The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of ... Prior experience as a behavioral health technician, verification specialist or appeals specialist ...
The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of ... Prior experience as a behavioral health technician, verification specialist or appeals specialist ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$45K - $65K/hr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Graduate degree in a health or behavioral health related field * Clinical licensure (LCSW, LMHC ...
Utilization Review Specialist
Pompano Beach, FL · Remote
$45K - $65K/hr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend ... Graduate degree in a health or behavioral health related field * Clinical licensure (LCSW, LMHC ...
... treatment and behavioral health providers. Through services including benefits verification ... utilization review, we help treatment centers optimize revenue cycle management while focusing on ...
... treatment and behavioral health providers. Through services including benefits verification ... utilization review, we help treatment centers optimize revenue cycle management while focusing on ...
The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ...
The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ...
Utilization Review Nurse
Cooper City, FL · On-site
The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ...
Utilization Review Nurse
Cooper City, FL · On-site
The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ...
Utilization Review Nurse
Fort Lauderdale, FL · On-site
$28.85 - $31.25/hr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN ...
Utilization Review Nurse
Fort Lauderdale, FL · On-site
$28.85 - $31.25/hr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Provide outpatient or pharmacy services utilization review Qualifications * Current Florida RN ...
About Us FHE Health ("FHE") is a nationally recognized behavioral healthcare institution that ... of utilization review experience in behavioral health, addiction treatment, or managed care.
About Us FHE Health ("FHE") is a nationally recognized behavioral healthcare institution that ... of utilization review experience in behavioral health, addiction treatment, or managed care.
Participates in Utilization Review Committee or other committees as needed to present trends and ... health risk factors . * Screen for suicidality, self-harm, and other high-risk behaviors
Participates in Utilization Review Committee or other committees as needed to present trends and ... health risk factors . * Screen for suicidality, self-harm, and other high-risk behaviors
Utilization Review Specialist
Deerfield Beach, FL · On-site +1
$50K - $90K/yr
Participates in Utilization Review Committee or other committees as needed to present trends and ... health risk factors . * Screen for suicidality, self-harm, and other high-risk behaviors
Utilization Review Specialist
Deerfield Beach, FL · On-site +1
$50K - $90K/yr
Participates in Utilization Review Committee or other committees as needed to present trends and ... health risk factors . * Screen for suicidality, self-harm, and other high-risk behaviors
Utilization Review RN
$30 - $32/hr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience ...
Utilization Review RN
$30 - $32/hr
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Are you an experienced Registered Nurse with Utilization Review or Concurrent Review experience ...
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Must have 2 years minimum experience in at least one of the following: utilization review from ...
Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national ... Must have 2 years minimum experience in at least one of the following: utilization review from ...
Strong understanding of medical necessity, utilization management, healthcare reimbursement, and ... Review cases for Physician Advisor escalation when appropriate * Collaborate with physicians, case ...
Quick apply
Strong understanding of medical necessity, utilization management, healthcare reimbursement, and ... Review cases for Physician Advisor escalation when appropriate * Collaborate with physicians, case ...
Perform Utilization Review and Utilization Management activities in a provider-side healthcare environment. * Review clinical documentation to determine medical necessity and appropriate levels of ...
Quick apply
Perform Utilization Review and Utilization Management activities in a provider-side healthcare environment. * Review clinical documentation to determine medical necessity and appropriate levels of ...
... behavioral health, home health, and hospice services while considering member co-morbid conditions. * Review referral and preauthorization requests for appropriateness of care within established ...
... behavioral health, home health, and hospice services while considering member co-morbid conditions. * Review referral and preauthorization requests for appropriateness of care within established ...
Minimum 2 years of Utilization Review experience within a hospital or health system (provider-side required) * Payer/insurance-only Utilization Management experience is not eligible * Minimum 3 years ...
Quick apply
Minimum 2 years of Utilization Review experience within a hospital or health system (provider-side required) * Payer/insurance-only Utilization Management experience is not eligible * Minimum 3 years ...
Behavioral Health Case Manager
Sunrise, FL · Hybrid
$74K - $112K/yr
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Manager
Sunrise, FL · Hybrid
$74K - $112K/yr
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Behavioral Health Case Mgr - CT08IE We're determined to make a difference and are proud to be an ... Preference for managed care/utilization review/insurance experience. * Preference for crisis ...
