Utilization Review Coordinator jobs in Pennsylvania

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)

Service Coordinator
  • A Bridge to Independence
  • Butler, PA
  • Coordinates and develops monitors the assessment, care planning process and follow up for each ... Reviewing & updating the ISP/SAF once a year or more frequently if needed. * Adheres to Agency code ...
  • 16 hours ago

Transitional Nurse Care Manager (RN)
  • Absolutecare
  • Philadelphia, PA
  • ... utilization review, care coordination and discharge planning will facilitate care management during admission and set-up transition plans post discharge. The Transitional Care Manager will make ...
  • 17 hours ago

OR Leadership Opportunity - Clinical Coordinator Service Line (SPU) - Short Procedure Unit
  • Penn Medicine (University of Pennsylvania Health System)
  • Philadelphia, PA
  • ... of patient care, utilization of departmental personnel, fiscal responsibility and material ... The Clinical Coordinator: • Participates in clinical care as necessary. • Assumes overall ...
  • 21 hours ago

Program Coordinator II
  • Centene
  • Pittsburgh, PA
  • Coordinates services with community based organizations. Attends marketing and outreach meetings as ... Thorough knowledge of customer service, utilization review or claims processing practices in a ...
  • yesterday

Distance Learning Compliance Coordinator
  • The Arts Institute Internatioanl, LLC
  • Pittsburgh, PA
  • The Distance Learning Compliance Coordinator, working under the guidance of the VP - Regulatory ... Reviews all printed and electronic materials, including, but not limited to: catalogs, enrollment ...
  • 2 days ago

Case Management Nurse
  • Above the Rest Home Care, LLC
  • Milford, PA
  • The Nurse Case Manager assures maximum utilization of direct care and nursing staff resources, and ... Prepare clients' discharge by reviewing and amplifying discharge plans; coordinating discharge and ...
  • 4 days ago

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 ...
  • 5 days ago

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$72,930 to $90,344

Utilization Review Coordinator in Anchorage, AK
Complete all mandatory in-services annually.
June 19, 2020
Requirements include, but are not limited to the ability to communicate effectively with employees.
May 28, 2020
Requirements include, but are not limited to the ability to communicate effectively with employees.
December 26, 2019