises daily review operations, staff management, and process improvements |
The main difference is that the Director Optum Utilization Review typically holds a higher strategic leadership role within Optum, focusing on policy and compliance, while the Utilization Review Manager manages daily operations and staff. Both roles require similar credentials but differ in scope and level of responsibility.
Cities with the most Director Optum Utilization Review job openings:
The most popular types of Optum Utilization Review jobs are:
States with the most job openings for Director Optum Utilization Review jobs include:
$32.35 - $43.63/hr
Other
Posted 24 days ago
Salary Range: $32.35 - $43.63 + applicable differentials
Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for assisting Utilization Review Case Managers. The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization numbers through submission of required clinical information. The UR Liaison will work directly with all Case Management staff, Business Office, Patient Access, and along with the Hospital's Revenue Cycle to ensure quality and efficiency of certain elements of claims processing, denial prevention, and denial management.
Provides office and referral management support services; assists the Utilization Review Team in obtaining medical records, documenting case information in the system, performing data entry into appropriate databases for monitoring and tracking, and following up on phone calls as directed.
Continue to learn about clinical programs, processes, and changes
May also perform office support functions as required
In addition to performing the essential functions listed below, may also be assigned other duties as required.
Washington Hospital Health System does not utilize any form of electronic chatting, such as Google chat for the purposes of interviewing candidates for employment. If you are contacted by any entity or individual attempting to engage you in this format, do not disclose any personal information and contact Washington Hospital Healthcare System.
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Health care and social assistance
1,001 - 5,000 Employees
Fremont, CA, US
1958
