Utilization Review Liaison
$32.35 - $43.63/hr
The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization numbers through submission of required clinical information. The UR Liaison will work directly with all ...
$32.35 - $43.63/hr
The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization numbers through submission of required clinical information. The UR Liaison will work directly with all ...
$32.35 - $43.63/hr
The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization numbers through submission of required clinical information. The UR Liaison will work directly with all ...
Columbus, OH · On-site +1
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Columbus, OH · On-site +1
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Pittsburgh, PA · On-site +1
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Pittsburgh, PA · On-site +1
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Pompano Beach, FL · Remote
$45K - $65K/hr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend Availability as Needed) Banyan Treatment Centers is seeking an experienced and detail-driven ...
Pompano Beach, FL · Remote
$45K - $65K/hr
Utilization Review Specialist | Remote | Full-Time $50,000 - $65,000 Annually | Weekdays (Weekend Availability as Needed) Banyan Treatment Centers is seeking an experienced and detail-driven ...
Augusta, GA · On-site
Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ...
Augusta, GA · On-site
Review clinical content of medical records, participate in treatment team meetings, and collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to ...
Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria * Apply evidence-based clinical guidelines and ...
Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria * Apply evidence-based clinical guidelines and ...
Eagleville, PA · On-site
Position Summary Review and abstract pertinent data from medical records and communicates information to all various insurance companies and/or their contractual agencies to guarantee continued ...
Eagleville, PA · On-site
Position Summary Review and abstract pertinent data from medical records and communicates information to all various insurance companies and/or their contractual agencies to guarantee continued ...
Columbus, OH · On-site
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Columbus, OH · On-site
Performs and/or assists with credit reviews for quality, accuracy, and compliance with regulations, seeking guidance from senior staff or management when necessary. Conducts independent detailed ...
Chatham, IL · On-site
$110K - $150K/yr
Review financial documents such as tax returns and credit reports as well as conducting interviews with loan applicants to gather information about financial history and current financial situation
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Chatham, IL · On-site
$110K - $150K/yr
Review financial documents such as tax returns and credit reports as well as conducting interviews with loan applicants to gather information about financial history and current financial situation
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing initial, concurrent and retrospective clinical case reviews. This role collaborates and communicates with ...
Responds to calls, conducts certification reviews, facilitates the discharge planning and referral process and coordinates denials with physician advisors for all assigned programs. Receives ...
Responds to calls, conducts certification reviews, facilitates the discharge planning and referral process and coordinates denials with physician advisors for all assigned programs. Receives ...
Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective, efficient, and in accordance with applicable legal requirements. This is a full-time, permanent ...
Omaha, NE · Hybrid
The Utilization Review Nurse ensures all aspects of an injured worker's treatment are effective, efficient, and in accordance with applicable legal requirements. This is a full-time, permanent ...
$90K - $100K/yr
Weekly Working Hours: 40 1. Directs the continuous review of loans and commitments for the purposes of risk grading, determination of degree of attention required, identification of potential credit ...
$90K - $100K/yr
Weekly Working Hours: 40 1. Directs the continuous review of loans and commitments for the purposes of risk grading, determination of degree of attention required, identification of potential credit ...
This level of review will occur as needed throughout the client's treatment. * Arranges for Peer Reviews as requested will coordinate both internal and external peer review process as needed or ...
This level of review will occur as needed throughout the client's treatment. * Arranges for Peer Reviews as requested will coordinate both internal and external peer review process as needed or ...
Lafayette, IN · On-site
From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ...
Lafayette, IN · On-site
From your first day to your next career milestone-your experience matters How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued ...
Previous utilization review experience in a psychiatric healthcare facility preferred. * License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
Previous utilization review experience in a psychiatric healthcare facility preferred. * License: Current unencumbered clinical license strongly preferred. * Additional Requirements: CPR ...
The Woodlands, TX · On-site
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ...
The Woodlands, TX · On-site
Hours: 8:30-5:30, Monday - Friday At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent ...
Baltimore, MD · On-site
These reviews are conducted independently of treatment teams to provide objective feedback to hospitals regarding patient progress.\r\nThis position also manages the appeal process, working with the ...
Baltimore, MD · On-site
These reviews are conducted independently of treatment teams to provide objective feedback to hospitals regarding patient progress.\r\nThis position also manages the appeal process, working with the ...
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Big Spring, TX · On-site
Job Summary The Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the ...
Tucson, AZ · On-site
As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and ...
Tucson, AZ · On-site
As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and ...
| Aspect | Review | Quality Assurance Specialist |
|---|---|---|
| Primary Role | Evaluate and provide feedback on content, products, or services | Develop and implement testing processes to ensure product quality |
| Required Skills | Attention to detail, communication, analytical skills | Testing techniques, problem-solving, process improvement |
| Work Environment | Office, remote, or client sites | Office, lab, or production environments |
| Certifications | Not always required, but certifications like Content Review or Editing may help | Quality assurance certifications such as ASQ CQE or ISTQB |
While both roles focus on quality, a Review primarily assesses content or products for accuracy and clarity, providing feedback for improvement. A Quality Assurance Specialist develops testing protocols and ensures products meet quality standards through systematic testing. Understanding these differences helps job seekers identify the right career path or job opportunity in quality-related fields.
Cities with the most Review job openings:
The most popular types of Review jobs are:
States with the most job openings for Review jobs include:

$32.35 - $43.63/hr
Full-time
Posted 5 days ago
Salary Range: $32.35 - $43.63 + applicable differentials
Under the general supervision of the Director of Case Management, the Utilization Review (UR) Liaison is responsible for the assisting Utilization Review Case Managers. The UR Liaison is responsible for coordinating insurance reviews and issuance of authorization numbers through submission of required clinical information. The UR Liaison will work directly with all Case Management staff, Business Office, Patient Access, and along with the Hospital’s Revenue Cycle to ensure quality and efficiency of certain elements of claims processing, denial prevention, and denial management.
Provides office and referral management support services; assists the Utilization Review Team in obtaining medical records, documenting case information in the system, performing data entry into appropriate databases for monitoring and tracking, and following up on phone calls as directed.
Continue to learn about clinical programs, processes, and changes
May also perform office support functions as required
In addition to performing the essential functions listed below, may also be assigned other duties as required.
Sourced by ZipRecruiter
1,001 - 5,000 Employees
Washington, PA, US
1897