Meaningful work supporting behavioral health services * Stable organization focused on quality and growth * Opportunities for professional development Position Summary The Utilization Review ...
Quick apply
Meaningful work supporting behavioral health services * Stable organization focused on quality and growth * Opportunities for professional development Position Summary The Utilization Review ...
Quick apply
Meaningful work supporting behavioral health services * Stable organization focused on quality and growth * Opportunities for professional development Position Summary The Utilization Review ...
Odessa, TX · On-site
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance ...
Odessa, TX · On-site
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance ...
Odessa, TX · On-site
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance ...
Odessa, TX · On-site
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance ...
Miami, FL · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... We're on a mission to change health care -- an experience made whole by our unique backgrounds and ...
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Miami, FL · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... We're on a mission to change health care -- an experience made whole by our unique backgrounds and ...
Dallas, TX · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... We're on a mission to change health care -- an experience made whole by our unique backgrounds and ...
Quick apply
Dallas, TX · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... We're on a mission to change health care -- an experience made whole by our unique backgrounds and ...
Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care ... Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial ...
Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care ... Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial ...
Atlanta, GA · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... We're on a mission to change health care -- an experience made whole by our unique backgrounds and ...
Quick apply
Atlanta, GA · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... We're on a mission to change health care -- an experience made whole by our unique backgrounds and ...
South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational ... Leverage analytics to inform utilization trends, clinical outcomes, and population health ...
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South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational ... Leverage analytics to inform utilization trends, clinical outcomes, and population health ...
$26 - $33/hr
... health facilities from coast to coast. From your first day to your next career milestone-your experience matters Hourly range $26-$33 EEOC Statement "Denver Springs is an Equal Opportunity Employer.
$26 - $33/hr
... health facilities from coast to coast. From your first day to your next career milestone-your experience matters Hourly range $26-$33 EEOC Statement "Denver Springs is an Equal Opportunity Employer.
Las Vegas, NV · On-site
$40 - $63/hr
Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 - $63/hour Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with ...
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Las Vegas, NV · On-site
$40 - $63/hr
Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 - $63/hour Position Summary Reviews patient admissions for medical necessity, appropriate resource utilization, and compliance with ...
Las Vegas, NV · On-site
Collaborative healthcare environment Apply Now If you have strong Utilization Review, InterQual, and acute care experience , we want to hear from you!
Las Vegas, NV · On-site
Collaborative healthcare environment Apply Now If you have strong Utilization Review, InterQual, and acute care experience , we want to hear from you!
Kingston, PA · On-site
$25 - $35/hr
) As Wyoming Valley Behavioral Health continues to expand, we're excited to add an experienced full-time Utilization Review Representative to our growing Utilization Review department. The person will ...
Kingston, PA · On-site
$25 - $35/hr
) As Wyoming Valley Behavioral Health continues to expand, we're excited to add an experienced full-time Utilization Review Representative to our growing Utilization Review department. The person will ...
Englewood, CO · On-site
$26 - $33/hr
... health facilities from coast to coast. From your first day to your next career milestone-your experience matters Hourly range $26-$33 EEOC Statement "Denver Springs is an Equal Opportunity Employer.
Englewood, CO · On-site
$26 - $33/hr
... health facilities from coast to coast. From your first day to your next career milestone-your experience matters Hourly range $26-$33 EEOC Statement "Denver Springs is an Equal Opportunity Employer.
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... We're on a mission to change health care -- an experience made whole by our unique backgrounds and ...
Quick apply
Tempe, AZ · Remote
$35 - $45.94/hr
We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... We're on a mission to change health care -- an experience made whole by our unique backgrounds and ...
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... Health for All . That mission drives everything we do, from accepting every patient, regardless of ...
Augusta, AR · On-site
Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION ... Health for All . That mission drives everything we do, from accepting every patient, regardless of ...
As Wyoming Valley Behavioral Health continues to expand, we're excited to add an experienced full-time Utilization Review Representative to our growing Utilization Review department. The person will ...
As Wyoming Valley Behavioral Health continues to expand, we're excited to add an experienced full-time Utilization Review Representative to our growing Utilization Review department. The person will ...
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Kotzebue, AK · On-site
Participates in Medicaid Task Force committee through Alaska Native Health Board. * Completes ... Utilization Review and Case Management programs. * Report and document incidents, near-misses, and ...
Kotzebue, AK · On-site
Participates in Medicaid Task Force committee through Alaska Native Health Board. * Completes ... Utilization Review and Case Management programs. * Report and document incidents, near-misses, and ...
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Quick apply
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
Experience with utilization management in behavioral and/or medical healthcare. Experience driving quality and timely discharge planning from residential facilities as deemed appropriate in review of ...
$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
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 5 days ago
Utilization Review (UR) Specialist
Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible)
Job Type: Full-Time
Schedule: Monday – Friday
Overview
Diversified Treatment Alternative Centers (DTAC) is seeking a detail-oriented and experienced Utilization Review (UR) Specialist to support our behavioral health programs.
This role plays a critical part in ensuring services are medically necessary, appropriately authorized, and compliant with payer, state, and regulatory requirements while supporting timely reimbursement and quality care delivery.
Why Join DTAC
Position Summary
The Utilization Review Specialist manages the full lifecycle of authorizations and eligibility verification. This role collaborates closely with Clinical, Admissions, and Revenue Cycle teams to ensure compliance, minimize denials, and support accurate billing and reimbursement.
Key Responsibilities
Qualifications
Required:
Preferred:
Requirements
Benefits
Work Location
This position is based in Chadds Ford, PA (19317) with hybrid or remote work options available based on business needs.
Apply Today
If you are a detail-driven professional with experience in utilization review or behavioral health operations, we encourage you to apply and join DTAC’s team.
Equal Opportunity Employer
Diversified Treatment Alternative Centers is committed to providing equal employment opportunities and maintaining an inclusive workplace in accordance with all applicable laws.
Sourced by ZipRecruiter
Offices of mental health practitioners
51 - 200 Employees
Milton, PA, US
1991