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 ...
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 ...
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 ...
We are looking for Fulltime days (Mon-Fri 8A-5P), Parttime Days, PRN (6 8-hour days per month) and ... Experience in care coordination, case management, discharge planning, and utilization review ...
We are looking for Fulltime days (Mon-Fri 8A-5P), Parttime Days, PRN (6 8-hour days per month) and ... Experience in care coordination, case management, discharge planning, and utilization review ...
Pharmacist - Part-Time w/benefits (5750)
Memphis, TN · On-site
$56.75 - $68/hr
... drug utilization review. • Consults on drug storage and control. • Consults on research ... management, etc.). * Operates computerized data systems. • Interprets and performs order entry ...
Pharmacist - Part-Time w/benefits (5750)
Memphis, TN · On-site
$56.75 - $68/hr
... drug utilization review. • Consults on drug storage and control. • Consults on research ... management, etc.). * Operates computerized data systems. • Interprets and performs order entry ...
Pharmacist - Part-Time w/benefits (5750)
$56.75 - $68/hr
... drug utilization review. • Consults on drug storage and control. • Consults on research ... management, etc.). * Operates computerized data systems. • Interprets and performs order entry ...
Pharmacist - Part-Time w/benefits (5750)
$56.75 - $68/hr
... drug utilization review. • Consults on drug storage and control. • Consults on research ... management, etc.). * Operates computerized data systems. • Interprets and performs order entry ...
As a leading provider of behavioral healthcare, we've helped countless individuals learn to manage ... utilization review processes to assure continuity for the most appropriate level of care for ...
As a leading provider of behavioral healthcare, we've helped countless individuals learn to manage ... utilization review processes to assure continuity for the most appropriate level of care for ...
Pharmacist - Part-Time w/benefits (5752)
Memphis, TN · On-site
$56.75 - $68/hr
... drug utilization review. • Consults on drug storage and control. • Consults on research ... management, etc.). * Operates computerized data systems. • Interprets and performs order entry ...
Pharmacist - Part-Time w/benefits (5752)
Memphis, TN · On-site
$56.75 - $68/hr
... drug utilization review. • Consults on drug storage and control. • Consults on research ... management, etc.). * Operates computerized data systems. • Interprets and performs order entry ...
Pharmacist - Part-Time w/benefits (5752)
$56.75 - $68/hr
... drug utilization review. • Consults on drug storage and control. • Consults on research ... management, etc.). * Operates computerized data systems. • Interprets and performs order entry ...
Pharmacist - Part-Time w/benefits (5752)
$56.75 - $68/hr
... drug utilization review. • Consults on drug storage and control. • Consults on research ... management, etc.). * Operates computerized data systems. • Interprets and performs order entry ...
Pharmacist PRN
Forrest City, AR · On-site
$56.50 - $68/hr
Perform Drug Utilization Reviews (DUR) to ensure safe and effective medication therapy * Respond to and manage incoming physician calls regarding medication orders, clarifications, and ...
Pharmacist PRN
Forrest City, AR · On-site
$56.50 - $68/hr
Perform Drug Utilization Reviews (DUR) to ensure safe and effective medication therapy * Respond to and manage incoming physician calls regarding medication orders, clarifications, and ...
Pharmacist PRN
Forrest City, AR · On-site
$56.50 - $68/hr
Perform Drug Utilization Reviews (DUR) to ensure safe and effective medication therapy * Respond to and manage incoming physician calls regarding medication orders, clarifications, and ...
Pharmacist PRN
Forrest City, AR · On-site
$56.50 - $68/hr
Perform Drug Utilization Reviews (DUR) to ensure safe and effective medication therapy * Respond to and manage incoming physician calls regarding medication orders, clarifications, and ...
Case load management; Developing Individualized Education Programs (IEPs) based on identification ... Data Utilization: Requires the ability to review, classify, categorize, prioritize, and/or analyze ...
Case load management; Developing Individualized Education Programs (IEPs) based on identification ... Data Utilization: Requires the ability to review, classify, categorize, prioritize, and/or analyze ...
May also participate in clinical rounds and conferences, risk and quality management programs ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
May also participate in clinical rounds and conferences, risk and quality management programs ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Retail Assistant Manager - Part-Time
Covington, TN · On-site
$14.75 - $20/hr
While this posting for a Retail Assistant Manager - Part-Time at our Store 1582-Wlmrt Shadow Ctr ... Applications will be reviewed on a rolling basis, and candidates may be contacted as positions ...
Retail Assistant Manager - Part-Time
Covington, TN · On-site
$14.75 - $20/hr
While this posting for a Retail Assistant Manager - Part-Time at our Store 1582-Wlmrt Shadow Ctr ... Applications will be reviewed on a rolling basis, and candidates may be contacted as positions ...
Retail Assistant Manager - Part-Time
Oakland, TN · On-site
$14.75 - $19.75/hr
While this posting for a Retail Assistant Manager - Part-Time at our Store 1689-Oakland Commons ... Applications will be reviewed on a rolling basis, and candidates may be contacted as positions ...
Retail Assistant Manager - Part-Time
Oakland, TN · On-site
$14.75 - $19.75/hr
While this posting for a Retail Assistant Manager - Part-Time at our Store 1689-Oakland Commons ... Applications will be reviewed on a rolling basis, and candidates may be contacted as positions ...
