Utilization Review Coordinator jobs in the United States

Utilization Review Coordinator 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 Coordinator 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 Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2020 Salary.com)

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Central Park Endoscopy- Charge Nurse
  • Envision Healthcare
  • Bedford, TX
  • Coordinates patient-care activities with surgeons and anesthesia providers to provide continuity of ... Monitors FTE utilization and makes recommendations to promote cost-effective scheduling practices
  • 2 days ago

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Registered Nurse Care Manager
  • SCL Health
  • Miles City, MT
  • As a Case Manager with us, you will have the opportunity to be involved in the coordination of care ... At least five (5) years of nursing experience Prior knowledge of managed care / utilization review ...
  • 3 days ago

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Case Manager - RN
  • Maxim Healthcare Services
  • San Francisco, CA
  • The Case Manager/Care Coordination Nurse conducts telephonic calls to assist with care coordination ... Review members' HRA survey responses for both Commercial and the Senior Select (Special Needs Plan ...
  • 3 days ago

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Staff Development - Scheduler
  • Trilogy Health Services
  • Ottawa, OH
  • Meets each new employee to review their schedule, ask what needs they have and ensure a smooth ... coordination and classes. * Adheres to Trilogy Scheduling Standards, SmartLinx utilization and best ...
  • 4 days ago

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Utilization Review Nurse - Part Time Weekend Position (Sat.& Sun.)
  • UT Southwestern Medical Center
  • Dallas, TX
  • Serves as a resource person to physicians, care coordinators, physician offices and billing office ... Works closely with decision support staff to review resource utilization data and trends to ...
  • 4 days ago

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RN Case Manager
  • Maxim Healthcare Services
  • Mishawaka, IN
  • ... optimum utilization of resources, service delivery and compliance with medical regime ... review of the patient's individualized coordination of care plan * Ensures that the patients ...
  • 4 days ago

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Assistant Nurse Manager - Labor & Delivery
  • Nextaff
  • Oakland, CA
  • Ensures coordinated plans of treatment, customer focused care and cost effective utilization of ... Conduct compensation reviews of positions on a routine basis. Qualifications: Basic Qualifications
  • 5 days ago

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Clinical Care Coordinator - Must be a Registered Nurse (RN)
  • Colonial Care Center
  • Long Beach, CA
  • Colonial Care Center is looking for an exceptional Clinical Care Coordinator to join the family ... ยท Utilization review, including Medicare management, QA/Consultant audits, documentation ...
  • 5 days ago

Income Estimation for Utilization Review Coordinator jobs
$72,466 to $89,764