Conducts utilization reviews of behavioral health cases to determine medical necessity ... Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use ...
Conducts utilization reviews of behavioral health cases to determine medical necessity ... Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use ...
$60 - $80/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the ...
$60 - $80/hr
The Utilization Review Nurse is responsible for utilization management services within the scope of ... therapy, outpatient surgery centers, and an 858,000 member health plan. The people of the ...
Utilization Review Specialist
Tulsa, OK · On-site
For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...
Utilization Review Specialist
Tulsa, OK · On-site
For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, ... The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ...
Conducts utilization reviews of behavioral health cases to determine medical necessity ... Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use ...
Conducts utilization reviews of behavioral health cases to determine medical necessity ... Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use ...
Utilization Review Specialist
Indianapolis, IN · On-site
$60 - $80/hr
Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements. * Initiate, prepare ...
Utilization Review Specialist
Indianapolis, IN · On-site
$60 - $80/hr
Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements. * Initiate, prepare ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
Utilization Review Nurse
Canton, MA · On-site
$55 - $60/hr
Evaluate requests for outpatient procedures, surgeries, imaging, therapies, specialty medications, and other healthcare services. * Ensure all utilization review activities meet regulatory turnaround ...
Utilization Review Nurse
Canton, MA · On-site
$55 - $60/hr
Evaluate requests for outpatient procedures, surgeries, imaging, therapies, specialty medications, and other healthcare services. * Ensure all utilization review activities meet regulatory turnaround ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
Utilization Review Clinician
Augusta, GA · On-site
Website: The Utilization Review Clinician opportunity is a key member of the Lighthouse Case ... LMHC, LMFT, LAPC, LPC, LMSW, LCSW, LPN or RN preferred EEO Statement: All UHS subsidiaries are ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced ... Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up ...
The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced ... Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up ...
Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements. * Initiate, prepare ...
Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements. * Initiate, prepare ...
Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements. * Initiate, prepare ...
Quick apply
Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements. * Initiate, prepare ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ...
New
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ...
New
Utilization Review Specialist
Tulsa, OK · On-site
$60 - $80/hr
For over 65 years, Parkside's physicians, therapists, and staff have provided ... The Utilization Review Specialist assesses, plans, implements and evaluates the internal processes ...
Utilization Review Specialist
Tulsa, OK · On-site
$60 - $80/hr
For over 65 years, Parkside's physicians, therapists, and staff have provided ... The Utilization Review Specialist assesses, plans, implements and evaluates the internal processes ...
Utilization Review Specialist - Autism
Columbus, OH · On-site
$60 - $80/hr
Conducts utilization reviews of behavioral health cases to determine medical necessity ... Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use ...
Utilization Review Specialist - Autism
Columbus, OH · On-site
$60 - $80/hr
Conducts utilization reviews of behavioral health cases to determine medical necessity ... Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use ...
What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up ...
Quick apply
What you will be doing? The Utilization Review (UR) Specialist is a critical member of the ... Collaborate with clinicians, therapists, case managers, and medical staff to gather accurate and up ...
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ...
New
The Utilization Review Coordinator opportunity is a key member of the Lighthouse Case Management ... Must be license-eligible or licensed in Georgia. (LAPC, LPC, LMSW, LCSW, LMFT, LMHC) * Must have 2 ...
New
Description The Utilization Review Specialist coordinates insurance authorizations for individual therapy and IOP services, ensuring clients receive appropriate and timely care. This role works ...
Description The Utilization Review Specialist coordinates insurance authorizations for individual therapy and IOP services, ensuring clients receive appropriate and timely care. This role works ...
Utilization Review Specialist
Indianapolis, IN · On-site
$60 - $80/hr
Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements. * Initiate, prepare ...
Utilization Review Specialist
Indianapolis, IN · On-site
$60 - $80/hr
Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements. * Initiate, prepare ...
Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements. * Initiate, prepare ...
Conduct utilization review activities to assess medical necessity, appropriateness of therapy, and compliance with payer policies, clinical guidelines, and formulary requirements. * Initiate, prepare ...
