Utilization Review Technician jobs in Florida

Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

M
Utilization Review Counselor
  • Meridian Behavioral Healthcare, Inc.
  • Gainesville, FL FULL_TIME
  • Position Title: Utilization Review Counselor

    Location: Gainesville, FL

    Salary: $17.85/hr| Non-Exempt

    Ready to make a positive impact in someone else's life?

    Starting your career journey with Meridian is just the way to do it!

    Why Meridian?

    Meridian Behavioral Health is a private, non -profit organization with roots in the mental

    health community since the 1960's. Since that time, we've expanded to 13 counties in

    North Central Florida. We us a multidisciplinary approach to treating to those facing

    mental health challenges and substance use disorders.

    We want you! We welcome your knowledge, experience, story and expertise!

    • Complete utilization reviews in a timely fashion to ensure payment for services provided.
    • Maintain and keep up to date the financial records and spreadsheets.
    • Work collaboratively as part of a team and communicate valuable information pertaining to utilization and authorization status.
    • The persons served rate their interactions as respectful, responsive, and person-centered.
    • Other duties as assigned.
    • Learn and maintain proficiency in Meridian's Electronic Health Record.
    • Ensures that payer information about persons on his/her unit is current and accurate.

    Who are we looking for?

    • High School graduate, Bachelor's Degree preferred
    • UR/UM experience with Third Party and Managed Medicaid payors.

    What You Will Love!

    • Friendly, flexible and lively work environment- To all Meridian

    employees we offer free activities including Zumba and Yoga. We also believe in companywide celebrations and blood drives. Our employee engagement committee is always coming up with other fun activities for all.

    • Work-life balance - Generous PTO accrual for vacation, sick leave and holidays.
    • Benefits - Several health insurance plan options available including tax sheltered health savings account. Vision, dental, retirement, life insurance, and accidental death are also available.
    • Wellness Programs - Employees have an opportunity to earn a monthly discount on their medical plan premiums by participating in the Vitality wellness program, and Employee Assistance Program(EAP).
    • Compensation & Retirement - Competitive salaries and 403(b) retirement savings with company match up to 8%.
    • Growth & Education- Opportunities for growth and career advancement. Tuition reimbursement. Public service loan forgiveness and free clinical supervision.
    • Perks - Cell phone plan discounts, travel reimbursement and gym membership discount programs, LegalShield, pet insurance and more!

    Our Hiring Process:

    • We pre-screen your application. If we find that your skills are a match for the position you applied for we will then send your resume over to the hiring manager to schedule an interview.
    • If the interview is successful our talent acquisition recruiter from Human Resources Department will reach out to you with a verbal job offer and send over your background check paperwork as well as your follow up & next steps email.
    • After you have cleared the background screening process our talent acquisition team will then send you an overview with expectations for New Employee Orientation start date.

    Our team is committed to helping you grow into the best version of yourself you were always meant to be. Thank you for considering joining the Meridian family!

    How to apply:

    If you are interested in making an impact while positively impacting the community apply below.

    Simply apply through this website or visit us directly at https://meridian.e3applicants.... in our mission to bring education about mental illnesses and substance use disorders and the treatment of those affected to the world.

    "Hope, Recovery, and Wellness are within everyone's reach."

    Meridian is an Equal Employment Opportunity Employer. We are fully committed to attracting, retaining, developing and promoting the most qualified employees. All qualified applicants will receive consideration for employment regardless of race, color, religion, sex, gender identity or expression, sexual orientation, pregnancy, status as a parent, national origin, age, marital status, disability (physical or mental), family medical history or genetic information, political affiliation, military service or because they are a protected veteran or other non-merit based factors.

  • Just Posted

A
Utilization Review Specialist
  • Advanced Recovery Systems, LLC
  • Port Richey, FL FULL_TIME
  • OverviewAdvanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, and mental health issues. We put behavioral health...
  • Just Posted

D
Utilization Review RN
  • Dane Street
  • Beach, FL FULL_TIME
  • The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment pl...
  • Just Posted

S
UTILIZATION REVIEW MANAGER
  • Suncoast Behavioral Health Center
  • Bradenton, FL FULL_TIME
  • Responsibilities: Suncoast Behavioral Health Center opened its doors in 2014 and provides the highest quality of behavioral healthcare for patients in a safe, secure and nurturing environment. Suncoas...
  • 1 Day Ago

I
Utilization Review Manager
  • ICBD HOLDINGS LLC
  • Lauderdale, FL FULL_TIME
  • Utilization Review Manager – Exact Billing Solutions Lauderdale Lakes, FL About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the su...
  • 24 Days Ago

I
Utilization Review Specialist
  • ICBD HOLDINGS LLC
  • Lauderdale, FL FULL_TIME
  • Utilization Review Specialist – Exact Billing SolutionsLauderdale Lakes, FL About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the ...
  • 24 Days Ago

T
Ready Mix Technical Expert
  • Turner Mining Group
  • Indianapolis, IN
  • Turner Staffing Group - Ready Mix Technical Expert Opportunity Title: Ready Mix Technical Expert Job Summary: This posit...
  • 6/2/2024 12:00:00 AM

U
Claims Technical Expert (TEMP)
  • US Government Other Agencies and Independent Organizations
  • Lodi, CA
  • Summary This temporary position is located in the Lodi, CA District Office at: 1110 W. Kettleman Ln., Lodi, CA TYPE OF P...
  • 6/2/2024 12:00:00 AM

H
Technical Specialist
  • Honda
  • Alpharetta, GA
  • Technical Specialist Requisition ID: 2901 Location: Alpharetta, GA, US, 30005 Workstyle: Onsite Shift: 1st Salary Range:...
  • 6/1/2024 12:00:00 AM

C
Tech Expert Risk
  • Confidential
  • Pasadena, CA
  • Tech Expert Risk (Woodland Hills, California): Code hedging and valuation frameworks in C++, C#, and Python. Apply and p...
  • 5/30/2024 12:00:00 AM

U
Claims Technical Expert (TEMP)
  • US Government Other Agencies and Independent Organizations
  • Lancaster, CA
  • Summary This temporary position is located in the Lancaster District Office at: 42225 10th ST W., Lancaster, CA TYPE OF ...
  • 5/30/2024 12:00:00 AM

A
IT Technical Specialist
  • AbbVie
  • North Chicago, IL
  • Company Description AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious he...
  • 5/30/2024 12:00:00 AM

T
System Integration Technical Expert
  • Traxen
  • Plymouth, MI
  • We are a Plymouth, Michigan based startup, developing cutting-edge technologies for Driver Assistance and Automated Driv...
  • 5/29/2024 12:00:00 AM

K
Principal Technical Expert Consultant
  • Koniag Government Services
  • Arlington, VA
  • EHS Job ID 2415031 Eagle Harbor Solutions, a Koniag Government Services company, is seeking a Principal Technical Expert...
  • 5/29/2024 12:00:00 AM

Florida (/ˈflɒrɪdə/ (listen); Spanish for "land of flowers") is the southernmost contiguous state in the United States. The state is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Atlantic Ocean, and to the south by the Straits of Florida. Florida is the 22nd-most extensive (65,755 sq mi or 170,300 km2), the 3rd-most populous (21,312,211 inhabitants), and the 8th-most densely populated (384.3/sq mi or 148.4/km2) of the U.S. states. Jacksonville is the most populous municipality in the state and the largest city by area in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$59,922 to $83,607

Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020