Praesum Healthcare: Position Title: Utilization Review Specialist Founded in 2003, Praesum Healthcare provides administrative services for healthcare providers in key geographical locations ...
Praesum Healthcare: Position Title: Utilization Review Specialist Founded in 2003, Praesum Healthcare provides administrative services for healthcare providers in key geographical locations ...
Posting We are seeking a Behavioral Health Utilization Review / Authorization Specialist to support clinical authorization and utilization management for substance use disorder and mental health ...
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Posting We are seeking a Behavioral Health Utilization Review / Authorization Specialist to support clinical authorization and utilization management for substance use disorder and mental health ...
Utilization Review Coordinator
Seattle, WA · On-site +1
Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives ... Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ...
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Utilization Review Coordinator
Seattle, WA · On-site +1
Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives ... Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ...
The utilization review examines how health care services are being utilized. The UR nurse requires extensive knowledge of patient care, medical treatments and hospital procedures. The UR nurse will ...
The utilization review examines how health care services are being utilized. The UR nurse requires extensive knowledge of patient care, medical treatments and hospital procedures. The UR nurse will ...
Utilization Review Coordinator
Los Angeles, CA · On-site +1
Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives ... Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ...
Quick apply
Utilization Review Coordinator
Los Angeles, CA · On-site +1
Guidelight Health is a cutting-edge behavioral healthcare company dedicated to transforming lives ... Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle Management ...
Your experience matters Rock Springs is part of Lifepoint Health, a diversified healthcare delivery ... As a Utilization Review Director joining our team, you're embracing a vital mission dedicated to ...
Your experience matters Rock Springs is part of Lifepoint Health, a diversified healthcare delivery ... As a Utilization Review Director joining our team, you're embracing a vital mission dedicated to ...
The utilization review examines how health care services are being utilized. The UR nurse requires extensive knowledge of patient care, medical treatments and hospital procedures. The UR nurse will ...
The utilization review examines how health care services are being utilized. The UR nurse requires extensive knowledge of patient care, medical treatments and hospital procedures. The UR nurse will ...
Nurse Utilization Review
Midland, TX · On-site
The utilization review examines how health care services are being utilized. The UR nurse requires extensive knowledge of patient care, medical treatments and hospital procedures. The UR nurse will ...
Nurse Utilization Review
Midland, TX · On-site
The utilization review examines how health care services are being utilized. The UR nurse requires extensive knowledge of patient care, medical treatments and hospital procedures. The UR nurse will ...
The utilization review examines how health care services are being utilized. The UR nurse requires extensive knowledge of patient care, medical treatments and hospital procedures. The UR nurse will ...
The utilization review examines how health care services are being utilized. The UR nurse requires extensive knowledge of patient care, medical treatments and hospital procedures. The UR nurse will ...
Collaborative healthcare environment Apply Now If you have strong Utilization Review, InterQual, and acute care experience , we want to hear from you!
Collaborative healthcare environment Apply Now If you have strong Utilization Review, InterQual, and acute care experience , we want to hear from you!
Utilization Review Assistant
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 ...
Utilization Review Assistant
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 ...
Utilization Review Assistant
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 ...
Utilization Review Assistant
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 ...
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Must be an RN Utilization Review background in either Managed Care of Provider environment (at ...
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Must be an RN Utilization Review background in either Managed Care of Provider environment (at ...
Collaborative healthcare environment Apply Now If you have strong Utilization Review, InterQual, and acute care experience , we want to hear from you!
Quick apply
Collaborative healthcare environment Apply Now If you have strong Utilization Review, InterQual, and acute care experience , we want to hear from you!
Utilization Review Coordinator
Steamboat Springs, CO · On-site
$63K - $85K/yr
Utilization Review Coordinator Reports to: Utilization Review Manager Job Category: Salaried ... Behavioral health experience strongly preferred. * Knowledge of insurance authorization processes ...
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Utilization Review Coordinator
Steamboat Springs, CO · On-site
$63K - $85K/yr
Utilization Review Coordinator Reports to: Utilization Review Manager Job Category: Salaried ... Behavioral health experience strongly preferred. * Knowledge of insurance authorization processes ...
Capital Health is the region's leader in providing progressive, quality patient care with ... Three years' experience in case management field including utilization review, discharge planning ...
Capital Health is the region's leader in providing progressive, quality patient care with ... Three years' experience in case management field including utilization review, discharge planning ...
Utilization Review Assistant
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 ...
