Acadia Healthcare in Germantown, TN, is seeking a Utilization Review professional to monitor hospital service utilization and assist with reimbursement optimization for the facility. You will liaise ...
Acadia Healthcare in Germantown, TN, is seeking a Utilization Review professional to monitor hospital service utilization and assist with reimbursement optimization for the facility. You will liaise ...
Acadia Healthcare in Germantown, TN, is seeking a Utilization Review professional to monitor hospital service utilization and assist with reimbursement optimization for the facility. You will liaise ...
Acadia Healthcare in Germantown, TN, is seeking a Utilization Review professional to monitor hospital service utilization and assist with reimbursement optimization for the facility. You will liaise ...
Utilization Specialist
Medical
Dental
Vision
Life
Retirement
PTO
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Utilization Specialist
Medical
Dental
Vision
Life
Retirement
PTO
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
RN UTILIZATION MGMT I
Knoxville, TN · On-site
Prepares and reviews necessary documentation for insurance utilization management processes and ... * Assist with insurance requested audits and provides information to supervisor related to ...
RN UTILIZATION MGMT I
Knoxville, TN · On-site
Prepares and reviews necessary documentation for insurance utilization management processes and ... * Assist with insurance requested audits and provides information to supervisor related to ...
RN UTILIZATION MGMT I
Knoxville, TN · On-site
Prepares and reviews necessary documentation for insurance utilization management processes and ... * Assist with insurance requested audits and provides information to supervisor related to ...
RN UTILIZATION MGMT I
Knoxville, TN · On-site
Prepares and reviews necessary documentation for insurance utilization management processes and ... * Assist with insurance requested audits and provides information to supervisor related to ...
RN UTILIZATION MGMT I
Knoxville, TN · On-site
Prepares and reviews necessary documentation for insurance utilization management processes and ... * Assist with insurance requested audits and provides information to supervisor related to ...
RN UTILIZATION MGMT I
Knoxville, TN · On-site
Prepares and reviews necessary documentation for insurance utilization management processes and ... * Assist with insurance requested audits and provides information to supervisor related to ...
Utilization Specialist
Murfreesboro, TN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Utilization Specialist
Murfreesboro, TN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Utilization Specialist
Murfreesboro, TN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Utilization Specialist
Murfreesboro, TN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Initiate and complete the formal appeal process for denied admissions or continued stay. * Assist ...
Billing Specialist and Utilization Review for Recovery Clients
Nashville, TN · On-site
$18.75 - $25.25/hr
) Utilization Review and Support Specialist Classification: Full-time, non-exempt Minimum ... As needed, assist the clinical team in scheduling required TnCare discharge appointments. Attend ...
Billing Specialist and Utilization Review for Recovery Clients
Nashville, TN · On-site
$18.75 - $25.25/hr
) Utilization Review and Support Specialist Classification: Full-time, non-exempt Minimum ... As needed, assist the clinical team in scheduling required TnCare discharge appointments. Attend ...
Responsible for the performance of Utilization Review services, including pre-admission ... May assist in training/orientation of new staff as requested. Monitors functions assigned to non ...
Responsible for the performance of Utilization Review services, including pre-admission ... May assist in training/orientation of new staff as requested. Monitors functions assigned to non ...
Responsible for the performance of Utilization Review services, including pre-admission ... assist in training/orientation of new staff as requested. • Monitors functions assigned to non ...
Responsible for the performance of Utilization Review services, including pre-admission ... assist in training/orientation of new staff as requested. • Monitors functions assigned to non ...
Responsible for the performance of Utilization Review services, including pre-admission ... May assist in training/orientation of new staff as requested. Monitors functions assigned to non ...
Responsible for the performance of Utilization Review services, including pre-admission ... May assist in training/orientation of new staff as requested. Monitors functions assigned to non ...
Utilization Review Assistant information
What is a utilization review assistant?
A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.
What does a utilization review assistant do?
A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.
What skills and qualifications are needed to be a utilization review assistant?
To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.
How do I get into a utilization review assistant?
To become a utilization review assistant, candidates typically need a high school diploma or equivalent, with some roles preferring healthcare-related certifications or experience. Strong organizational skills, attention to detail, and familiarity with medical records and insurance processes are important; some positions may require knowledge of healthcare management software. Gaining relevant experience or certifications can improve job prospects in this field.
What are the most commonly searched types of Utilization Review jobs in Tennessee?
The most popular types of Utilization Review jobs in Tennessee are:
What are popular job titles related to Utilization Review Assistant jobs in Tennessee?
For Utilization Review Assistant jobs in Tennessee, the most frequently searched job titles are:
- Remote Utilization Review Rn
- Flex Schedule Remote Utilization Review Nurse
- Per Diem Utilization Review Nurse
- Remote Utilization Management Nurse
- Remote Utilization Review Nurse
- Evening Utilization Review Nurse
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- Weekend Physician Advisor Utilization Review
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What job categories do people searching Utilization Review Assistant jobs in Tennessee look for?
The top searched job categories for Utilization Review Assistant jobs in Tennessee are:
- Temporary Medical Utilization Review Physician
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- Fulltime Cigna Utilization Review Nurse
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What cities in Tennessee are hiring for Utilization Review Assistant jobs?
Cities in Tennessee with the most Utilization Review Assistant job openings:
Part-time
Posted 7 days ago
Acadia Healthcare rating
6.2
Based on 190 frontline employees who took The Breakroom Quiz
699th of 888 rated healthcare providers
Job description
Acadia Healthcare in Germantown, TN, is seeking a Utilization Review professional to monitor hospital service utilization and assist with reimbursement optimization for the facility. You will liaise between managed care organizations and clinical staff, conduct plan reviews, monitor length of stay, and help with pre-certifications and documentation updates. Strong clinical background and utilization management familiarity are preferred. #J-18808-Ljbffr
What Acadia Healthcare employees say
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Benefits
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About Acadia Healthcare
Sourced by ZipRecruiter
Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Franklin, TN, US
Year founded
2005