Scope of work This role includes accountability for utilization review (UR) and may include ... Part time Shift Day (United States of America) Weekly Scheduled Hours 0.04 Hours of Work 8 Days ...
Scope of work This role includes accountability for utilization review (UR) and may include ... Part time Shift Day (United States of America) Weekly Scheduled Hours 0.04 Hours of Work 8 Days ...
This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...
This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and ...
Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D ...
Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
General overview of key roles and responsibilities The Utilization Reviewer Specialist plays a ... This position is part-time, 20-25 hours per week and blends strong relationship-building skills ...
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General overview of key roles and responsibilities The Utilization Reviewer Specialist plays a ... This position is part-time, 20-25 hours per week and blends strong relationship-building skills ...
Utilization Specialist
Riverdale, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... PART_TIME
Utilization Specialist
Riverdale, GA · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... PART_TIME
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Gainesville, FL FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM Plays a critical ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
FTE: Part-Time (.6 FTE) ⏰ Schedule: Wednesday - Thursday - 7:00 PM - 7:00 AM Plays a critical ... Minimum of three (3) years of experience in utilization review, utilization management, or case ...
Speech Language Pathologist - PRN
Greenville, SC · On-site
$74/hr
Speech-Language Pathologist (SLP) - Part-Time & PRN ($65-$74/hr) Are you a dedicated SLP looking ... Actively participate in Resident Care conferences, Utilization Reviews, and multidisciplinary ...
Speech Language Pathologist - PRN
Greenville, SC · On-site
$74/hr
Speech-Language Pathologist (SLP) - Part-Time & PRN ($65-$74/hr) Are you a dedicated SLP looking ... Actively participate in Resident Care conferences, Utilization Reviews, and multidisciplinary ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Incentives Utilization Management | Miamisburg | Part-time | Varied Shift Overview Kettering Health ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Speech Language Pathologist - PRN
San Francisco, CA · On-site
$65 - $74/hr
Speech-Language Pathologist (SLP) - Part-Time & PRN ($65-$74/hr) Are you a dedicated SLP looking ... Actively participate in Resident Care conferences, Utilization Reviews, and multidisciplinary ...
Speech Language Pathologist - PRN
San Francisco, CA · On-site
$65 - $74/hr
Speech-Language Pathologist (SLP) - Part-Time & PRN ($65-$74/hr) Are you a dedicated SLP looking ... Actively participate in Resident Care conferences, Utilization Reviews, and multidisciplinary ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Part-Time Concurrent Review RN - Every Saturday and Sunday
Jacksonville, FL · Hybrid
$71K - $115K/yr
This position is a part-time permanent role, 16 hours per week, every Saturday and Sunday. The CRN ... Utilization Review/Management General Physical Demands * Exerting up to 10 pounds of force ...
Part-Time Concurrent Review RN - Every Saturday and Sunday
Jacksonville, FL · Hybrid
$71K - $115K/yr
This position is a part-time permanent role, 16 hours per week, every Saturday and Sunday. The CRN ... Utilization Review/Management General Physical Demands * Exerting up to 10 pounds of force ...
Part-Time Concurrent Review RN - Every Saturday and Sunday
Jacksonville, FL · Hybrid
$71K - $115K/yr
This position is a part-time permanent role, 16 hours per week, every Saturday and Sunday. The CRN ... Utilization Review/Management General Physical Demands * Exerting up to 10 pounds of force ...
Part-Time Concurrent Review RN - Every Saturday and Sunday
Jacksonville, FL · Hybrid
$71K - $115K/yr
This position is a part-time permanent role, 16 hours per week, every Saturday and Sunday. The CRN ... Utilization Review/Management General Physical Demands * Exerting up to 10 pounds of force ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Job Details Utilization Management | Miamisburg | Part-time | Varied Shift Responsibilities ... Role focuses on review of inpatient and observation admissions to ensure correct assignment of ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Utilization Management | Miamisburg | Part-time | Varied Shift * Registered professional nurse with education, knowledge and experience. * Role focuses on review of inpatient and observation ...
Utilization Review Case Manager Extra on Call Days
Fresno, CA · On-site
$49.47 - $71.74/hr
Employment Type: Part time Shift: 12 Hour Day Shift Description: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient ...
Utilization Review Case Manager Extra on Call Days
Fresno, CA · On-site
$49.47 - $71.74/hr
Employment Type: Part time Shift: 12 Hour Day Shift Description: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient ...
Part Time Prn Utilization Review information
See salary details
$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
How much do part time prn utilization review jobs pay per hour?
What are the most commonly searched types of Prn Utilization Review jobs?
The most popular types of Prn Utilization Review jobs are:
Part-time
Medical, Retirement
Posted 7 days ago
Job description
Scope of work
- Participates within the department to meet expected objectives and outcomes.
- Meets or exceeds expectations related to behavior and performance. Meets individual and departmental objectives established for Quality, Satisfaction, Growth and Financial Success.
- Conducts timely and accurate utilization reviews, as assigned, using organization-approved UR criteria.
- Works closely with physician advisors and medical staff to ensure appropriate level of care, including obtaining physician orders for patient class changes when needed.
- Refers cases, as defined, for 2nd level medical necessity review.
- Maintains daily contact with payers to obtain authorization and reauthorization information and addresses concurrent denials and/or audit requests.
- Provides UR and clinical documentation is adequate and complies with payer requirements.
- Schedules next review/follow-up reviews as required in accordance with organizational policy and procedure and payer requests.
- Routinely collaborates with the System Clinical Appeals and Revenue Cycle departments to expedite billing and appeals processes.
- Maintains and monitors assigned work queues within the Electronic Medical Record.
- Required Associate's Degree Associates or technical degree.
- Preferred Bachelor's Degree in nursing or related field.
- 2 years of relevant experience 2 years of experience in clinical/hospital setting. Required
- Hospital utilization review/utilization management experience. Preferred
- Clinical appeals experience. Preferred
- Registered Nurse (RN) - State of Michigan Upon Hire required
How Corewell Health cares for you
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
Primary Location
SITE - 25800 Northwestern Highway - SouthfieldDepartment Name
Utilization Management - Diversified East WB MktEmployment Type
Part timeShift
Day (United States of America)Weekly Scheduled Hours
0.04Hours of Work
8Days Worked
Monday - FridayWeekend Frequency
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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
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An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.