Bakersfield, CA · On-site
$27.07 - $33.37/hr
ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review ... Benefits eligibility varies based on employment status (full-time, part-time, per diem, temporary ...
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Bakersfield, CA · On-site
$27.07 - $33.37/hr
ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review ... Benefits eligibility varies based on employment status (full-time, part-time, per diem, temporary ...
Fresno, CA · On-site
$49.47 - $71.74/hr
Employment Type: Part time Shift: Day Shift Description: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient ...
Fresno, CA · On-site
$49.47 - $71.74/hr
Employment Type: Part time Shift: Day Shift Description: Reporting to the Manager Social Services, Social Services, this position coordinates utilization review service for defined patient ...
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
As a key member of the hospital's Utilization Review Committee (URC), the Physician Advisor ... This position may be filled on a full-time or part-time basis, with a minimum commitment of 0.5 FTE
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Madera, CA · On-site
$46 - $61.91/hr
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Madera, CA · On-site
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
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Madera, CA · On-site
Will facilitate the peer review process and attend peer review meetings. Part Time Position with ... and utilization review. Requires proficiency in data abstraction, EHR systems, and critical ...
Los Angeles, CA · On-site
$29.83 - $39.36/hr
Interacting with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement Salary Range: $29.83/hour - $39.36/hour Job Qualifications ...
Los Angeles, CA · On-site
$29.83 - $39.36/hr
Interacting with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement Salary Range: $29.83/hour - $39.36/hour Job Qualifications ...
Santa Monica, CA · On-site
$29.83 - $39.36/hr
Interacting with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement Salary Range: $29.83/hour - $39.36/hour Job Qualifications ...
Santa Monica, CA · On-site
$29.83 - $39.36/hr
Interacting with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement Salary Range: $29.83/hour - $39.36/hour Job Qualifications ...
$74 - $82/hr
Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Experience in dental claims review, utilization management, managed care, or payer environments.
$74 - $82/hr
Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Experience in dental claims review, utilization management, managed care, or payer environments.
$74 - $82/hr
Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Experience in dental claims review, utilization management, managed care, or payer environments.
$74 - $82/hr
Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Experience in dental claims review, utilization management, managed care, or payer environments.
$74 - $82/hr
Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Experience in dental claims review, utilization management, managed care, or payer environments.
$74 - $82/hr
Employment Type: Part-Time, Non-Exempt Work Arrangement: Fully Remote Schedule: 20 hours per week ... Experience in dental claims review, utilization management, managed care, or payer environments.
Sacramento, CA · Hybrid
$41 - $43.51/hr
Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS ... Represents the agency at County utilization review; participates in off-site trainings and provides ...
Sacramento, CA · Hybrid
$41 - $43.51/hr
Turning Point Community Programs is seeking a part-time Clinical Director II for our Sac Kaiser TBS ... Represents the agency at County utilization review; participates in off-site trainings and provides ...
Experience and current knowledge of Quality Assurance, Utilization Review, Peer Review and programs * At least three (3) years of direct patient care medical practice experience * At least three (3) ...
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Experience and current knowledge of Quality Assurance, Utilization Review, Peer Review and programs * At least three (3) years of direct patient care medical practice experience * At least three (3) ...
This is a part-time position working 25 hours a week. The hours are flexible, but you will be ... utilization management (UM) reviews across all levels of care. Key responsibilities include ...
This is a part-time position working 25 hours a week. The hours are flexible, but you will be ... utilization management (UM) reviews across all levels of care. Key responsibilities include ...
Costa Mesa, CA · On-site
$178K - $290K/yr
This is a part-time position working 25 hours a week. The hours are flexible, but you will be ... utilization management (UM) reviews across all levels of care. Key responsibilities include ...
Costa Mesa, CA · On-site
$178K - $290K/yr
This is a part-time position working 25 hours a week. The hours are flexible, but you will be ... utilization management (UM) reviews across all levels of care. Key responsibilities include ...
Costa Mesa, CA · On-site
This is a part-time position working 25 hours a week. The hours are flexible, but you will be ... utilization management (UM) reviews across all levels of care. Key responsibilities include ...
Costa Mesa, CA · On-site
This is a part-time position working 25 hours a week. The hours are flexible, but you will be ... utilization management (UM) reviews across all levels of care. Key responsibilities include ...
Los Angeles, CA · On-site
This is a part-time position working 25 hours a week. The hours are flexible, but you will be ... utilization management (UM) reviews across all levels of care. Key responsibilities include ...
Los Angeles, CA · On-site
This is a part-time position working 25 hours a week. The hours are flexible, but you will be ... utilization management (UM) reviews across all levels of care. Key responsibilities include ...
This is a part-time position working 25 hours a week. The hours are flexible, but you will be ... utilization management (UM) reviews across all levels of care. Key responsibilities include ...