Utilization Specialists- PRN and Part Time * RN Nurse Manager - Full Time * Staff Accountant- Full Time What you should know: * Extending immediate offers for select positions * Competitive rates
Utilization Specialists- PRN and Part Time * RN Nurse Manager - Full Time * Staff Accountant- Full Time What you should know: * Extending immediate offers for select positions * Competitive rates
Part Time Manager on Duty
Germantown, TN · On-site
$17.17/hr
Reports problems, needed repairs and related corrective measures to supervisor. 3. Reviews customer ... the part time customer service representative. Greet and assist all guests and members; provide ...
Part Time Manager on Duty
Germantown, TN · On-site
$17.17/hr
Reports problems, needed repairs and related corrective measures to supervisor. 3. Reviews customer ... the part time customer service representative. Greet and assist all guests and members; provide ...
As a leading provider of behavioral healthcare, we've helped countless individuals learn to manage ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.
As a leading provider of behavioral healthcare, we've helped countless individuals learn to manage ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.
Part Time Manager on Duty
Germantown, TN · On-site
$17.17/hr
Germantown Athletic Club, TN Job Type: Part Time Department: Germantown Athletic Club Division ... Reports problems, needed repairs and related corrective measures to supervisor. 3. Reviews customer ...
Part Time Manager on Duty
Germantown, TN · On-site
$17.17/hr
Germantown Athletic Club, TN Job Type: Part Time Department: Germantown Athletic Club Division ... Reports problems, needed repairs and related corrective measures to supervisor. 3. Reviews customer ...
Psychiatrist Part Time
$132 - $168/hr
The Part Time Psychiatrist manages the operation and provides overall direction and leadership for ... Review, process and respond (via corporate counsel) to lawsuits; attend court hearings, when ...
Psychiatrist Part Time
$132 - $168/hr
The Part Time Psychiatrist manages the operation and provides overall direction and leadership for ... Review, process and respond (via corporate counsel) to lawsuits; attend court hearings, when ...
Part Time Utilization Review Manager information
See Memphis, TN salary details
$37.9K - $49.2K
9% of jobs
$57.6K is the 25th percentile. Wages below this are outliers.
$49.2K - $60.6K
22% of jobs
$60.6K - $71.9K
11% of jobs
The median wage is $78.9K / yr.
$71.9K - $83.3K
14% of jobs
$83.3K - $94.6K
12% of jobs
$101.7K is the 75th percentile. Wages above this are outliers.
$94.6K - $106K
13% of jobs
$106K - $117.3K
13% of jobs
$117.3K - $128.7K
5% of jobs
$128.7K - $140K
2% of jobs
$140K - $151.4K
0% of jobs
$151.4K - $162.7K
0% of jobs
$37.9K
$88.4K
$162.7K
How much do part time utilization review manager jobs pay per year?
What is the difference between Part Time Utilization Review Manager vs Utilization Review Nurse?
| Aspect | Part Time Utilization Review Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license and management experience | Registered Nurse (RN) license required |
| Work Environment | Oversees review teams, manages processes, and collaborates with healthcare providers | Conducts patient chart reviews, assesses medical necessity, and communicates with providers |
| Industry Usage | Commonly employed in healthcare organizations, insurance companies, and third-party review firms | Primarily found in hospitals, insurance companies, and healthcare facilities |
While both roles involve reviewing medical cases for insurance or healthcare purposes, the Part Time Utilization Review Manager focuses on overseeing review processes and managing teams, whereas the Utilization Review Nurse directly assesses patient cases and medical necessity. Understanding these differences helps clarify career paths and employer expectations in healthcare review roles.
What are popular job titles related to Part Time Utilization Review Manager jobs in Memphis, TN?
For Part Time Utilization Review Manager jobs in Memphis, TN, the most frequently searched job titles are:
- Remote Utilization Review Social Worker
- Night Utilization Review Nurse
- Full Time Remote Utilization Review Nurse
- Home Based Utilization Review Nurse
- Part Time Utilization Review Nurse
- Evening Utilization Review Nurse
- Full Time Physician Advisor Utilization Review
- Per Diem Utilization Review Nurse
- Remote Per Diem Utilization Review Nurse
- Evening Optum Health Utilization Review
What job categories do people searching Part Time Utilization Review Manager jobs in Memphis, TN look for?
The top searched job categories for Part Time Utilization Review Manager jobs in Memphis, TN are:
What cities near Memphis, TN are hiring for Part Time Utilization Review Manager jobs?
Cities near Memphis, TN with the most Part Time Utilization Review Manager job openings:

Part Time Utilization Specialist
Memphis, TN • On-site
Part-time
Re-posted 11 days ago
Job description
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
ResponsibilitiesESSENTIAL FUNCTIONS:
- Act as liaison between managed care organizations and the facility professional clinical staff.
- Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
- Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
- Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
- Conduct quality reviews for medical necessity and services provided.
- Facilitate peer review calls between facility and external organizations.
- Initiate and complete the formal appeal process for denied admissions or continued stay.
- Assist the admissions department with pre-certifications of care.
- Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Required Education: High school diploma or equivalent.
- Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field.
- Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.
- CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.
- First aid may be required based on state or facility requirements.
ADDITIONAL REGULATORY REQUIREMENTS:
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
Employment Type: PART_TIMEAbout Crestwyn Behavioral Health
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
11 - 50 Employees
Headquarters location
Memphis, TN, US
Year founded
2016