Full-Time Utilization Review Coordinator jobs

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UTILIZATION REVIEW COORDINATOR LEAD

Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and internal and external guidelines. Leads also provide oversight, monitoring and training of thes...

CompanyUmpqua Health
AddressRemote
CategoryInformation Technology
Salary$61.3K - $77.6K a year
Job typeFull-time
Date Posted 4 weeks ago See detail

Utilization Review Coordinator Lead

Umpqua Health

Remote

$61.3K - $77.6K a year

Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and internal and external guidelines. Leads also provide oversight, monitoring and training of thes...

Utilization Review Coordinator (UR)

Lake Behavioral Hospital

Waukegan, IL

$53,000 a year

Education & Education: Degree in nursing, social work, mental health/behavioral sciences, or related field required; Masters degree preferred. Experience: A minimum of two (2) years experience in a healthcare setting or managed...

Utilization Review Coordinator

Lighthouse Care Center Of Augusta

Augusta, GA

$57.7K - $73K a year

review clinical content of medical records,. participate in treatment team meetings,. collaborate with physicians, therapist, nurses and pertinent staff on gathering the necessary data to communicate with insurance companies/autho...

Hybrid Utilization Review Coordinator

Hospital For Behavioral Medicine

Worcester, MA

$62,400 - $93,600 a year

Review the treatment plan and advocate for additional services as indicated. Promote effective use of resources for patients. Ensure that patient rights are upheld. Maintain ongoing contact with the attending physician, program ma...

RN Coordinator-Utilization Review/Full Time/Remote

Henry Ford Health

Troy, MI

Bachelor of Science in Nursing, required. Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred. Knowledge of outside regulatory agencies that interface with th...

Fabrication Record Book (FRB) Coordinator / Reviewer

Kbr, Inc.

Baton Rouge, LA

Ensuring that all FRBs are correctly and accurately assembled while adhere to the approved Module Turnover Index in conjunction with the client required specifications for FRB's. Liaising with Piping/Mechanical Supervisor/Inspecto...

RN - LEAD CARE COORDINATOR - Utilization Review

Trinity Health

Maywood, IL

Benefits from Day One. Competitive compensation. Career Development. Tuition Reimbursement. On Site Fitness Center. Educational Stipend. Referral rewards....

UTILIZATION REVIEW (UR) COORDINATOR - FULL-TIME

River Oaks Hospital

Louisiana, United States

$45.4K - $57.5K a year

Experience: 3-5 years clinical experience with a psychiatric mental health population desired. Education: Bachelors prepared healthcare professional (Nursing, Counseling, Psychology or Social Work). Masters preferred. Licensure/Ce...

UTILIZATION COORDINATOR- Full Time

Riverside Medical Clinic

Riverside, CA

$20.00 - $32.46 an hour

UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding compa...

Utilization Coordinator

Foundations Behavioral Health

Doylestown, PA

The Utilization Review Coordinator provides support to the program and treatment team in focus and documentation of medical necessity and timely discharge planning. Maintains data on utilization management activities and generates...

Utilization Management Coordinator

Sanford Health

United States

We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Monday - Friday 8:30 am to 4 pm...

Utilization Management Administrative Support Coordinator

Humana

Louisiana, United States

$40.9K - $51.7K a year

Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prio...

Care Coordinator - Utilization Management

Villagecare Of New York

New York, NY

$25.01 - $28.14 an hour

Respond to inquiries from members and providers regarding health insurance, benefits, eligibility and authorization. Initiate contact with care management team, provider relations department and external providers to meet member's...

Utilization Management Coordinator

Astrana Health

Monterey Park, CA

Comply with UM policies and procedures. Annual review of selected UM policies. Read and understand NMM UM Customer Service Policy and Procedures. Answer incoming calls from providers both contracted and non-contracted. (Average 60...

Remote Utilization Management (UM) Coordinator (Long-Term Temporary w/ Medical Benefits)

Alignment Healthcare

Lake Forest, CA

Pacific Time: 8am - 5pm. Mountain Time: 9am - 6pm. Central Time: 10am - 7pm. Eastern Time: 11am - 8pm. Monitor fax folders. Verify eligibility and / or benefit coverage for requested services. Enter pre-service requests / authoriz...

Utilization Management Coordinator

Rochester Regional Health

Rochester, NY

$21.50 - $31.60 an hour

Pension Plan Retirement Plan Comprehensive Benefits Package Tuition Reimbursement Benefits Effective Date of Hire Same Day Pay through Daily Pay 3 years of Utilization Management experience preferred 3 years of acute hospital care...

Remote Inpatient Utilization Management (UM) Coordinator

Alignment Healthcare

Stanton, CA

Assist team with daily census by entering face sheets for hospitals and skilled nursing facilities (SNF). Obtain medical records from hospitals and SNF's. Attach medical records to authorizations. Enter referral requests / authori...