PT Utilization Review Coordinator, including weekends $26-$37 This position is responsible for ... and insurance offering, a physician network and various related services located all over the ...
PT Utilization Review Coordinator, including weekends $26-$37 This position is responsible for ... and insurance offering, a physician network and various related services located all over the ...
Responsibilities The Utilization Review Director is responsible for directing and overseeing the ... insurance offering, a physician network and various related services located all over the U.S.
Responsibilities The Utilization Review Director is responsible for directing and overseeing the ... insurance offering, a physician network and various related services located all over the U.S.
Utilization Review Specialist (in-office only)
Boca Raton, FL · On-site
$55K - $70K/yr
Comprehensive benefits package, including medical, dental, and vision insurance. * Paid time off ... add a Utilization Review Specialist to our growing team. We offer boutique medical billing ...
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Utilization Review Specialist (in-office only)
Boca Raton, FL · On-site
$55K - $70K/yr
Comprehensive benefits package, including medical, dental, and vision insurance. * Paid time off ... add a Utilization Review Specialist to our growing team. We offer boutique medical billing ...
The URS establishes a file on all incoming clients with insurance and maintains authorization for reimbursement from pre-certification through continuing stay reviews, through discharge of referral.
The URS establishes a file on all incoming clients with insurance and maintains authorization for reimbursement from pre-certification through continuing stay reviews, through discharge of referral.
Utilization Review Specialist (in-office only)
Boca Raton, FL · On-site
$55K - $70K/yr
Comprehensive benefits package, including medical, dental, and vision insurance. * Paid time off ... add a Utilization Review Specialist to our growing team. We offer boutique medical billing ...
Quick apply
Utilization Review Specialist (in-office only)
Boca Raton, FL · On-site
$55K - $70K/yr
Comprehensive benefits package, including medical, dental, and vision insurance. * Paid time off ... add a Utilization Review Specialist to our growing team. We offer boutique medical billing ...
Remote Utilization Review RN (Hospital-Based Experience Required)
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Setting: Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard ... Payer/insurance-only Utilization Management experience is not eligible * Minimum 3 years of acute ...
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Remote Utilization Review RN (Hospital-Based Experience Required)
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Setting: Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard ... Payer/insurance-only Utilization Management experience is not eligible * Minimum 3 years of acute ...
Utilization Review Insurance Authorization/Precertification Behavioral Health Case Management What You'll Do * Verify benefits and eligibility prior to admission and throughout treatment * Complete ...
Utilization Review Insurance Authorization/Precertification Behavioral Health Case Management What You'll Do * Verify benefits and eligibility prior to admission and throughout treatment * Complete ...
Utilization Review Specialist (Remote) - Behavioral Health
Davie, FL · On-site +1
$24 - $26/hr
Utilization Review • Insurance Authorization/Precertification • Behavioral Health Case Management What You'll Do * Verify benefits and eligibility prior to admission and throughout treatment
New
Utilization Review Specialist (Remote) - Behavioral Health
Davie, FL · On-site +1
$24 - $26/hr
Utilization Review • Insurance Authorization/Precertification • Behavioral Health Case Management What You'll Do * Verify benefits and eligibility prior to admission and throughout treatment
New
Life Insurance * Disability Insurance * 403b * PTO * Paid Holidays * Flexible Spending Account ... Coordinates on-site review of medical records with reviewers from third party payers. * Documents ...
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Life Insurance * Disability Insurance * 403b * PTO * Paid Holidays * Flexible Spending Account ... Coordinates on-site review of medical records with reviewers from third party payers. * Documents ...
Concurrent Review Nurse
Jacksonville, FL · On-site
$71K - $115K/yr
Utilization Review/Management General Physical Demands * Exerting up to 10 pounds of force ... Income protection benefits: life insurance, short- and long-term disability programs * Leave ...
Concurrent Review Nurse
Jacksonville, FL · On-site
$71K - $115K/yr
Utilization Review/Management General Physical Demands * Exerting up to 10 pounds of force ... Income protection benefits: life insurance, short- and long-term disability programs * Leave ...
Life Insurance * Disability Insurance * 403b * PTO * Paid Holidays * Flexible Spending Account ... Coordinates on-site review of medical records with reviewers from third party payers. * Documents ...
Life Insurance * Disability Insurance * 403b * PTO * Paid Holidays * Flexible Spending Account ... Coordinates on-site review of medical records with reviewers from third party payers. * Documents ...
Life Insurance * Disability Insurance * 403b * PTO * Paid Holidays * Flexible Spending Account ... Coordinates on-site review of medical records with reviewers from third party payers. * Documents ...
Life Insurance * Disability Insurance * 403b * PTO * Paid Holidays * Flexible Spending Account ... Coordinates on-site review of medical records with reviewers from third party payers. * Documents ...
Part Time Concurrent Review Nurse
Jacksonville, FL · On-site
$71K - $115K/yr
Utilization Review/Management General Physical Demands * Exerting up to 10 pounds of force ... Income protection benefits: life insurance, short- and long-term disability programs * Leave ...
