The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for ... Health, dental, prescription, and vision coverage for full-time & part-time employees * Short-term ...
Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time ... All colleagues, including those who work less than part-time(including per diemcolleagues, adjunct ...
Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time ... All colleagues, including those who work less than part-time(including per diemcolleagues, adjunct ...
Utilization Review RN - Per Diem - Day - Utilization Resource Mgmt Pennington NJ
Pennington, NJ · On-site
$39.40 - $51.47/hr
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... This position is per diem and will consist of mostly day shifts, with the occasional 4-8 PM shifts.
Utilization Review RN - Per Diem - Day - Utilization Resource Mgmt Pennington NJ
Pennington, NJ · On-site
$39.40 - $51.47/hr
Actual compensation may differ depending on assigned hours and position status (e.g., part-time ... This position is per diem and will consist of mostly day shifts, with the occasional 4-8 PM shifts.
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
New
Quick apply
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
New
Utilization Review Specialist
Manhattan, NY · Remote
$80/hr
Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting ... to $80 per hour depending on prior authorization experience, clinical background, management ...
Utilization Review Specialist
Manhattan, NY · Remote
$80/hr
Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting ... to $80 per hour depending on prior authorization experience, clinical background, management ...
Utilization Review Specialist
Manhattan, NY · Remote
$80/hr
Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting ... to $80 per hour depending on prior authorization experience, clinical background, management ...
Utilization Review Specialist
Manhattan, NY · Remote
$80/hr
Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting ... to $80 per hour depending on prior authorization experience, clinical background, management ...
Utilization Review Specialist
Tucson, AZ · On-site
May be required to work flexible hours and overtime Schedule : PRN (as needed) This position does ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Utilization Review Specialist
Tucson, AZ · On-site
May be required to work flexible hours and overtime Schedule : PRN (as needed) This position does ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Utilization Review Specialist
Tucson, AZ · On-site
May be required to work flexible hours and overtime Schedule : PRN (as needed) This position does ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Utilization Review Specialist
Tucson, AZ · On-site
May be required to work flexible hours and overtime Schedule : PRN (as needed) This position does ... Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Position Summary The Part Time Senior Utilization Review Specialist is an experienced registered ... per policy. Documents escalations and presents outcomes to UR committee. * Serve as a senior ...
Quick apply
Position Summary The Part Time Senior Utilization Review Specialist is an experienced registered ... per policy. Documents escalations and presents outcomes to UR committee. * Serve as a senior ...
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
Assists the utilization review process taking on various tasks including data collection of demographic, claim and medical information; non-medical analysis; and outcomes reporting. Performs routine ...
This full-time (0.9 status or 36 hours per week) position ensures the medical necessity for ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
This full-time (0.9 status or 36 hours per week) position ensures the medical necessity for ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Utilization Review Registered Nurse
Watertown, SD · On-site
$28.09 - $44.81/hr
This full-time (0.9 status or 36 hours per week) position ensures the medical necessity for ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Utilization Review Registered Nurse
Watertown, SD · On-site
$28.09 - $44.81/hr
This full-time (0.9 status or 36 hours per week) position ensures the medical necessity for ... part-time employees. Depending on eligibility, a variety of benefits include health insurance ...
Per Diem / Part-Time Optometrist (OD) We've got the perfect fit that works around your life and schedule. Our practices across the New York Metro and South Shore, Long Island areas are growing, and ...
Per Diem / Part-Time Optometrist (OD) We've got the perfect fit that works around your life and schedule. Our practices across the New York Metro and South Shore, Long Island areas are growing, and ...
Utilization Review Nurse
Southfield, MI · On-site
$42 - $46/hr
Job Summary Our client is seeking a Utilization Review Nurse to manage the full lifecycle of ... Eligibility for health benefits is based on verifying that an average of 30 hours per week during ...
Utilization Review Nurse
Southfield, MI · On-site
$42 - $46/hr
Job Summary Our client is seeking a Utilization Review Nurse to manage the full lifecycle of ... Eligibility for health benefits is based on verifying that an average of 30 hours per week during ...
Consultant Utilization Review Specialist
Manhattan, NY · Remote
$80/hr
Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting ... to $80 per hour depending on prior authorization experience, clinical background, management ...
Consultant Utilization Review Specialist
Manhattan, NY · Remote
$80/hr
Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting ... to $80 per hour depending on prior authorization experience, clinical background, management ...
Per Diem / Part-Time Optometrist (OD) We've got the perfect fit that works around your life and schedule. Our practices across the New York Metro and South Shore, Long Island areas are growing, and ...
