... Health Utilization Review to join our team. This role facilitates and directs the Utilization ... Full Time Day (United States of America) The best place to get care. The best place to give care.
... Health Utilization Review to join our team. This role facilitates and directs the Utilization ... Full Time Day (United States of America) The best place to get care. The best place to give care.
... Health Utilization Review to join our team. This role facilitates and directs the Utilization ... Full Time Day (United States of America) The best place to get care. The best place to give care
... Health Utilization Review to join our team. This role facilitates and directs the Utilization ... Full Time Day (United States of America) The best place to get care. The best place to give care
... Health Utilization Review to join our team. This role facilitates and directs the Utilization ... Full Time Day (United States of America) The best place to get care. The best place to give care
... Health Utilization Review to join our team. This role facilitates and directs the Utilization ... Full Time Day (United States of America) The best place to get care. The best place to give care
Utilization Review Specialist Status: Full Time, Days Schedule: Mon-Fri, Days. New hire will have ... Conduct admission, concurrent, and continued stay reviews for inpatient behavioral health patients
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Utilization Review Specialist Status: Full Time, Days Schedule: Mon-Fri, Days. New hire will have ... Conduct admission, concurrent, and continued stay reviews for inpatient behavioral health patients
Regional One Health is currently seeking a Manager, Utilization Review A Brief Overview The Manager, Utilization Review manages the daily operations of the Utilization Review Department and is ...
Regional One Health is currently seeking a Manager, Utilization Review A Brief Overview The Manager, Utilization Review manages the daily operations of the Utilization Review Department and is ...
Utilization Review Specialist
$25 - $30/hr
Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing an intentionally different approach to mental health and well-being. We are a combination of bricks ...
Utilization Review Specialist
$25 - $30/hr
Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing an intentionally different approach to mental health and well-being. We are a combination of bricks ...
Regional One Health is currently seeking a Manager, Utilization Review A Brief Overview The Manager, Utilization Review manages the daily operations of the Utilization Review Department and is ...
Regional One Health is currently seeking a Manager, Utilization Review A Brief Overview The Manager, Utilization Review manages the daily operations of the Utilization Review Department and is ...
Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Knowledge of substance use and mental health disorder treatments, including assessments, treatment ... Legal Assistance * Optum Financial Service through ConnectYourCare * Benefit Advocacy Center ...
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Utilization Review Specialist
Manhattan, NY · On-site
$65K - $75K/yr
Knowledge of substance use and mental health disorder treatments, including assessments, treatment ... Legal Assistance * Optum Financial Service through ConnectYourCare * Benefit Advocacy Center ...
Utilization Review Specialist I
Tulsa, OK · On-site
$17.44/hr
... * Full-time * Hourly rate: $17.44 * Primary Working Hours are 8:00am-4:30pm * FLSA Status: Non-Exempt * Primary Work Location/Department: Tulsa Center for Behavioral Health-Utilization Review Dept * ...
Utilization Review Specialist I
Tulsa, OK · On-site
$17.44/hr
... * Full-time * Hourly rate: $17.44 * Primary Working Hours are 8:00am-4:30pm * FLSA Status: Non-Exempt * Primary Work Location/Department: Tulsa Center for Behavioral Health-Utilization Review Dept * ...
Utilization Review Specialist I
Tulsa, OK · On-site
... * Full-time * Hourly rate: $17.44 * Primary Working Hours are 8:00am-4:30pm * FLSA Status: Non-Exempt * Primary Work Location/Department: Tulsa Center for Behavioral Health-Utilization Review Dept * ...
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Utilization Review Specialist I
Tulsa, OK · On-site
... * Full-time * Hourly rate: $17.44 * Primary Working Hours are 8:00am-4:30pm * FLSA Status: Non-Exempt * Primary Work Location/Department: Tulsa Center for Behavioral Health-Utilization Review Dept * ...
Proficiency in Electronic Health Records (EHRs), insurance portals, and Microsoft Office tools ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
Proficiency in Electronic Health Records (EHRs), insurance portals, and Microsoft Office tools ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
Proficiency in Electronic Health Records (EHRs), insurance portals, and Microsoft Office tools ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
Quick apply
Proficiency in Electronic Health Records (EHRs), insurance portals, and Microsoft Office tools ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
Proficiency in Electronic Health Records (EHRs), insurance portals, and Microsoft Office tools ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
Quick apply
Proficiency in Electronic Health Records (EHRs), insurance portals, and Microsoft Office tools ... Knowledge of major insurance provider platforms (e.g., Optum, Aetna, BCBS, Cigna). * Strong ...
Description Edit Posting We are seeking a Behavioral Health Utilization Review / Authorization ... This is a full-time, on-site position located at our Sandy, Utah office. To Apply: Please submit ...
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Description Edit Posting We are seeking a Behavioral Health Utilization Review / Authorization ... This is a full-time, on-site position located at our Sandy, Utah office. To Apply: Please submit ...
Utilization Review Specialist I
Tulsa, OK · On-site
$17.44/hr
... * Full-time * Hourly rate: $17.44 * Primary Working Hours are 8:00am-4:30pm * FLSA Status: Non-Exempt * Primary Work Location/Department: Tulsa Center for Behavioral Health-Utilization Review Dept * ...
