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Utilization Review Coordinator jobs

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CONTINUING CARE UTILIZATION REVIEW COORDINATOR RN

Conducts Utilization Review for in-house patients and/or members who have been admitted to contracted facilities. Interviews patients/caregivers regarding care after hospitalization. Conducts clinical reviews based on established...

CompanyKaiser Permanente
AddressOakland, CA
CategoryInformation Technology
Date Posted a week ago See detail

Continuing Care Utilization Review Coordinator RN

Kaiser Permanente

Oakland, CA

Conducts Utilization Review for in-house patients and/or members who have been admitted to contracted facilities. Interviews patients/caregivers regarding care after hospitalization. Conducts clinical reviews based on established...

a week ago seen See more...

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...

3 weeks ago seen See more...

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...

a month ago seen See more...

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...

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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...

a month ago seen See more...

Utilization Review Coordinator, Behavioral Health

Community Medical Centers Of Fresno, Ca

Fresno, CA

We're affiliated with UCSF as a teaching facility; trained 3,000 Medical Doctor's to date plus continuous invests in research and training grants.The Behavioral HealthUtilization Review Coordinator is responsible for various aspe...

2 months ago seen See more...

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...

a week ago seen See more...

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....

a month ago seen See more...

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...

2 months ago seen See more...

Utilization Management Coordinator

Yoh, A Day & Zimmermann Company

Alameda, CA

One (1) year of Managed Care experience (HMO or IPA) strongly preferred. Ability to work from home M-F, 8am-5pm PT. Support clinical staff through completion of the administrative and nonclinical coordinator functional components...

3 days ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

Staff Utilization Coordinator - Part Time

University Of Utah Health

Salt Lake City, UT

$45.7K - $57.9K a year

Gathers census/acuity/productivity/staffing information and enters it into a computer. Ensures the accuracy of information such as changes in unit schedules, reassignment of staff, and use of resource staff. Facilitates and contac...

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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...

2 months ago seen See more...

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...

2 months ago seen See more...

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...

4 weeks ago seen See more...

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...

a month ago seen See more...

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...

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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...

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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...

a month ago seen See more...

Utilization Management Coordinator (Remote)

Trinity Health Michigan

Pontiac, MI

$86.7K - $110K a year

2 Refers all cases lacking IS/SI criteria for acute care hospitalization to the Physician Advisor or designee according to the established department guidelines. 4 Provides consultation and information to physicians, case manageme...

2 months ago seen See more...

Utilization Management Coordinator

Life-Nwpa

Erie, PA

9 Paid Holidays. 3 Weeks and 1 Day of Paid Time Off Accrued from the Date of Hire for Full-Time Employees. Annual Pay increases for Performance. Medical, Dental, & Vision. Free Life and AD&D Insurance Plan. Health Savings and Flex...

2 months ago seen See more...

Mental Health Access Utilization Management Program Coordinator

State Of New Mexico

Albuquerque, NM

$59,739 - $95,582 a year

Procurement and management of contracts with Mental Health parity and behavioral Health Access experts;. Oversight of queries and data calls issued to health insurance companies on behavioral benefits Utilization Management. Inves...

2 months ago seen See more...

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What are the top cities open Utilization Review Coordinator jobs?

There are open Utilization Review Coordinator jobs in several cities including Palos Heights, Lucedale, Cincinnati, West Des Moines, Lakewood, San Diego, Memphis, Flower Mound, Roseburg, Georgetown, Phoenix, Jeffersonville, Springfield,

What companies are hiring for Utilization Review Coordinator jobs?

The top companies hiring now for Utilization Review Coordinator jobs are Blueridge Vista Behavioral Hospital, Bradford Health Services, Carrus Hospital, Children's Physicians Medical Group, CHS Corporate, CommuniCare Family of Companies, County of Napa, Georgetown Behavioral Health Institute, Kaiser Permanente, Landmark Recovery, NANA Healthcare Management, LLC, Napa County, CA, New Oakland Family Centers, NRG Mgmt LLC, Overcome Wellness & Recovery, Llc,

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