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. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). Contributes to moderately complex aspects of a project. Work is generally independent and collab ...orative in nature. Typically requires 4 to 7 years of related experience.More Show Less
Create an Alert for Utilization Review Coordinator Jobs
Create a Job Alert
Get notified when new Utilization Review Coordinator jobs are posted
Utilization Review Coordinator. . REPORTS TO. . The Utilization Review Coordinator will report to Utilization Management Director. . SUPERVISOR TO. . The Utilization Review Coordinator is supervisor to assigned Utilization Review Specialists and Utilization Review Clerks. . JOB OVERVIEW. . The UR Coordinator is responsible for the facilitation of clinical pertinence reviews for all client admissions and continued stay requests to obtain authoriza...
Responsibilities. Suncoast Behavioral Health Center opened its doors in 2014 and provides the highest quality of behavioral healthcare for patients in a safe, secure and nurturing environment. Suncoast Behavioral Health Center is a 60-bed free-standing psychiatric hospital. We offer diverse inpatient and residential programs for children and adolescents. In a highly specialized field of psychiatry, our goal is to promote cognitive, social, physic...
Responsibilities Suncoast Behavioral Health Center opened its doors in and provides the highest quality of behavioral healthcare for patients in a safe, secure and nurturing environment. Suncoast Behavioral Health Center is a 60-bed free-standing psychiatric hospital. We offer diverse inpatient and residential programs for children and adolescents. In a highly specialized field of psychiatry, our goal is to promote cognitive, social, physical and...
Job description. Job Summary. The primary goal is to monitor adherence to the facility’s utilization review plan to ensure the effective and efficient use of facility services and monitor the appropriateness of facility admissions and extended facility stays. JOB DUTIES. Completes Initial, concurrent, peer reviews, and expedited appeals in a timely manner to ensure continuous coverage. responsible for all aspects of the authorization of treatment...
Employment Type. Full time. Shift. Day Shift. Description. General Summary. To support the Holy Cross Health goal of preventing medical necessity write offs through clear and timely communication with third party payers of appropriate utilization. to coordinate with the Physician Advisor, other members of the Documentation Quality team and Care Management staffs to support and evaluate utilization review activities. and to facilitate Medicare com...
Employment Type. Full time. Shift. Day Shift. Description. General Summary. To support the Holy Cross Health goal of preventing medical necessity write offs through clear and timely communication with third party payers of appropriate utilization. to coordinate with the Physician Advisor, other members of the Documentation Quality team and Care Management staffs to support and evaluate utilization review activities. and to facilitate Medicare com...
Employment Type. Full time. Shift. Day Shift. Description. General Summary. To support the Holy Cross Health goal of preventing medical necessity write offs through clear and timely communication with third party payers of appropriate utilization. to coordinate with the Physician Advisor, other members of the Documentation Quality team and Care Management staffs to support and evaluate utilization review activities. and to facilitate Medicare com...
Overview. We are seeking a dedicated Utilization Review Coordinator to join our team. The ideal candidate will play a crucial role in ensuring the quality and appropriateness of healthcare services provided to patients. Duties. Conduct utilization review to assess medical necessity of various treatment programs. Review medical documentation for accuracy and completeness. Collaborate with doctors to optimize patient care and outcomes. Implement he...
UTILIZATION REVIEW COORDINATOR – 10726. Posted on. May 3, 2024. Department. PSYCH SERVICES. Division. NURSING. Full-time / Part-time. PT. Shift. DAYS. Primarily responsible for the utilization and review of patients on psychiatry. This position will cross train with all aspects of inpatient works and will be. able to step in to a Social Work Caseload. Education. RN or Masters Degree in Social Work or related Masters Degree. License/Certifications...
Responsibilities. UTILIZATION REVIEW COORDINATOR. Arbour Counseling Services. a subsidiary of Universal Health Services, provides trusted quality and experience throughout our continuum of behavioral health and substance use treatment programs. Individualized care services are offered to individuals of all ages, groups, families, and couples. Arbour Counseling Services prioritizes quality and convenience for the communities we serve while providi...
Position Title. Utilization Review Coordinator. Department. Administrative. Reports To. Executive / Program Director. Supervises. NA. Entry Level Qualifications. A current RN, LPC, LMFT, LMSW, or LCSW license preferred. Two years minimum experience in utilization review preferred. Must possess good grammatical and communication skills. Must be skilled in Microsoft Office applications and have a working knowledge of office equipment. 1.Must be abl...
Responsibilities. UTILIZATION REVIEW COORDINATOR. . . Arbour Counseling Services. a subsidiary of Universal Health Services, provides trusted quality and experience throughout our continuum of behavioral health and substance use treatment programs. Individualized care services are offered to individuals of all ages, groups, families, and couples. Arbour Counseling Services prioritizes quality and convenience for the communities we serve while pr...
