Utilization Review Technician jobs in Denton, TX

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)

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Director - Utilization Review/ MGMT
  • Universal Health Services, Inc.
  • Denton, TX FULL_TIME
  • Responsibilities

    Mayhill Hospital located in Denton, TX just north of Dallas and Fort Worth, is a 59-bed private psychiatric hospital specializing in mental health and chemical dependency care for adults and seniors. We are one of the few facilities in the area that can provide care to those individuals with both coexisting psychiatric and medical conditions. We are uniquely trained to provide care to seniors who have exhausted their psychiatric days. It is our goal to provide compassionate care to those individuals living with mental illness so they can live their life to the fullest. We believe life with mental health disorder can be managed in a way that allows a person to thrive. When life's challenges seem to big to handle alone, Mayhill Hospital is here to help.

    Website:

    Position Summary

    The Director of Utilization Review is responsible for directing and overseeing the Utilization Review Program for In Patient and Out Patient services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payors.

    Job Duties/Responsibilities:

    • Direct the response to request for services, including the initial response, the assessment and referral process, the designation of appropriate level of care, initiating services, and follow up activity
    • Create a structure that best meets the needs of the organization, particularly department organization related to supervision and assignment of staff
    • Ensure that a system is developed to provide continuity of care and communication with family and appropriate referral sources, and ensure the system is evaluated and reviewed regularly

    Benefit Highlights:

    • Challenging and rewarding work environment
    • Competitive Compensation & Generous Paid Time Off
    • Excellent Medical, Dental, Vision, and Prescription Drug Plans
    • 401(K) with company match and discounted stock plan
    • SoFi Student Loan Refinancing Program
    • Career development opportunities within UHS and its 300 Subsidiaries!
    • More information is available on our Benefits Guest Website: uhsguest.com

    About Universal Health Services

    One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.

    Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related

    services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com


    Qualifications

    QUALIFICATIONS

    Education: Degree in nursing, social work, mental health/behavioral sciences, or related field preferred. Combination o feducation and experience may be considered.

    Experience: A minimum of five (5) years direct clinical expereince in a psychiatric or mental health treatmnet setting. A minimum of one year of managing a related function is preferred. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities.

    Licensure: LMSW, LPC, RN or LVN required.

    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Avoid and Report Recruitment Scams

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS

    and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

    If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

     

  • 25 Days Ago

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Utilization Review Specialist
  • Mesa Springs
  • Arlington, TX FULL_TIME
  • Overview Mesa Springs Utilization Review Specialist Mesa Springs is a 72-bed behavioral hospital located in Fort Worth, TX. The hospital offers inpatient and outpatient mental health and addiction tre...
  • 1 Month Ago

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Utilization Review Specialist
  • Springstone, Inc.
  • Arlington, TX FULL_TIME
  • Overview Mesa Springs Utilization Review Specialist Mesa Springs is a 72-bed behavioral hospital located in Fort Worth, TX. The hospital offers inpatient and outpatient mental health and addiction tre...
  • 1 Month Ago

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Utilization Review Coordinator
  • LifeCare Health
  • Fort Worth, TX FULL_TIME
  • We have an immediate opportunity for a Utilization Review Coordinator. General Summary: The Utilization Review Coordinator will monitor adherence to the hospital's utilization review plan to ensure th...
  • 1 Month Ago

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Director - Utilization Review/ MGMT
  • UHS
  • DENTON, TX FULL_TIME
  • Responsibilities This full-time opportunity in the Case Management Department offers 40 hours per week, full benefits, and a convenient day shift schedule. There is opportunity to cover various shifts...
  • 1 Month Ago

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OCOK Utilization Review Specialist
  • ACH Child and Family Services
  • Fort Worth, TX FULL_TIME
  • DescriptionPosition Function: Responsible for ensuring that youth receive the most appropriate level of residential services for well-being and to achieve permanency. Responsible for ensuring that exc...
  • 1 Month Ago

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0 Utilization Review Technician jobs found in Denton, TX area

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Technical Specialist
  • HCL Technologies
  • Dallas, TX
  • Job Description (Posting). IT Support (DSS) Engineer Provider who can resolve day to day IT related issues with a focus ...
  • 4/22/2024 12:00:00 AM

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GROUP TECHNICAL SPECIALIST
  • HCL Technologies
  • Dallas, TX
  • Job Description (Posting). SCM-MFG/PEO - PEO Lead (1.) Raising risks, issues and escalation to senior management and cus...
  • 4/22/2024 12:00:00 AM

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Sales Tech Specialist
  • Global Payments
  • Dallas, TX
  • Every day, Global Payments makes it possible for millions of people to move money between buyers and sellers using our p...
  • 4/22/2024 12:00:00 AM

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Event Technical Specialist (Part Time) - Dallas Labor Pool
  • Encore
  • Coppell, TX
  • Position Overview The Technical Specialist is responsible for the set up and operation of small to large-scale audiovisu...
  • 4/22/2024 12:00:00 AM

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Technical Specialist
  • Proman Staffing
  • The Colony, TX
  • PROMAN Staffing has partnered with our global manufacturing client in The Colony, TX to source and hire a mechanically i...
  • 4/21/2024 12:00:00 AM

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Nutanix Technical Specialist/SME
  • Pyramid Consulting, Inc.
  • Richardson, TX
  • Immediate need for a talented Nutanix Technical Specialist/SME This is a 12+ Months Contract opportunity with long-term ...
  • 4/21/2024 12:00:00 AM

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Technical Specialist/ SME (TIRKS)
  • Diverse Lynx
  • Dallas, TX
  • Role: Technical Specialist/ SME (TIRKS) Location: Dallas, TX (Remote) Experience Required: 10+yrs of exp Fulltime Role J...
  • 4/21/2024 12:00:00 AM

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Technical Specialist, Point of Sale Infrastructure
  • Topgolf
  • Dallas, TX
  • Job Responsibilities Elicit project requirements, evaluate business processes and identifies improvement areas for techn...
  • 4/19/2024 12:00:00 AM

Denton is a city in and the county seat of Denton County, Texas, United States. As of the 2010 United States Census, its population was 113,383, making it the 27th-most populous city in Texas, the 200th-most populous city in the United States, and the 12th-most populous city in the Dallas–Fort Worth metroplex. A Texas land grant led to the formation of Denton County in 1846, and the city was incorporated in 1866. Both were named after pioneer and Texas militia captain John B. Denton. The arrival of a railroad line in the city in 1881 spurred population, and the establishment of the University ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$61,361 to $85,620
Denton, Texas area prices
were up 2.2% from a year ago

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
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
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