Concurrent Review RN
Sunrise, FL · On-site
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and ... To start with this is a must! -Knowledge of utilization management principles and healthcare ...
Concurrent Review RN
Sunrise, FL · On-site
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and ... To start with this is a must! -Knowledge of utilization management principles and healthcare ...
Behavioral Health Therapist
Fort Lauderdale, FL · On-site
$50K/yr
... plan reviews, providing individual, family, and group therapy, developing accurate and timeline ... of Care Utilization System (LOCUS) criteria assessment to aid in the identification of the ...
Behavioral Health Therapist
Fort Lauderdale, FL · On-site
$50K/yr
... plan reviews, providing individual, family, and group therapy, developing accurate and timeline ... of Care Utilization System (LOCUS) criteria assessment to aid in the identification of the ...
Locum Behavioral Health Utilization Review information
See Boca Raton, FL salary details
$20.30 - $24.41
2% of jobs
$24.41 - $28.51
9% of jobs
$31.32 is the 25th percentile. Wages below this are outliers.
$28.51 - $32.62
21% of jobs
The median wage is $35.94 / hr.
$32.62 - $36.73
23% of jobs
$36.73 - $40.83
13% of jobs
$44.03 is the 75th percentile. Wages above this are outliers.
$40.83 - $44.94
10% of jobs
$44.94 - $49.05
8% of jobs
$49.05 - $53.15
5% of jobs
$53.15 - $57.26
5% of jobs
$57.26 - $61.36
2% of jobs
$61.36 - $65.47
2% of jobs
$20
$40
$65
How much do locum behavioral health utilization review jobs pay per hour?
What are the most commonly searched types of Behavioral Health Utilization Review jobs in Boca Raton, FL?
The most popular types of Behavioral Health Utilization Review jobs in Boca Raton, FL are:
What cities near Boca Raton, FL are hiring for Locum Behavioral Health Utilization Review jobs?
Cities near Boca Raton, FL with the most Locum Behavioral Health Utilization Review job openings:
Utilization Review Coordinator (UR Coordinator)
Boynton Beach, FL • On-site
Full-time
Posted 21 days ago
Job description
POSITION PURPOSE:
The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of utilization review to ensure appropriate reimbursement by third party payers. This includes managing concurrent reviews for multiple locations and levels of care, the denial/appeals process, as well as the flow, organization, and reporting of information.
RESPONSIBILITIES:
This position reports to our Director of Utilization Review and will contribute to our overall efforts through the following responsibilities:
- CLINICAL DATA REVIEW-Review clinical data, including medical records, patient charts and provider notes to understand patient history and to gain solid understanding of individual patient circumstances, needs and medical necessity for purposes of admission and or continued stay advocacy.
- INSURANCE REVIEW CALLS -Communicate clinical information to insurance companies to obtain authorization to treat and or to facilitate continued stay. Utilize knowledge of billing process and clinical data to present viable arguments for insurance coverage.
- APPEALS ADVOCACY -Speak with clinicians at insurance company upon denial of coverage to communicate relevant clinical information and bring light to individualized patient issues that necessitate coverage for prior treatment. Utilize facts to communicate in knowledgeable, persistent, passionate and or creative manner to achieve desired results for client base.
WORK SCHEDULE:
Monday through Friday from 9:00am to 5:00pm. This is not a remote position.
QUALIFICATIONS:
- 4 + years prior experience in a utilization review capacity or equivalent experience. Must demonstrate prior experience, knowledge of insurance industry, and or aptitude for effective claim advocacy.
- Understanding of the Utilization review process, prior patient care or related work experience in the substance abuse, behavioral and or mental health treatment field required.
- Prior experience as a behavioral health technician, verification specialist or appeals specialist and/or other support staff in treatment facilities is highly desirable.
- Strong computer skills and knowledge of MS Office products, including skills in MS Excel required. Ability to quickly navigate between platforms necessary.
- Strong written and verbal communication skills are a must have.
- College degree preferred but not required.
- Medical and or clinical background/education is preferred but not required.
About Compassion Behavioral Health
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
11 - 50 Employees
Headquarters location
Hollywood, FL, US
Year founded
2014