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 2021 Salary.com)

Inpatient Care Coordinator
  • PWW Recruiting, LLC.
  • Olympia, WA
  • ... Utilization Review/Management, MDS coordinator, and Clinical Liaison experience is also strongly preferred). 4. Experience coordinating with providers, nursing and therapy staff to adjust and monitor ...
  • 9 hours ago

Interim Department Manager, Utilization Review & Resource Management - Antioch
  • B.E. Smith
  • Antioch, CA
  • & Requirements Interim Department Manager, Utilization Review & Resource Management in California ... Coordinator
  • yesterday

Utilization Review Program Coordinator RN Valley Children's Healthcare - Madera, CA
  • Fly.jobs
  • Madera, CA
  • The Utilization Review Nurse Coordinator is accountable for oversight of the Utilization Management program at Children's Hospital, under the direction of department leadership. Under minimal ...
  • yesterday

Utilization Review Coordinator Universal Health Services - Anchorage, AK
  • Fly.jobs
  • Anchorage, AK
  • Responsibilities The Utilization Review Coordinator is responsible for ensuring that financial benefits are maximized in the treatment and discharge planning for assigned cases through initial and ...
  • yesterday

RN Case Manager
  • Actalent
  • San Jose, CA
  • ... reviews, and monitors level and quality of care. - Coordinates the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge ...
  • yesterday

LVN, Utilization Management Compliance, Full-time, 8hr, El Segundo
  • Optum
  • El Segundo, CA
  • This position is responsible for coordinating all components of Health Plan Delegation Oversight audits and performing internal quality reviews for Case Management and Utilization Management
  • yesterday

Client Care Coordinator- Home Care
  • AccentCare Personal Care Services
  • Concord, CA
  • Coordinates utilization of Care Partner teams to ensure fill rate expectations met * Researches and ... We will review your qualifications and follow up if we believe you would be a good fit for this ...
  • 2 days ago

Travel Nurse RN - Utilization Review - $2,703 per week
  • Vivian Health
  • Grass Valley, CA
  • Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 16 weeks * 40 hours per week ... A hospital near Sacramento is looking for an experienced Care Coordinator RN (case manager) for a ...
  • 2 days ago

Income Estimation for Utilization Review Coordinator jobs
$74,522 to $92,313