Demo

Health Care Utilization Review Coordinator

uic
Chicago, IL Full Time
POSTED ON 12/27/2024
AVAILABLE BEFORE 2/27/2025
Position Summary
Health Care Utilization Review Coordinator (HURC) is accountable for coordinating and facilitating patient

services across the various levels of the continuum utilizing Relationship-Based Care model as the framework.

The HURC takes initiative to improve patient outcomes by integrating Shared Leadership, Evidence Based

Practice and Magnet's Five Models of Care into clinical practice. Through therapeutic relationships with

patients, families, self and colleagues, the HURC functions as an interdisciplinary team member who assist

patients and their families in navigating through the healthcare system based on individual and patient

population needs. In addition to the care facilitation, the HURC will perform related duties including utilization

management, discharge planning and referral to other levels of care and fulfills unit and organizational goals

Duties & Responsibilities

  • Provides utilization management functions for patients: pre-certification (primarily a function of the Admissions Department), Continued stay reviews and retro-reviews.
  • Assist physicians with determining CLOC and medical necessity. Facilitates appropriate clinical level of care determination and conversions if necessary.
  • Responsible for notification to the Admissions Department of CLOC conversions.
  • Monitors internal and external UR guidelines for patients in assigned units or departments. Com-municates key UM information to units and attending physician or their representative and man-aged care companies.
  • Applies approved utilization acuity criteria to monitor appropriateness of CLOC and continued stays and documents finding based on department standards.
  • Inputs and maintains utilization management data into computer system.
  • Participates in gathering and reporting data, such as variances, LOS, cost and outcomes.
  • Perform other related duties and participate in special projects as assigned.
  • If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Health Care Utilization Review Coordinator?

    Sign up to receive alerts about other jobs on the Health Care Utilization Review Coordinator career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $88,558 - $106,947
    Income Estimation: 
    $104,867 - $137,036
    Income Estimation: 
    $88,558 - $106,947
    Income Estimation: 
    $104,867 - $137,036

    Sign up to receive alerts about other jobs with skills like those required for the Health Care Utilization Review Coordinator.

    Click the checkbox next to the jobs that you are interested in.

    • Administrative Support Skill

      • Income Estimation: $38,264 - $47,502
      • Income Estimation: $37,599 - $47,391
    • Business Communications Skill

      • Income Estimation: $38,336 - $51,179
      • Income Estimation: $41,386 - $50,832
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at uic

    uic
    Hired Organization Address Chicago, IL Full Time
    Position Summary Under the direct supervision of a Registered Nurse (RN) or Licensed Practical Nurse II (LPN), the Nursi...
    uic
    Hired Organization Address Chicago, IL Full Time
    Under the direction of a Dentist, the Dental Assistant provides assistance to staff dentist in rendering service to adul...
    uic
    Hired Organization Address Chicago, IL Full Time
    Position Summary The Department of Periodontics at University of Illinois at Chicago in the College of Dentistry is seek...
    uic
    Hired Organization Address Chicago, IL Full Time
    UI Health is seeking an Inpatient Reimbursement Coding Specialist to join our Health Information Management team. This r...

    Not the job you're looking for? Here are some other Health Care Utilization Review Coordinator jobs in the Chicago, IL area that may be a better fit.

    AI Assistant is available now!

    Feel free to start your new journey!