The Utilization Review Clinician will have the following ... Master's level clinician or RN. * Previous utilization management, preferably in an inpatient ...
New
The Utilization Review Clinician will have the following ... Master's level clinician or RN. * Previous utilization management, preferably in an inpatient ...
New
The Utilization Review Clinician will have the following ... Master's level clinician or RN. * Previous utilization management, preferably in an inpatient ...
New
Steamboat Springs, CO · On-site
$63K - $85K/yr
Professional clinical or nursing license strongly preferred (LPC, LCSW, LMFT, LPN, RN). * Experience in utilization review, care coordination, or healthcare administration preferred. * Behavioral ...
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Steamboat Springs, CO · On-site
$63K - $85K/yr
Professional clinical or nursing license strongly preferred (LPC, LCSW, LMFT, LPN, RN). * Experience in utilization review, care coordination, or healthcare administration preferred. * Behavioral ...
... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ...
... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ...
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... with ABA therapy best practices and insurance requirements. * Accurately input and maintain ...
Lauderdale Lakes, FL · On-site
$55K - $70K/yr
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No ... with ABA therapy best practices and insurance requirements. * Accurately input and maintain ...
... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ...
... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ...
Tulsa, OK · On-site
For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...
Tulsa, OK · On-site
For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...
Admission Status Level of Care Medical Necessity Costs and best practices of treatment Expected ... Utilization Review, Appendix A/§42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas ...
Admission Status Level of Care Medical Necessity Costs and best practices of treatment Expected ... Utilization Review, Appendix A/§42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas ...
Manage a caseload of 50-75 patients and authorize 15-25 cases daily, ensuring timely utilization reviews and appropriate level of care. * Verify insurance benefits , coordinate authorizations, and ...
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Manage a caseload of 50-75 patients and authorize 15-25 cases daily, ensuring timely utilization reviews and appropriate level of care. * Verify insurance benefits , coordinate authorizations, and ...
Tulsa, OK · On-site
For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...
Tulsa, OK · On-site
For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...
Dothan, AL · On-site
Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Shift Day Shift Details 8:00 am - 4:30 pm FTE 1 Type Regular Join one of Forbes 500 best mid-sized ...
Dothan, AL · On-site
Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Shift Day Shift Details 8:00 am - 4:30 pm FTE 1 Type Regular Join one of Forbes 500 best mid-sized ...
Midland, TX · On-site
Admission Status Level of Care Medical Necessity Costs and best practices of treatment Expected ... Utilization Review, Appendix A/§42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas ...
Midland, TX · On-site
Admission Status Level of Care Medical Necessity Costs and best practices of treatment Expected ... Utilization Review, Appendix A/§42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas ...
Admission Status Level of Care Medical Necessity Costs and best practices of treatment Expected ... Utilization Review, Appendix A/§42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas ...
Admission Status Level of Care Medical Necessity Costs and best practices of treatment Expected ... Utilization Review, Appendix A/§42 CFR 482.30 EDUCATION AND EXPERIENCE Current State of Texas ...
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Utilizes and applies UM platform Care Level Scores along with clinical expertise, to validate ...
The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... Utilizes and applies UM platform Care Level Scores along with clinical expertise, to validate ...
... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ...
... with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ... Qualifications EDUCATION AND EXPERIENCE Masters level education in social science field (social ...
What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up ...
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What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up ...
Salt Lake City, UT · On-site
$65K/yr
Odyssey House is looking for a Full-Time Utilization Review Specialist. Summary: Odyssey House ... Starting at $65,000.00 for an associate-level clinician. Compensation can increase based on ...
Salt Lake City, UT · On-site
$65K/yr
Odyssey House is looking for a Full-Time Utilization Review Specialist. Summary: Odyssey House ... Starting at $65,000.00 for an associate-level clinician. Compensation can increase based on ...
Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Shift DayShift Details8:00 am - 4:30 pm FTE 1 Type Regular Join one of Forbes 500 best mid-sized ...
Summary The Utilization Review Nurse screens medical records in accordance with contractual ... Shift DayShift Details8:00 am - 4:30 pm FTE 1 Type Regular Join one of Forbes 500 best mid-sized ...