Temp Speech Therapy Utilization Review information
What is the difference between Temp Speech Therapy Utilization Review vs Temp Speech-Language Pathologist?
| Aspect | Temp Speech Therapy Utilization Review | Temp Speech-Language Pathologist |
|---|---|---|
| Credentials | Typically requires a background in healthcare administration or related fields, with some certifications in utilization review | Requires a state license and certification as a Speech-Language Pathologist (e.g., ASHA certification) |
| Work Environment | Mostly office-based, reviewing patient records and insurance claims | Clinical settings such as hospitals, schools, or clinics, providing direct patient therapy |
| Employer & Industry Usage | Used by insurance companies, healthcare organizations, and utilization review companies | Employed by healthcare facilities, schools, or private practices to provide therapy services |
Temp Speech Therapy Utilization Review focuses on evaluating medical necessity and insurance coverage, while Temp Speech-Language Pathologists provide direct therapy to patients. Both roles are essential in the speech therapy industry but serve different functions within healthcare settings.
What cities are hiring for Temp Speech Therapy Utilization Review jobs?
Cities with the most Temp Speech Therapy Utilization Review job openings:
What are the most commonly searched types of Speech Therapy Utilization Review jobs?
The most popular types of Speech Therapy Utilization Review jobs are:
What states have the most Temp Speech Therapy Utilization Review jobs?
States with the most job openings for Temp Speech Therapy Utilization Review jobs include:
Full-time
Re-posted 15 days ago
Nationwide Children's Hospital rating
6.9
Based on 131 frontline employees who took The Breakroom Quiz
545th of 1,065 rated hospitals
Job description
Overview:
Schedule: Monday-Friday (8:00am-4:30pm)
Position is work from home after a 90 day in-office training period.
Job Description Summary:
Reviews behavioral health cases to determine medical necessity and appropriateness of care, ensuring compliance with established guidelines and policies. Performs pre-certifications, pre-authorizations, re-authorization, concurrent utilization reviews, retrospective reviews, and denial management. Interacts with staff and departments of the hospital to facilitate appropriate, cost-effective patient care.
Job Description:
Essential Functions:
Education Requirement:
Bachelor's Degree in Social Work, Psychology, or related field, or equivalent education and experience, required
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
Experience:
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Reaching above shoulder, Squat/kneel
FREQUENTLY: Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
Schedule: Monday-Friday (8:00am-4:30pm)
Position is work from home after a 90 day in-office training period.
Job Description Summary:
Reviews behavioral health cases to determine medical necessity and appropriateness of care, ensuring compliance with established guidelines and policies. Performs pre-certifications, pre-authorizations, re-authorization, concurrent utilization reviews, retrospective reviews, and denial management. Interacts with staff and departments of the hospital to facilitate appropriate, cost-effective patient care.
Job Description:
Essential Functions:
- Conducts utilization reviews of behavioral health cases to determine medical necessity, appropriateness of care, and adherence to clinical guidelines.
- Communicates with healthcare teams and third-party payors to ensure the delivery of quality care and optimum payment.
- Assists with retrospective reviews and denial management to maintain appropriate and cost-effective patient care.
- Documents all case reviews and maintains accurate records of all clinical activities and coverage information.
- Provides education and support regarding utilization review and management activities and processes.
- Analyzes clinical data to identify trends and patterns that may impact patient care. Participates in quality improvement initiatives to enhance the overall delivery of behavioral health services.
- Facilitates reimbursement by communicating with payers, other staff, patients, and families concerning status of funding and required actions.
Education Requirement:
Bachelor's Degree in Social Work, Psychology, or related field, or equivalent education and experience, required
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
- Excellent written and verbal communication and interpersonal skills.
- Excellent customer service and organizational skills.
- Working knowledge of CMS and other review agency standards.
- Proficient with software applications including CM, payer web applications, MITS, and others.
Experience:
- Three years of behavioral health experience, required.
- One year of experience in pediatric care or services, required.
- Utilization review or utilization management experience, preferred.
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Reaching above shoulder, Squat/kneel
FREQUENTLY: Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
What Nationwide Children's Hospital employees say
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About Nationwide Children's Hospital
Sourced by ZipRecruiter
Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Columbus, OH, US
Year founded
1892