Part Time Concurrent Review Nurse
Jacksonville, FL · On-site
$71K - $115K/yr
Utilization Review/Management General Physical Demands * Exerting up to 10 pounds of force ... Income protection benefits: life insurance, short- and long-term disability programs * Leave ...
Physician Reviewer - Utilization Management
Orlando, FL · Remote
$219K/yr
... of utilization review experience in a managed care plan (health care industry) * BC in Cardiology, Radiation/Oncology, or Neurology * Experience with care management within the health insurance ...
New
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Physician Reviewer - Utilization Management
Orlando, FL · Remote
$219K/yr
... of utilization review experience in a managed care plan (health care industry) * BC in Cardiology, Radiation/Oncology, or Neurology * Experience with care management within the health insurance ...
New
Utilization Specialist
$20 - $24/hr
The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
$20 - $24/hr
The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Ocklawaha, FL · On-site
$20 - $24/hr
The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Ocklawaha, FL · On-site
$20 - $24/hr
The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Ocklawaha, FL · On-site
$20 - $24/hr
The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Ocklawaha, FL · On-site
$20 - $24/hr
The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Ocklawaha, FL · On-site
$20 - $24/hr
The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
Ocklawaha, FL · On-site
$20 - $24/hr
The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Review and render determinations for: * Pre-authorization requests * Initial and concurrent ... Malpractice insurance provided * Paid leave time * CME stipend * Licenses, fees, and dues ...
Review and render determinations for: * Pre-authorization requests * Initial and concurrent ... Malpractice insurance provided * Paid leave time * CME stipend * Licenses, fees, and dues ...
Utilization Specialist
$20 - $24/hr
The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Utilization Specialist
$20 - $24/hr
The UR specialist proactively monitors utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Intern Insurance Utilization Review information
What is the difference between Intern Insurance Utilization Review vs Insurance Claims Processor?
| Aspect | Intern Insurance Utilization Review | Insurance Claims Processor |
|---|---|---|
| Credentials | Typically pursuing or holding a relevant degree (e.g., health administration, nursing) | High school diploma or equivalent; some roles may require insurance or claims processing certifications |
| Work Environment | Healthcare settings, insurance companies, or administrative offices | Insurance companies, healthcare providers, or claims processing centers |
| Primary Responsibilities | Assisting in reviewing medical necessity, supporting utilization review processes | Processing and reviewing insurance claims for accuracy and completeness |
Intern Insurance Utilization Review focuses on evaluating medical necessity and supporting healthcare decision-making, often involving review of patient records. Insurance Claims Processors handle the administrative task of reviewing and processing insurance claims for payment. While both roles involve insurance and healthcare, utilization review emphasizes clinical assessment, whereas claims processing centers on administrative claim management.
What skills and qualifications are needed to thrive as an intern insurance utilization review?
What does an intern insurance utilization review do?
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
491st of 887 rated healthcare providers
Job description
We are pleased to announce the following available position: PT Utilization Review Coordinator, including weekends $26-$37
This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed care organizations to ensure quality patient care and collaborating with referring professionals for continuity of care. Complete concurrent reviews for mental health and dual diagnosis patients for both inpatient and outpatient services. Complete appeals and follow up on all appeals until a final decision is determined. Must have effective communication skills with treatment team members, physician's and co-workers throughout the hospital.
Qualifications
Registered Nurse, LPN or Master's level Social Worker with experience in Utilization Management, preferred. Good communication (verbal and written) skills are essential. Able to work independently and collegially with all clinical disciplines. Has knowledge of regulatory and reimbursement requirements. Able to monitor and evaluate records for quality and appropriateness of care. Has basic computer skills.
We offer:
- Challenging and rewarding work environment
- Competitive Compensation
- 401(K) with company match and discounted stock plan
- Career development opportunities within UHS and its 300+ Subsidiaries!
- SoFi Student Loan Refinancing Program
- More information is available on our Benefits Guest Website: benefits.uhsguest.com
River Point Behavioral Health , a subsidiary of UHS , is a beautiful, 80-bed adolescent and adult Baker Act receiving facility, which is located in sunny Jacksonville, Florida. Our professional staff provide high quality, individualized care to uniquely fit the intensity and severity of each patient's needs and offer a continuum of mental health and addiction services in a confidential, caring environment that promote crisis resolution, positive self- awareness, personal growth and problem-solving. River Point is open 24 hours a day, seven days a week.
For more information about River Point Behavioral Health, please visit our website at www.riverpointbehavioral.com
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS all our subsidiaries, our Human Resources departments and recruiters are here to help perspective candidates by matching skill sets and experience with the best possible career path at UHS and subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information ( e.g. social security number, credit card, or bank information etc., from you via email) Our recruiters will not email you from public webmail like Hotmail, Gmail, Yahoo mail etc.
If you suspect a fraudulent job posting or related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Care Provider Background Screening Clearinghouse Education and Awareness website: https://info.flclearinghouse.com
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About Universal Health Services
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Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
King of Prussia, PA, US