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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RN Supervisor - Utilization Management
  • Aerotek
  • Sacramento, CA
  • ... coordinating and facilitating system processes with providers, partners, vendors, and ... Review, Utilization Management, Discharge Planning, etc. * Must have experience as a RN Lead ...
  • 10 hours ago

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Utilization Management Nurse- LVN
  • TotalMed Professional
  • Rancho Cucamonga, CA
  • ... coordinated, continuous cost effective quality healthcare for IEHP Members ... Responsible for gathering of clinical documentation to assist the R.N. Letter Review Nurse and ...
  • 15 hours ago

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Trauma Performance Improvement Coordinator RN
  • Providence St. Joseph Health, Southern California
  • Santa Rosa, CA
  • ... review the performance and safety of the Trauma Program and coordinates activities to evaluate ... Demonstrates a thorough working knowledge and competency in the utilization of PI framework * and ...
  • yesterday

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Inpatient Utilization Review Nurse
  • MAXIM HEALTHCARE GROUP
  • Las Vegas, NV
  • SpecificDuties: 1. Utilization Review using guidelines to authorizeappropriate level of care for ... as coordinating withspecialties such as our palliative care program. This may include driving ...
  • 2 days ago

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RN Case Manager
  • CHRISTUS Health
  • Beaumont, TX
  • Description Summary: The Case Manager coordinates the care and service of selected patient ... Prior Case Management and/or Utilization Review experience preferred. Experience in a payer ...
  • 3 days ago

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Clinical Resource Coordinator
  • Penn Medicine (University of Pennsylvania Health System)
  • Philadelphia, PA
  • Utilization Review Competencies 1. Performs clinical reviews on assigned patients. Communicates ... Coordinates referrals to Physician Advisor and/or EHR to establish medical necessity. Discharge ...
  • 4 days ago

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Director of Nursing Home Care
  • Home Health Agency
  • Los Angeles, CA
  • ... coordination with Clinical Supervisor(s) * Provides guidance and counseling tot he Clinical ... Review documentation for proper visit utilization * Maintain knowledge of state and federal ...
  • 4 days ago

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Registered Nurse (RN)-Coordinated Community Care Clinical Coordinator/Case Manager
  • Veterans Affairs, Veterans Health Administration
  • Middleton, WI
  • The Clinical Coordinator should possess knowledge of federal regulations regarding the use of the Fee program, VHA guidelines, medical review criteria, utilization management processes, clinical ...
  • 5 days ago

Income Estimation for Utilization Review Coordinator jobs
$72,945 to $90,362