Utilization Review Coordinator jobs in Clovis, NM
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 2024 Salary.com)
Recently Added Utilization Review Coordinator jobs
Utilization Manager
- Spectrum Healthcare Resources
-
Clovis, NM
FULL_TIME
-
Job Description:Cannon Air Force Base is staffing a Full-Time role for a Utilization Manager. This position is located at 224 W D.L Ingram Ave, Bldg. 1408 Cannon AFB, NM 88103
The case manager will be responsible for coordination of care for active-military members and their families/dependants.- This is a Monday-Friday position with no required overtime.
- Hours: 8 hour shifts between 0730-1630 (7:30AM - 4:30PM) 1HOUR Lunch
Description/Job Duties:-
Knowledge and skills to effectively apply the following core Utilization Management functions:
- Assessment - ID patients for Utilization Review; comprehensive collection of patient information and medical status; and continue evaluation of an established plan of care
- Planning - Collaboration with the patient, family/caregiver, primary provider and other members of the health care team for developing an effective plan of care
- Facilitation - Care coordination and communication among all involved parties
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Advocacy - Support for the patient and family/caregivers to ensure identified education and appropriate, timely care is received.
- Excellent communication skills
- Working with physically and/or mentally ill patients who may be uncooperative, fearful, emotionally distraught, and occasionally dangerous.
- Organization, problem solving, and communication skills required to articulate medical requirements to patients, family/caregiver, medical and non-medical staff in a professional and courteous way.
- This role will require utilization management experience in working with families, adults, children, seniors and groups.
REQUIREMENTS:- ASSOCIATES DEGREE WITH 3 YEARS OF EXPERIENCE or BACHELORS DEGREE AND 2 YEARS OF EXPERIENCE.
- HI NURSING LICENSE
- Candidates should be familiar with Microsoft Office programs, MS Outlook (e-mail), and HIPPA guidelines.
This role is for a medical professional on a military base. As part of the hiring process the candidate will be asked to provide credentialing documents including but not limited to: proof of education, copies of certifications and/or liceneses, as well immunization records and other documents.
About Clovis, New Mexico:
Clovis is a charming city situated in the heart of the High Plains. Surrounded by vast stretches of golden prairies, it offers a unique blend of small-town charm and Southwestern hospitality. Some highlights include:
- Visit the beautiful Ned Houk Park, where you can walk the scenic trails, have a picnic by the lake, and more
- Sample local flavors at one of the many eateries, where you can try authentic New Mexican cuisine and regional specialties
- Children and adults alike will enjoy a visit to the Hillcrest Park Zoo, where you can explore over 140 acres
- Visit the Clovis Civic Center, which hosts performances and exhibitions from local and touring artists
Location : Location: US-NM-Clovis Recruiter : Full Name: First Last: Betty Fisk Direct phone number: 5737444130 Recruiter : Email: betty_fisk@spectrumhealth.com Remote / Work from home available?: false - 14 Days Ago
Utilization Manager - Registered Nurse
- Spectrum Healthcare Resources
-
Clovis, NM
OTHER
- Job Description Spectrum Healthcare Resources is seeking a civilian, Registered Nurse (RN) to work as a Utilization Manager for our client at the Cannon Air Force Base. The Utilization Manager will be...
- 19 Days Ago
Paid Product Tester
- Product Review Jobs
-
HARDESTY, OK
FULL_TIME
- Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
- 26 Days Ago
Paid Product Tester
- Product Review Jobs
-
Texhoma, TX
FULL_TIME
- Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
- 26 Days Ago
Paid Product Tester
- Product Review Jobs
-
MOSQUERO, NM
FULL_TIME
- Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
- 28 Days Ago
Paid Product Tester
- Product Review Jobs
-
SAN JON, NM
FULL_TIME
- Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
- 28 Days Ago
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0 Utilization Review Coordinator jobs found in Clovis, NM area
Personal Financial Counselor, Assignment Ready Counselor, PFC, New Mexico
- Magellan Health, Inc.
-
Cannon Afb, NM
- This position will provide coverage in short-term, surge and on demand situations resulting from the Military needs such...
- 4/26/2024 12:00:00 AM
ACCOUNTING TECHNICIAN
- Department of the Air Force - Agency Wide
-
Cannon Afb, NM
- Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
- 4/26/2024 12:00:00 AM
EDUCATION SERVICES SPECIALIST
- Department of the Air Force - Agency Wide
-
Cannon Afb, NM
- Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
- 4/26/2024 12:00:00 AM
Travel Occupational Therapist - $1,962 per week
- Hiring Now!
-
Clovis, NM
- Aureus Medical Group - Therapy is seeking a travel Occupational Therapist for a travel job in Clovis, New Mexico. Job De...
- 4/25/2024 12:00:00 AM
Material Handler
- Walmart
-
Clovis, NM
- **Job Summary:** As a Material Handler at Walmart, you will be responsible for efficiently managing the flow of material...
- 4/24/2024 12:00:00 AM
Aircraft Maintenance Engineer Sr - MQ-9 - Special Operations Forces
- Lockheed Martin
-
Cannon Afb, NM
- Job Description This position may require rotational OCONUS deployments. Works directly with the Shift Lead to manage, c...
- 4/23/2024 12:00:00 AM
ELECTRONICS TECHNICIAN (RAWS)
- Department of the Air Force - Agency Wide
-
Cannon Afb, NM
- Summary The primary purpose of this position is to provide technical expertise to maintain and certify Radar, Airfield a...
- 4/22/2024 12:00:00 AM
PROGRAM COORDINATOR
- City of Clovis, NM
-
Clovis, NM
- Salary: $13.56 - $20.34 Hourly Location : Clovis, NM Job Type: FULL-TIME Job Number: 2024_03_19_2013 Department: SENIOR ...
- 4/22/2024 12:00:00 AM
About Clovis, New Mexico
Clovis is the county seat of Curry County, New Mexico, United States, with a population of 37,775 as of the 2010 census, and a 2014 estimated population of 39,860. Clovis is located in the New Mexico portion of the Llano Estacado, in the eastern part of the state.
A largely agricultural community, closely bordering Texas, it is noted for its role in early rock music history and for nearby Cannon Air Force Base. After the discovery of several "Clovis culture" sites in eastern North America in the 1930s, the Clovis people came to be regarded as the first human inhabitants who created a widesprea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$71,999 to $89,189
Clovis, New Mexico area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does an Utilization Review Coordinator do?
Utilization Review Coordinator in Fort Lauderdale, FL
Some review coordinator positions require that professionals have training and experience within a more specific field.
January 10, 2020
Utilization Review Coordinator in Asheville, NC
Schick Shadel Hospital is seeking a part-time (20 hours per week) Utilization Review Coordinator (UR Coordinator) to help oversee and perform the process of utilization review to ensure appropriate reimbursement by third party payers.
January 04, 2020
Utilization Review Coordinator in Jacksonville, FL
Excellent benefits, pay, small on-site employee gym, wonderful co-workers and managersFull Review.
January 04, 2020