This is a part-time position working 25 hours a week. The hours are flexible, but you will be ... utilization management (UM) reviews across all levels of care. Key responsibilities include ...
San Leandro, CA · On-site
$64.55 - $81.87/hr
Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise ...
San Leandro, CA · On-site
$64.55 - $81.87/hr
Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise ...
Sacramento, CA · On-site
$41 - $43.51/hr
Represents the agency at County utilization review; participates in off-site trainings and provides ... Full-Time/Part-Time Part-Time Shift Various Shifts Exempt/Non-Exempt Exempt Open Date 10/31/2023 ...
Sacramento, CA · On-site
$41 - $43.51/hr
Represents the agency at County utilization review; participates in off-site trainings and provides ... Full-Time/Part-Time Part-Time Shift Various Shifts Exempt/Non-Exempt Exempt Open Date 10/31/2023 ...
$21.11 - $25.38
2% of jobs
$25.38 - $29.65
9% of jobs
$32.58 is the 25th percentile. Wages below this are outliers.
$29.65 - $33.92
21% of jobs
The median wage is $37.38 / hr.
$33.92 - $38.20
23% of jobs
$38.20 - $42.47
13% of jobs
$45.79 is the 75th percentile. Wages above this are outliers.
$42.47 - $46.74
10% of jobs
$46.74 - $51.01
8% of jobs
$51.01 - $55.28
5% of jobs
$55.28 - $59.55
5% of jobs
$59.55 - $63.82
2% of jobs
$63.82 - $68.09
2% of jobs
$21
$41
$68
| Aspect | Part Time Utilization Review | Part Time Case Management |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials) | Often requires social work, nursing, or healthcare certifications, with some overlap |
| Work Environment | Healthcare facilities, insurance companies, or third-party review organizations | Hospitals, insurance companies, or community health agencies |
| Employer & Industry Usage | Used mainly in insurance and healthcare to evaluate medical necessity | Used in healthcare to coordinate patient care and services |
Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.
Bakersfield, CA • On-site
$27.07 - $33.37/hr
Full-time, Part-time, Per diem
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 22 days ago
About Us
Bakersfield Behavioral Healthcare Hospital, located in Bakersfield, California, is an acute psychiatric and behavioral 90 bed facility situated on 8.8 acres.
We offer inpatient and outpatient services for children, adolescents and adults needing mental/behavioral health, chemical dependency; and co-occurring disorders treatment through our medically supervised detoxification.
Within our Workplace Community, BBHH is striving daily to be one of the BEST PLACES TO WORK not just here in Kern County, but throughout the Behavioral Healthcare Community.
By offering amazing benefits, encouraging individual growth and development, and incorporating our CARES values system into our daily operations, we are creating a workplace culture where people enjoy coming to work each day.
BBHH CARES about your experience as a candidate and we encourage you to apply to our open positions.
Compassion
Acceptance
Respect
Empowerment
Sincerity
Our progressive and dedicated healthcare team strives to change the lives of our patients and provide exceptional care.
This is a fast-paced environment that requires critical thinking, exceptional leadership, teamwork, and communication skills.
ESSENTIAL DUTIES
The primary responsibility of the Utilization Review Specialist is to review medical records and prepare clinical appeals (when appropriate) on medical necessity, level of care, length of stay, authorizations and denials for patients. The UR Specialist is responsible for contacting external case managers/managed care organizations for certification and recertification of insurance benefits throughout the patient’s stay, and assists the treatment team in understanding the insurance company’s requirements for continued stay and discharge planning. The UR Specialist is responsible for having a thorough understanding of the patient’s treatment through communication with the treatment team. The UR Specialist advocates for the patient’s access to services during treatment team meetings and through individual physician contact. The UR Specialist chairs treatment team meetings and continued stay reviews as indicated.
wage range: $27.07/hr. - $33.37/hr. based on experience
Requirements
WHAT WE'RE LOOKING FOR
Simply put: HUMANS WHO CARE
Though we do need to meet some minimum requirements for the position such as a High School Diploma and a current and unencumbered California LVN License, we're really looking for people who bring their HEART to work.
If you have previous experience in a mental healthcare hospital environment where your attention was focused on human behavior, psychiatry, psychology, or other mental healthcare situations, your application to this position will be moved to the shortlist of candidates.
Education
Associate Degree preferred
Minimum Work Experience
Utilization Review experience preferably in a behavioral/psychiatric healthcare setting or similar type of organization preferred.
Required Licenses
Current Unencumbered California LVN license
Benefits
Bakersfield Behavioral Healthcare Hospital is proud to offer a suite of benefits to those who join our workplace community.
*Benefits eligibility varies based on employment status (full-time, part-time, per diem, temporary, etc.).
Some of the benefits you can expect as a Full-Time employee include:
Sourced by ZipRecruiter
Offices of mental health practitioners
201 - 500 Employees
Bakersfield, CA, US
2016
