Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
$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 ...
$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 ...
Exeter, NH · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically ...
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Exeter, NH · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible for ensuring that clients receiving substance use disorder (SUD) treatment services meet clinical ...
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible for ensuring that clients receiving substance use disorder (SUD) treatment services meet clinical ...
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care services. Through regular utilization reviews and audits, the UR nurse ensures that patients ...
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care services. Through regular utilization reviews and audits, the UR nurse ensures that patients ...
Sharon, PA · On-site
The Utilization Review Specialist ensures that the appropriate authorization for treatment is secured, and that all pertinent clinical information is present to obtain this authorization. The UR ...
Sharon, PA · On-site
The Utilization Review Specialist ensures that the appropriate authorization for treatment is secured, and that all pertinent clinical information is present to obtain this authorization. The UR ...
Midland, TX · On-site
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care services. Through regular utilization reviews and audits, the UR nurse ensures that patients ...
Midland, TX · On-site
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care services. Through regular utilization reviews and audits, the UR nurse ensures that patients ...
Midland, TX · On-site
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care services. Through regular utilization reviews and audits, the UR nurse ensures that patients ...
Midland, TX · On-site
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care services. Through regular utilization reviews and audits, the UR nurse ensures that patients ...
$28.85 - $31.25/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License ...
$28.85 - $31.25/hr
Timely completion of admission reviews (within 48-hours for weekday, 72-hours for weekend) * Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN License ...
South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically ...
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South Burlington, VT · On-site
$135K - $155K/yr
The Director of Utilization Review is responsible for the strategic leadership, operational execution, and regulatory compliance of the Utilization Review (UR) program. This role ensures clinically ...
Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Availability for occasional weekends and holiday coverage for urgent reviews Benefits Join our team ...
Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Availability for occasional weekends and holiday coverage for urgent reviews Benefits Join our team ...
Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ... One year Utilization Review or Case Management experience. Licenses Required * Current license to ...
Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ... One year Utilization Review or Case Management experience. Licenses Required * Current license to ...
Description The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining appropriate patient class designation.
Description The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity reviews to assist with determining appropriate patient class designation.
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina Healthcare ...
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible for ensuring that clients receiving substance use disorder (SUD) treatment services meet clinical ...
Quick apply
Utilization Review Specialist Job Summary: The Utilization Review (UR) Specialist is responsible for ensuring that clients receiving substance use disorder (SUD) treatment services meet clinical ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Odessa, TX · On-site
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to ...
Utilization Review Coordinator Reports to: Director of Revenue Cycle Management Department/Location: Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ...
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Utilization Review Coordinator Reports to: Director of Revenue Cycle Management Department/Location: Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ...
$50K - $65K/yr
Utilization Review Coordinator Schedule: * 8:30am-5pm M-F Compensation: * $50K-$65K per year We're looking for people who are excited to join our passionate, authentic, and courageous team. We're ...
$50K - $65K/yr
Utilization Review Coordinator Schedule: * 8:30am-5pm M-F Compensation: * $50K-$65K per year We're looking for people who are excited to join our passionate, authentic, and courageous team. We're ...
$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
| Aspect | Hourly Weekend Utilization Review | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications, such as RHIT or RHIA | Requires coding certifications like CPC or CCS |
| Work Environment | Healthcare facilities, insurance companies, or utilization review organizations, often during weekends | Medical offices, billing companies, or hospitals, primarily weekdays |
| Job Focus | Assessing patient care and resource utilization during weekends | Processing insurance claims, coding, and billing |
Hourly Weekend Utilization Review involves evaluating patient care and resource use during weekends, often requiring healthcare certifications. In contrast, Medical Billing Specialists focus on coding and billing processes, mainly during weekdays. Both roles are essential in healthcare operations but differ in focus, credentials, and work hours.
8.2
Based on 30 frontline employees who took The Breakroom Quiz
54th of 875 rated healthcare providers
Position Summary:
The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to designated Physician Advisors.
Qualifications:
A. Education:
Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse.
B. Training and Experience:
Three years of clinical nursing experience in a general medical/surgical setting or appropriate specialty area; at least one year in an acute care setting.
C. Job Knowledge:
Excellent verbal and written skills, well-rounded critical thinking skills, self-motivated, flexible, and goal-oriented. Ability to tolerate frequent interruptions and demanding workload.
VI. Unusual Physical Demands and Working Conditions:
Must be able to work long hours on occasion. Potential for some stress in meeting deadlines.
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Health care and social assistance
1,001 - 5,000 Employees
Odessa, TX, US
1949