Utilization Review Assistant
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 ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Best in Business, Health Services. About the Role As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources. The UR ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Best in Business, Health Services. About the Role As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources. The UR ...
Clinical Denials Utilization Review RN - FT - Day - Utilization Resource Management Pennington NJ
Trenton, NJ · On-site
Capital Health is the region's leader in providing progressive, quality patient care with ... Three years' experience in case management field including utilization review, discharge planning ...
Clinical Denials Utilization Review RN - FT - Day - Utilization Resource Management Pennington NJ
Trenton, NJ · On-site
Capital Health is the region's leader in providing progressive, quality patient care with ... Three years' experience in case management field including utilization review, discharge planning ...
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Best in Business, Health Services. About the Role As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources. The UR ...
Quick apply
Utilization Review Specialist
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Best in Business, Health Services. About the Role As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare resources. The UR ...
Intern Optum Health Utilization Review information
See salary details
$9.13 - $10.38
1% of jobs
$10.38 - $11.63
0% of jobs
$11.63 - $12.87
3% of jobs
$12.87 - $14.12
11% of jobs
$14.49 is the 25th percentile. Wages below this are outliers.
$14.12 - $15.36
35% of jobs
The median wage is $15.41 / hr.
$15.36 - $16.61
13% of jobs
$17.78 is the 75th percentile. Wages above this are outliers.
$16.61 - $17.85
14% of jobs
$17.85 - $19.10
11% of jobs
$19.10 - $20.35
12% of jobs
$20.35 - $21.59
1% of jobs
$21.59 - $22.84
1% of jobs
$9
$16
$22
How much do intern optum health utilization review jobs pay per hour?
What is the difference between Intern Optum Health Utilization Review vs Intern UnitedHealth Group Case Management?
| Aspect | Intern Optum Health Utilization Review | Intern UnitedHealth Group Case Management |
|---|---|---|
| Certifications | None required, healthcare-related knowledge preferred | None required, healthcare knowledge beneficial |
| Work Environment | Healthcare settings, insurance review teams | Healthcare settings, patient coordination teams |
| Employer & Industry | Optum Health, healthcare and insurance industry | UnitedHealth Group, healthcare and insurance industry |
Both roles are healthcare internships within the insurance industry, focusing on different aspects. The Utilization Review intern primarily assesses insurance claims and medical necessity, while the Case Management intern coordinates patient care. They share similar environments and may require healthcare knowledge, but their core responsibilities differ, making each role unique within the healthcare insurance sector.
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 4 days ago
Job description
Position Title: Utilization Review Specialist
Founded in 2003, Praesum Healthcare provides administrative services for healthcare providers in key geographical locations throughout the Northeast, mid-Atlantic, and Southeast regions. Praesum is an established leader in the healthcare industry. With a solid, growth-focused business model, strong finances, and expert management team, Praesum will continue to grow in the years to come. Praesum currently provides services to behavioral health facilities providing all levels of care from inpatient psychiatric and substance abuse detoxification, through SUD and mental health outpatient clinics.
Utilization Review Specialist Job description:
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings.
Utilization Review Specialist Duties/Responsibilities:
• Initiate pre-certification and continued stay authorizations based on ASAM criteria
• Communicate directly with facility regarding patients' needs and symptomology
• Maintain daily census scheduling all new admissions and concurrent reviews
• Input of authorizations and appropriate demographic information to EHR for billing purposes
• Completing "peer to peer" reviews and scheduling "Doctor to Doctor" reviews when needed
• Confirm insurance coverage of each patient
• Organize weekend census of all detox and residential patients for all our impatient facilities
• Collect all appropriate clinical data for each patient that requires precertification
Utilization Review Specialist Requirements:
• High School Diploma
• A minimum of 3-5 years of utilization review experience.
• Individual must be computer literate with proficiency in Microsoft Office applications.
Utilization Review Specialist Schedule:
• Full Time, Friday - Monday (weekends) with potential for bonus
• 8:30am to 05:00pm
Utilization Review Specialist Compensation:
• Hourly rate competitive with experience and location
Full time employees may be eligible for the following:
• Insurance: Medical, Dental, Vision, and STD options
• Medical FSA and Dependent Care Account
• 401k with company match up to 5%
• Accrued Paid Time Off (PTO)
• Education reimbursement
• Career Advancement Opportunities
*** This job does NOT sponsor visa's and we are unable to consider out of country applicants ***
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About Praesum Healthcare
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
51 - 200 Employees
Headquarters location
Lake Worth, FL, US
Year founded
2003