Job Seekers, Welcome to ACPA Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 137 Jobs
Create Alert
Loading... Please wait.
University of Chicago

Chicago, Illinois

Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Jackson, Mississippi, Mississippi

NEW! NEW!
Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Cape Coral, Florida, Florida

NEW! NEW!
Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

NEW! NEW!
Nicklaus Children’s Health System Logo
Nicklaus Children’s Health System

West Palm Beach, Florida

NEW! NEW!
North American Dental Group Logo
North American Dental Group

Buffalo, New York

NEW! NEW!
Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Iowa City, Iowa, Iowa

NEW! NEW!
Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

NEW! NEW!
University of California San Francisco

San Francisco, California

NEW! NEW!
The University of Pittsburgh Logo
The University of Pittsburgh

Pittsburgh, Pennsylvania

NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Hampton, Virginia, Virginia

NEW! NEW!
North American Dental Group Logo
North American Dental Group

Spring Hill, Tennessee

Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

North American Dental Group Logo
North American Dental Group

Jacksonville, Florida

Vanderbilt Health Logo
Vanderbilt Health

Nashville, Tennessee

North American Dental Group Logo
North American Dental Group

Warren, Michigan

Nicklaus Children’s Health System Logo
Nicklaus Children’s Health System

Miami, Florida

North American Dental Group Logo
North American Dental Group

Olean, New York

MultiCare Health System Logo
MultiCare Health System

Puyallup, Washington

Nicklaus Children’s Health System Logo
Nicklaus Children’s Health System

Ft. Lauderdale, Florida

Loading... Please wait.
Hybrid Utilization Review Specialist
JOB SUMMARYThe Utilization Review Specialist provides subject matter expertise in performing utilization reviews and educates health plan staff and providers regarding the appropriate delivery of therapy services. Accountable for development of utilization management criteria and policy in conjunction with the health plan Medical Director and Health Services leadership.ESSENTIAL FUNCTIONS OF THE ROLEMakes accurate, clinically appropriate, and consistent approval authorization determinations, including collecting appropriate clinical information, applying appropriate medical criteria, consulting with Medical Director, and communicating authorization determinations to providers, members or patients in accordance with policy and p


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.