Utilization Review Technician jobs in Bloomington, IN

Utilization Review Technician 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 Technician 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 Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Case Manager - Utilization Review
  • Monroe Hospital
  • Bloomington, IN FULL_TIME
  • Overview:
    At Monroe Hospital, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Monroe Hospital is actively seeking new members to join its award-winning team!

    Monroe Hospital is a 32-bed community hospital located in beautiful Bloomington, Indiana. Monroe Hospital is committed to providing superior healthcare, ever mindful of each patient's individuality and unique needs. Monroe Hospital has been recognized by Healthgrades as a Patient Safety Excellence Award recipient, a distinction that places Monroe Hospital among the top 10% of all short-term acute care hospitals. For more information, please visit www.monroehospital.com.

    We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
    Responsibilities:
    Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
    Qualifications:
    Education and Work Experience
    • Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
    • Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
    • Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
    • Current BCLS (AHA) certificate upon hire and maintain current.
    • Knowledge of Milliman Criteria and InterQual Criteria preferred.
    • Experience and knowledge in basic to intermediate computer skills.
    • Behavioral Violence Prevention Training within 3 months of hires and maintain current.
    #LI-AS2
  • 19 Days Ago

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MGR - UTILIZATION REVIEW / MGMT
  • Universal Health Services, Inc.
  • Bloomington, IN FULL_TIME
  • Responsibilities The Manager of Utilization Review is responsible for managing the Utilization department staff members, executing and managing the UR functions accurately and timely, included but not...
  • 1 Day Ago

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Utilization coordinator
  • Bloomington Meadows Hospital
  • Bloomington, IN FULL_TIME
  • Job Description Responsibilities The Utilization Management Specialist is responsible for executing the UM function, which includes the implementation of case management scenarios, consulting with all...
  • 1 Day Ago

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UTILIZATION COORDINATOR
  • UHS
  • BLOOMINGTON, IN FULL_TIME
  • Responsibilities The Utilization Management Specialist is responsible for executing the UM function, which includes the implementation of case management scenarios, consulting with all services to ens...
  • 1 Day Ago

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Technician
  • Hubler Honda
  • Taylorsville, IN FULL_TIME
  • We are looking for certified technicians to join our team. If you are tired of where you work and want to work in a clean and safe environment, come and see what we have to offer. We are looking for c...
  • 6 Days Ago

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TECHNICIAN
  • Naval Sea Systems Command
  • Crane, IN FULL_TIME
  • You will serve as a TECHNICIAN in the Maritime Electronic Warfare Systems Division (WXM), Spectrum Warfare Systems Department (WX) of NAVAL SURFACE WARFARE CENTER. The salary range shown above represe...
  • 17 Days Ago

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0 Utilization Review Technician jobs found in Bloomington, IN area

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Field Service Technical Specialist
  • Chart Industries
  • Franklin, IN
  • Field Service Technical Specialist **Location:** Work From Home, XX - Home Office, United States, n/a **Company:** Chart...
  • 4/27/2024 12:00:00 AM

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Accounting Technician
  • Contact Government Services, LLC
  • Bloomington, IN
  • Accounting Technician Employment Type: Full-Time, Mid-Level Department: Finance CGS is seeking a Mid-Level Accounting Te...
  • 4/27/2024 12:00:00 AM

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IT Technician
  • Careerbuilder-us
  • Plainfield, IN
  • Primary responsibility would be to process reclaimed equipment to provide stock for warehouse would supplement with ware...
  • 4/27/2024 12:00:00 AM

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IT Technician
  • Careerbuilder-US
  • Cartersburg, IN
  • Primary responsibility would be to process reclaimed equipment to provide stock for warehouse – would supplement with wa...
  • 4/27/2024 12:00:00 AM

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Landscape Technician
  • Manpower
  • Bloomington, IN
  • Job Title: Landscape Technician Location: Bloomington, IN Pay Rate Range: $15.00 About the Role: At Indiana University T...
  • 4/27/2024 12:00:00 AM

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Administrative/technical Specialist (attorney)
  • Department of Defense
  • Crane, IN
  • Summary There is an anticipated vacancy for one or more attorneys to serve as an Assistant/Associate Counsel in the Offi...
  • 4/26/2024 12:00:00 AM

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Technician
  • InfoTree
  • Plainfield, IN
  • Job Description Job Description Job title: Technician II Job location: Plainfield Indiana Job Duration: 12 Months Job De...
  • 4/26/2024 12:00:00 AM

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Automotive Technician
  • Midas CSB Auto
  • Bloomington, IN
  • Job Description Job Description Benefits: Company parties Competitive salary Employee discounts Free food & snacks Oppor...
  • 4/25/2024 12:00:00 AM

Bloomington is a city in and the county seat of Monroe County in the southern region of the U.S. state of Indiana. It is the seventh-largest city in Indiana and the fourth-largest outside the Indianapolis metropolitan area. According to the Monroe County History Center, Bloomington is known as the "Gateway to Scenic Southern Indiana." The city was established in 1818 by a group of settlers from Kentucky, Tennessee, the Carolinas, and Virginia who were so impressed with "a haven of blooms" that they called it Bloomington. The population was 80,405 at the 2010 census. The city's population was ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$57,963 to $80,878
Bloomington, Indiana area prices
were up 1.3% from a year ago

Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020