Utilization Review Specialist I
Tulsa, OK · On-site
$17.44/hr
... * Full-time * Hourly rate: $17.44 * Primary Working Hours are 8:00am-4:30pm * FLSA Status: Non-Exempt * Primary Work Location/Department: Tulsa Center for Behavioral Health-Utilization Review Dept * ...
Utilization Review Nurse | Full Time
Las Vegas, NV · On-site
$41 - $60/hr
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Stay current with healthcare regulations, accreditation standards, and utilization management best ...
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Utilization Review Nurse | Full Time
Las Vegas, NV · On-site
$41 - $60/hr
- Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing ... Stay current with healthcare regulations, accreditation standards, and utilization management best ...
Behavioral Health Utilization Review Registered Nurse
Rockford, IL · On-site +1
$57K - $62K/yr
... level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. * Must have Mental Health or Substance Abuse experience. * Successful completion of UR nurse orientation program.
Behavioral Health Utilization Review Registered Nurse
Rockford, IL · On-site +1
$57K - $62K/yr
... level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC. * Must have Mental Health or Substance Abuse experience. * Successful completion of UR nurse orientation program.
... the healthcare team to address issues and improve outcomes. * Applies clinical appropriateness ... Full time FLSA Designation/Job Exempt:Yes Pay Class:Salary FTE %:100 Work Shift:Day Benefits ...
... the healthcare team to address issues and improve outcomes. * Applies clinical appropriateness ... Full time FLSA Designation/Job Exempt:Yes Pay Class:Salary FTE %:100 Work Shift:Day Benefits ...
Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday Friday ... Meaningful work supporting behavioral health services * Stable organization focused on quality and ...
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Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday Friday ... Meaningful work supporting behavioral health services * Stable organization focused on quality and ...
Prosperous Billing / Prosperous Health Department:Revenue Cycle / Clinical Operations Support Employment Type:Full-Time (Remote or Hybrid, as applicable) Position Summary The Utilization Review (UR ...
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Prosperous Billing / Prosperous Health Department:Revenue Cycle / Clinical Operations Support Employment Type:Full-Time (Remote or Hybrid, as applicable) Position Summary The Utilization Review (UR ...
Full Time Optum Health Utilization Review information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do full time optum health utilization review jobs pay per hour?
What is the difference between Full Time Optum Health Utilization Review vs Full Time Medical Coder?
| Aspect | Full Time Optum Health Utilization Review | Full Time Medical Coder |
|---|---|---|
| Certifications | Utilization Review Certification, CPC or RHIT often preferred | Certified Coding Specialist (CCS), CPC |
| Work Environment | Healthcare facilities, insurance companies, remote options | Hospitals, clinics, remote coding roles |
| Job Focus | Reviewing medical necessity, authorizations, and insurance claims | Translating medical records into standardized codes |
| Industry Usage | Common in health insurance and managed care | Widely used in healthcare billing and documentation |
While both roles are integral to healthcare operations, Full Time Optum Health Utilization Review focuses on assessing the necessity of care and insurance approvals, whereas Full Time Medical Coder specializes in accurately coding medical records for billing. Understanding these differences helps job seekers identify the right career path in healthcare administration and coding fields.
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Full-time
Posted 25 days ago
Saint Luke's Health System (Kansas City) rating
7.1
Based on 109 frontline employees who took The Breakroom Quiz
377th of 884 rated healthcare providers
Job description
Saint Luke's Crittenton Children's Center in South Kansas City, MO is seeking a Supervisor of Behavioral Health Utilization Review to join our team.
This role facilitates and directs the Utilization Review Department, Case Management and Reception teams of a 24/7 inpatient residential and hospital program. Additionally, ensures compliance with all pertinent regulations, analyzes trends related to denials & authorizations, builds strong relationships with third party payers. Positive relationships with physicians, nursing supervisors and senior administration are required to ensure empathic and timely response to individual patient and community needs.
Job Details:
- Monday - Friday, dayshift, 9am -5pm. Remote work not preferred, but occasional opportunity, must be primarily onsite. No weekend or holiday rotations.
- Supervises and completes daily operations as assigned by Manager of Intake and Utilizations Review.
- Oversees resources and functions related to utilization review and regulatory compliance adherence.
- Responsible for training of staff, discipline and evaluations.
- Monitors and maintains data to achieve quality outcomes and progression with the departmental strategic plan.
- Collaborates and communicates with the multidisciplinary team to ensure communication of patient's treatment to the managed care provider.
- Review clinical charts in order to file appeals on denied accounts.
- Oversees scheduling and supervision needs for the Reception team.
- Must have a master's degree and current clinical licensure for State of Missouri (LPC or LCSW)
- 1-3 years in a leadership or team lead role preferred
Job Requirements
Applicable Experience:
2 years
Licensed Professional Counselor - Various
Master's Degree
Job Details
Full Time
Day (United States of America)
The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
What Saint Luke's Health System (Kansas City) employees say
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About Saint Luke's
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Kansas City, MO, US
Year founded
1882