Utilization Review Coordinator jobs in North Dakota

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)

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Supervisory Acquisition and Utilization Specialist
  • Veterans Health Administration
  • Fargo, ND FULL_TIME
  • This job offer is not available in your country.

    To qualify for this position, applicants must meet all requirements by the closing date of this announcement, 04 / 29 / 2024.

    Time-In-Grade Requirement : Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement.

    For a GS-12 position you must have served 52 weeks at the GS-11. The grade may have been in any occupation, but must have been held in the Federal service.

    An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement.

    In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note : Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment.

    You may qualify based on your experience as described below : Specialized Experience : You must have one year of specialized experience equivalent to at least the next lower grade GS-11 in the normal line of progression for the occupation in the organization that has equipped you with the particular knowledge, skills and abilities to successfully perform the duties of a Supervisory Acquisition and Utilization Specialist, and that is typically in or related to the work of this position.

    • Specialized experience includes : serving as a team lead or senior specialist assisting with the direction and control of supply chain planning;
    • handling contract related services, product acquisition, and procurement of items in a healthcare environment; overseeing contracts from pre-award to post-award;

    preparing procurement packages including development of requirement documents (e.g. performance work statements and objectives, cost benefit analysis, sole source justifications, etc.

    developing and analyzing reports to make recommendations on acquisition and contracting issues; participating in negotiations throughout all phases of contract administration;

    and monitoring expenditures and reporting on deviations from contract terms. This position requires some degree of specialized knowledge and experience of logistics support activities in areas of acquisition management, contracting, purchasing, transportation, distribution, inventory management and control, expendable and non-expendable equipment, and warehouse operations.

    NOTE : Experience must be fully documented on your resume and must include job title, duties, month and year start / end dates AND hours worked per week.

    You will be rated on the following Competencies for this position : Administration and Management Attention to Detail Communication Contracting / Procurement Control of Funds Leadership Problem Solving Technology Application Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.

    g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community;

    student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment.

    You will receive credit for all qualifying experience, including volunteer experience. Note : A full year of work is considered to be 35-40 hours of work per week.

    Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment.

    Physical Requirements : Work is primarily sedentary in nature. Requires occasional travel to conduct inspections of contract facilities or motor vehicles providing contracts for healthcare resources to ensure Joint Commission and safety requirements are met.

    For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https : / / www.

    opm.gov / policy-data-oversight / classification-qualifications / general-schedule-qualification-standards / .

    1 day ago
  • Just Posted

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Registered Nurse - Utilization Management
  • US Veterans Health Administration
  • Fargo, ND FULL_TIME
  • Duties The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge o...
  • 2 Months Ago

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Credit Review Associate
  • First International Bank & Trust
  • Fargo, ND FULL_TIME
  • First International Bank and Trust is a family-owned community bank and one of Prairie Business Magazine's 50 best places to work for 10 years running. We are looking for a Credit Review Associate who...
  • Just Posted

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Credit Review Associate
  • First International Bank & Trust
  • Bismarck, ND FULL_TIME
  • First International Bank and Trust is a family-owned community bank and one of Prairie Business Magazine's 50 best places to work for 10 years running. We are looking for a Credit Review Associate who...
  • Just Posted

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Credit Review Associate
  • First International Bank & Trust
  • Minot, ND FULL_TIME
  • First International Bank and Trust is a family-owned community bank and one of Prairie Business Magazine's 50 best places to work for 10 years running. We are looking for a Credit Review Associate who...
  • Just Posted

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Medical Review Analyst
  • Noridian Healthcare Solutions
  • Fargo, ND FULL_TIME
  • Description* Position is eligible for Remote / Work from Home opportunity * Department: Part B Medical Review Telecommuting Eligible: Yes Job Grade: N13 Notice of Collection & Privacy Policy for Appli...
  • 6 Days Ago

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Utilization Review Coordinator
  • TheraMatrix
  • Pontiac, MI
  • Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
  • 4/26/2024 12:00:00 AM

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Utilities Supervisor
  • City of Palo Alto, CA
  • Palo Alto, CA
  • Salary : $156,208.00 - $208,270.40 Annually Location : Palo Alto, CA Job Type: Regular Full-Time Job Number: 202400565 D...
  • 4/26/2024 12:00:00 AM

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Utilization Review Coordinator
  • Foundations Behavioral Health
  • Doylestown, PA
  • Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Departmen...
  • 4/25/2024 12:00:00 AM

T
Utilities Supervisor
  • Tyson Foods
  • Zeeland, MI
  • Relocation assistance is available under Tyson's relocation policy! To feed a changing world, it takes an incredible tea...
  • 4/25/2024 12:00:00 AM

C
Utilization Review Coordinator / Case Management / PRN
  • Christus Health
  • Santa fe, NM
  • Description POSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine t...
  • 4/24/2024 12:00:00 AM

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Utility Coordinator
  • KEITH
  • Miami, FL
  • Utility Coordinator - Miami, FL KEITH is seeking a Utility Coordinator to join our Miami, FL office to strengthen our gr...
  • 4/24/2024 12:00:00 AM

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Utilization Review Coordinator (Remote Position)
  • BayMark Health Services
  • Deerfield Beach, FL
  • Description Position at BayMark Health Services Residential - Utilization Review Coordinator Role and Responsibilities M...
  • 4/23/2024 12:00:00 AM

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Utilization Review Coordinator
  • Foundations Behavioral Health
  • Doylestown, PA
  • Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Departmen...
  • 4/22/2024 12:00:00 AM

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$79,820 to $98,876

Utilization Review Coordinator in Long Beach, CA
The Utilization Review Coordinator contributes to moderately complex aspects of a project.
January 05, 2020
Utilization Review Coordinator in Gary, IN
Candidates for this role must have a good understanding of medical terminologies, and stay tuned with latest developments in the field; they should possess knowledge of reviews such as MAC, KEPRO, and RAC; strong observing skills and the ability to monitor safety plans are also needed.
December 29, 2019
Utilization Review Coordinator in Chicago, IL
Including requirements, responsibilities, statistics, industries, similar jobs and job openings for Utilization Review Coordinator.
December 30, 2019