Quick apply
Per Diem / Part-Time Optometrist (OD) We've got the perfect fit that works around your life and schedule. Our practices across the New York Metro and South Shore, Long Island areas are growing, and ...
Consultant Utilization Review Specialist
Manhattan, NY · Remote
$80/hr
Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting ... to $80 per hour depending on prior authorization experience, clinical background, management ...
Consultant Utilization Review Specialist
Manhattan, NY · Remote
$80/hr
Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting ... to $80 per hour depending on prior authorization experience, clinical background, management ...
After School Pediatric Therapists- PT, OT, SLP
Newbury Park, CA · On-site
$55 - $75/hr
After-School Pediatric Therapists - PT, OT & SLP Ventura & Newbury Park, CA | Clinic-Based | Flexible Part-Time & Per Diem Opportunities Children's Therapy Network (CTN) is hiring licensed Pediatric ...
Quick apply
After School Pediatric Therapists- PT, OT, SLP
Newbury Park, CA · On-site
$55 - $75/hr
After-School Pediatric Therapists - PT, OT & SLP Ventura & Newbury Park, CA | Clinic-Based | Flexible Part-Time & Per Diem Opportunities Children's Therapy Network (CTN) is hiring licensed Pediatric ...
Per Diem Pt Ot 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 per diem pt ot utilization review jobs pay per hour?
What is the difference between Per Diem Pt Ot Utilization Review vs Per Diem Pt Ot Case Manager?
| Aspect | Per Diem Pt Ot Utilization Review | Per Diem Pt Ot Case Manager |
|---|---|---|
| Credentials | OT license, certification in utilization review | OT license, case management certification |
| Work Environment | Reviewing medical records, insurance policies | Coordinating patient care, communicating with providers |
| Employer & Industry | Hospitals, insurance companies, rehab facilities | Hospitals, rehab centers, insurance providers |
Per Diem Pt Ot Utilization Review focuses on evaluating the necessity and appropriateness of OT services for insurance or healthcare compliance. In contrast, Per Diem Pt Ot Case Managers actively coordinate patient care, ensuring treatment plans are followed and resources are allocated. Both roles require OT licensure, but their daily tasks and focus differ significantly.
What cities are hiring for Per Diem Pt Ot Utilization Review jobs?
Cities with the most Per Diem Pt Ot Utilization Review job openings:
What are the most commonly searched types of Pt Ot Utilization Review jobs?
The most popular types of Pt Ot Utilization Review jobs are:
What states have the most Per Diem Pt Ot Utilization Review jobs?
States with the most job openings for Per Diem Pt Ot Utilization Review jobs include:
Part-time
Medical, Dental, Vision, Life, Retirement
Re-posted 18 days ago
Job description
Job Description:
This Role is On-Site
Who We Are:
Southern NH Medical Centers strives to keep patients on a continuous track to discharge and receive the continuity of care that our patients and their families need. Our Patient and Family Services Department is the driving force to assure communication, respect, and safety follows our patients throughout the admission phase, all the way through the discharge process. This department includes a dedicated team of Case Managers, Social Workers, and Interpreters that ensure that all care is equal, and our patient's dignity is maintained above all else.
About the Job:
The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for the appropriate level of care orders and documentation to facilitate insurance coverage, and proactively prevent denials. This specialist ensures level of care charges are applied accurately and meet compliance with CMS and commercial insurance guidelines as well as reviewing appeal options for medical necessity insurance denials
What You'll Do:
- Assess acute medical necessity utilizing appropriate criteria.
- Collect and trend Utilization Review data metrics.
- Review appeal options for commercial insurance, RAC, and QIO medical necessity denials.
- Understand and apply CMS Regulations to meet compliance
Who You Are:
- Current NH Nursing License as a Registered Nurse.
- ASN accepted; BSN required within 10 years of hire.
- A minimum of 5-years' of experience as a Registered Nurse.
- Experience in use of Interqual, Milliman or other Healthcare acute criteria preferred.
Why You'll Love Us:
- Health, dental, prescription, and vision coverage for full-time & part-time employees
- Short-term, long-term disability, life & pet insurance
- Student Loan Forgiveness & Discounts
- 403(b) Retirement savings plans
- Continuous earned time accrual
& So much more!
Work Shift:
Per diem weekends and holiday. Other days available if staff have availability.
SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
About SolutionHealth
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Nashua, NH, US
Year founded
2018