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Ur Assistant Jobs (NOW HIRING)

101 Rogers Memorial Hospital, Inc.

WI · On-site

Provide assistance to new UR case management specialists and care advocates with understanding and adhering to standard work * Assist in the creation and implementation of new standard work by ...

Arch Vista

UR Coordinator

Saint Louis, MO

$15 - $22/hr

UR Coordinator Pay Range: $15 - $22 hr Location: St Louis, MO About Arch Vista Comprehensive mental ... determination is required. * Assist with obtaining medical records and other supporting ...

Rogers Memorial Hospital, Inc.

WI · On-site

The UR Case Management Specialist monitors the treatment process, acting on behalf of the best ... Assist with the collection of data to facilitate continuous improvement.Provide professional ...

Summit BHC

UR Specialist

Peak, SC · On-site

UR Specialist | Peak Behavioral Health | Santa Teresa, New Mexico About the Job ... The Utilization Assistant provides support to all utilization review/management activities of the ...

New

Virtua

Outcomes Manager - UR (Per Diem)

Pennsauken, NJ · On-site

$38.33 - $59.58/hr

Acts as a resource to other team members including UR Tech and AA to support UR and revenue cycle ... Utilization Management • Utilizes Payer specific screening tools as a resource to assist in the ...

Gallagher

Administrative Assistant, UR

Franklin, TN · On-site

$17.75 - $24/hr

Overview The Administrative Assistant opportunity will operate full time, Monday - Friday, within standard business hours. This will be an onsite position. How you'll make an impact * Provides ...

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UR Clinical Associate

Morehead City, NC

Carteret Health Care
Health Care and Social Assistance • 1 - 5K employees
Learn more about Carteret Health Careexternal

Full-time

Re-posted 7 days ago

Carteret Health Care rating

7.2

Company rating: 7.2 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

Job description

  • JOB RELATIONSHIPS

    • This position reports to the Director of Research & Innovation. Works closely with and directly supports the Utilization Review Specialist (RN), Care Management staff, physicians, Vice President of Medical Affairs, CDI, Revenue Cycle, Patient Access, and the Business Office. This role serves as the clinical support bridge between the non-clinical UR administrative function and the licensed RN UR Specialist, operating under the supervision of licensed nursing staff for all clinically related tasks.

  • DEFINITION OF POSITION

    • The Utilization Review Clinical Associate (URCA) provides clinically informed support to the inpatient Utilization Review (UR) team at Carteret Health Care. This role is distinguished from the non-clinical Utilization Review Support Specialist (URSPEC) by requiring an active clinical license or credential and by performing functions that require clinical knowledge and judgment at a support level, under the supervision and direction of the RN UR Specialist. The URCA assists with concurrent review activities, functional and discharge readiness assessment support, clinical documentation coordination, level-of-care data collection, and payer communication support. The URCA does not independently perform medical necessity determinations or make inpatient/observation status decisions; those functions remain with the RN UR Specialist and Physician Advisor. The URCA enhances team capacity by bridging clinical and administrative UR functions, reducing burden on licensed UR nursing staff, and contributing clinical perspective to care transitions and discharge planning coordination.

  • QUALIFICATIONS
    • Professional
      • Active clinical license or credential required. Qualifying credentials include: Licensed Practical Nurse (LPN), Physical Therapist (PT), Occupational Therapist (OT), Physical Therapist Assistant (PTA), Certified Occupational Therapy Assistant (COTA), Speech-Language Pathologist (SLP), Respiratory Therapist (RT), Medical Assistant (CMA/RMA), or equivalent clinically credentialed healthcare professional. Credential must be in good standing with the applicable state licensing board.
      • Preferred (2) years of clinical experience in an acute care hospital, rehabilitation, skilled nursing, or related inpatient/post-acute setting preferred.
      • Working knowledge of medical terminology, clinical documentation, and patient care workflows in an inpatient environment.
      • Familiarity with insurance terminology, prior authorization processes, and payer-specific concurrent review requirements preferred.
      • Familiarity with CMS rules relevant to inpatient care (e.g., Two-Midnight Rule, inpatient vs. observation status, Important Message from Medicare, MOON notice) preferred; training will be provided.
      • Proficiency with Microsoft Office (Outlook, Word, Excel) and ability to learn hospital information systems (Meditech, Midas, Providerlink, payer portals).
      • A certification such as Certified Case Manager (CCM), Certified Utilization Review Professional (CURP), or Certified Revenue Cycle Specialist (CRCS) is a plus but not required.

What Carteret Health Care employees say

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About Carteret Health Care

Sourced by ZipRecruiter

Welcome to Carteret Health Care in Morehead City on the Crystal Coast of North Carolina. Come for the lifestyle, stay for the rewarding career. Imagine being able to live, work and play at the beach. Enjoying a wonderful quality of life, great recreational activities and excellent schools. As part of our mission to promote wellness and service to our community through exceptional quality and compassionate care, our employees are committed to our 'Navigating to Excellence' performance improvement initiative. We offer competitive employee benefits and salaries. Please consider joining our dedicated team — and make a difference every day.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Morehead City, NC, US

Year founded

1967

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