Will provide hospital wide Utilization Review and Case Management coverage as needed and time ... Requirements: Current Missouri Registered Nurse, Respiratory Therapist or LPN. If LPN, current ...
Will provide hospital wide Utilization Review and Case Management coverage as needed and time ... Requirements: Current Missouri Registered Nurse, Respiratory Therapist or LPN. If LPN, current ...
Description Odyssey House is looking for a Full-Time Utilization Review Specialist. Summary ... Starting at $65,000.00 for an associate-level clinician. Compensation can increase based on ...
Description Odyssey House is looking for a Full-Time Utilization Review Specialist. Summary ... Starting at $65,000.00 for an associate-level clinician. Compensation can increase based on ...
... level of care; oversees utilization review activities with other departments to ensure ... Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ...
... level of care; oversees utilization review activities with other departments to ensure ... Current license in the state of Missisippi, including RN, LMSW, LMFT, LPC EEO Statement All UHS ...
$23.32 - $27.29
2% of jobs
$27.29 - $31.27
3% of jobs
$31.27 - $35.25
8% of jobs
$38.81 is the 25th percentile. Wages below this are outliers.
$35.25 - $39.23
13% of jobs
$39.23 - $43.20
18% of jobs
The median wage is $44.42 / hr.
$43.20 - $47.18
19% of jobs
$50.16 is the 75th percentile. Wages above this are outliers.
$47.18 - $51.16
16% of jobs
$51.16 - $55.14
11% of jobs
$55.14 - $59.11
5% of jobs
$59.11 - $63.09
3% of jobs
$63.09 - $67.07
2% of jobs
$23
$45
$67
| Aspect | Mid Level Occupational Therapy Utilization Review | Entry Level Occupational Therapy Utilization Review |
|---|---|---|
| Credentials | Occupational Therapy License, Certification in Utilization Review (if required) | Occupational Therapy License, Basic understanding of Utilization Review processes |
| Work Environment | Healthcare facilities, insurance companies, case review teams | Healthcare settings, insurance companies, supervised review tasks |
| Employer & Industry Usage | Hospitals, insurance providers, rehab centers | Insurance companies, outpatient clinics, healthcare agencies |
The Mid Level Occupational Therapy Utilization Review typically involves more independent decision-making, advanced knowledge of insurance policies, and greater responsibility in case assessments. Entry Level roles focus on learning review processes under supervision, gaining experience, and developing foundational skills. Both roles are essential in healthcare and insurance industries, but the mid level position offers increased autonomy and expertise.
Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 19 hours ago
Join us as a Utilization Review Clinician!
As a Utilization Review Clinician for MiraVista in Holyoke, Massachusetts, youll bring your experience and knowledge where your voice matters. A Utilization Review Clinician is an integral part of our multidisciplinary team.
As a Utilization Review Clinician:
You will be an active participant in the health care team.
You are responsible for pre-certification, concurrent and discharge reviews, appeals and denials, and the compliance of contracted quality measures identified by managed care organizations.
You will serve as liaison between the hospital and outside payor sources in accordance with the mission and core principals of MiraVista Behavioral Health Center.
The Utilization Review Clinician will have the following:
Master's level clinician or RN.
Previous utilization management, preferably in an inpatient psychiatric setting
License eligible (LMHC or LICSW preferred) or RN
Possess sufficient knowledge regarding clinical treatment of psychiatric patients, the mental health care delivery system, and the managed care environment
Display excellent communication skills and an ability to integrate clinical and financial information in the context of an overall utilization management program
Requires the ability to work in a multidisciplinary, fast paced environment with a demonstrated sense of autonomy and professionalism.
When you join the growing MiraVista team as a Utilization Review Clinician, youll receive:
Medical, Dental, and Vision
401(k) match
Employer paid long term disability (LTD)
Short term disability (STD)
Employer paid life and AD&D Insurance
Generous Paid Time Off
Flexible Spending Account
Tuition Reimbursement
Pay Range:
Compensation will be determined based on the candidate's relevant experience.
$80,000 - $90,000
MiraVista is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.