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)

Traveling ICU RN - Intensive Care Unit RN
  • Focus Staff
  • San Bernardino, CA
  • ... post service review activities; discharge care coordination; and assisting with efficiency and ... utilization and outcomes of the different methods of reimbursement * Demonstrates the ability to ...
  • 5 hours ago

Utilization Management Supervisor - RN
  • A-Line Staffing Solutions
  • Sacramento, CA
  • ... coordinating and facilitating system processes with providers, partners, vendors, and ... Utilization Review, Utilization Management, Registered Nurse, Licensed Vocational Nurse, LPN, ...
  • 21 hours ago

RN-Case Manager
  • All Medical Personnel
  • Fresno, CA
  • ASAP Job Details: * Responsible for coordinating medical care, and matching patient needs and ... Case Management or Utilization Review Certification - Highly Preferred * MediTech - Highly ...
  • 22 hours ago

RN ICU Surgical - FT Days
  • AdventHealth
  • Burleson, TX
  • Award winning facility and departments including "Great Place to Work" by Becker's Hospital Review ... The Staff RN coordinates the care and service of selected patient populations across the continuum ...
  • yesterday

RN Clinical Manager
  • Kindred at Home
  • Bellevue, WA
  • The Clinical Manager coordinates and oversees all direct care patient services provided by clinical ... Works with Utilization Review staff relative to data tracking for performance review and outcomes ...
  • yesterday

RN Field/Case Manager
  • At Home Healthcare
  • Irving, TX
  • Responsible for evaluating utilization of patient services and patient progress; review evaluation with the care team, patient, family members, physician, and Clinical Care Coordinator as needed
  • yesterday

Utilization Review Specialist
  • Memorial Hermann Health System
  • Houston, TX
  • Utilization reviews may extend through continued stay and involve discharge planning activities ... Coordinates/facilitates patient care progression throughout the continuum and communication and ...
  • 4 days ago

Housing and Homeless Specialist
  • State of Massachusetts
  • Boston, MA
  • The Specialist assists the HH Manager in developing, implementing, monitoring, and coordinating ... Conduct site visits to review: facilities for compliance with health and safety policies; adequate ...
  • 4 days ago

Income Estimation for Utilization Review Coordinator jobs
$72,859 to $90,252