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Utilization Review Coordinator Jobs

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  • 4.1
    Texas Scottish Rite Hospital for Children – Dallas, TX
    Est. Salary $58k-$76k
    8 days ago 8d
    This position will be responsible for verifying medical necessity of all inpatients, preparing reports and provide…
  • 3.2
    Arcadia Healthcare Solutions – Rockford, IL
    10 days ago 10d
    non-certifications based on initial clinical review UM 12 • Coordinate the use of peer reviewers in the review determinations (i.e. appeals process… Responsibilities: • Performs telephonic utilization review services in compliance with federal and state regulations…
  • Recovery Centers of America – Devon, PA
    Today 2hr
    Utilization Review Coordinator: Monday-Friday, 1st shift What We Do: At Recovery Centers of America our guiding principal… seeking, under administrative direction, a UR coordinator that will coordinates utilization functions and personnel to comply with hospital…
  • 2.9
    AmeriHealth Caritas – Washington, DC
    Est. Salary $74k-$95k
    1 days ago 17hr
    work related activities. Preferred Managed Care or Utilization Review experience.… Clinical Care Reviewer is responsible for collaborating with the clinical team to complete medical necessity reviews. Using clinical…
  • 1.9
    Lincare Holdings – United States
    EASY APPLY
    1 days ago 19hr
    Job Description No weekends, or on-call requirements. Patient care via telephone, so the physical demands on…
  • 3.0
    HealthTrust – Leesburg, FL
    1 days ago 23hr
    opportunity for a Utilization Review Coordinator located in a beautiful facility near Orlando, Florida. The Utilization Review Coordinator… submits request for additional information. The Utilization Coordinator will review post discharge, prebill accounts that do not…
  • 2.0
    Acadia Healthcare – Newport Beach, CA
    7 days ago 7d
    established criterion to facilitate the utilization review process · Researches, reviews and prepares medical information to present… provider’s program plan · Utilizes appropriate desktop resources to perform the utilization review process · Perform other duties…
  • 3.1
    Howard County General Hospital – Columbia, MD
    1 days ago 1d
    healthcare field. The Utilization Review (UR) Nurse is responsible to the Manager, Utilization Management. This individual… include medical record review, third party payer initial denials, and special projects which are coordinated and directed by the…
  • 3.8
    Pride Institute – Orlando, FL
    Today 1hr
    Full Time Utili9zation Review Coordinator. The Utilization Review Coordinator performs current review of patients with the insurance… ) to five (5) years’ experience in chart analysis and utilization review in the psychiatric and chemical dependency field preferred…
  • Orlando, FL
    Today 3hr
    Full Time Utili9zation Review Coordinator. The Utilization Review Coordinator performs current review of patients with the insurance… ) to five (5) years’ experience in chart analysis and utilization review in the psychiatric and chemical dependency field preferred…
  • 3.7
    LifeNet Health – Richmond, VA
    24 days ago 24d
    Record Review Coordinator to join the LifeNet Health team in our Richmond, VA location. As an OPO Medical Record Review Coordinator… Information Management, health research and data analysis, utilization review, or similar healthcare/Organ Procurement Organization…
  • 2.8
    Universal Health Services – Orlando, FL
    Today 3hr
    Full Time Utili9zation Review Coordinator. The Utilization Review Coordinator performs current review of patients with the insurance… ) to five (5) years’ experience in chart analysis and utilization review in the psychiatric and chemical dependency field preferred…
  • 1.7
    Fairmount Behavioral Health System – Orlando, FL
    Today 3hr
    Full Time Utili9zation Review Coordinator. The Utilization Review Coordinator performs current review of patients with the insurance… ) to five (5) years’ experience in chart analysis and utilization review in the psychiatric and chemical dependency field preferred…
  • 3.1
    Howard County General Hospital – Columbia, MD
    23 days ago 23d
    healthcare field. The Utilization Review (UR) Nurse is responsible to the Manager of Utilization Management. This individual… include medical record review, third party payer initial denials, and special projects which are coordinated and directed by the…
  • 2.8
    Universal Health Services – Fort Lauderdale, FL
    Est. Salary $51k-$95k
    1 days ago 20hr
    . The main duties of the UR Coordinator are: to coordinate and monitor appropriate utilization and documentation of services… outpatient programs and coordinate authorization with third-party payors. UR Coordinators also review cases for appropriateness…
  • 2.5
    UHS – Fort Lauderdale, FL
    Est. Salary $50k-$93k
    1 days ago 23hr
    . The main duties of the UR Coordinator are: to coordinate and monitor appropriate utilization and documentation of services… outpatient programs and coordinate authorization with third-party payors. UR Coordinators also review cases for appropriateness…
  • 2.6
    Sinai Health System – Chicago, IL
    Today 3hr
    with the Rehabilitation Interdisciplinary Team, coordinates and completes the review and timely transmission of the Inpatient Rehabilitation… outreach coordinators to facilitate referral process. Gathers necessary patient information and presents to physicians to review to…
  • Fort Lauderdale, FL
    1 days ago 19hr
    . The main duties of the UR Coordinator are: to coordinate and monitor appropriate utilization and documentation of services… outpatient programs and coordinate authorization with third-party payors. UR Coordinators also review cases for appropriateness…
  • 3.8
    Pride Institute – Boulder, CO
    1 days ago 1d
    Utilization Review Coordinator Centennial Peaks Hospital is a 104 bed facility located in beautiful Louisville, CO. We… patients and hospital with insurance companies. Oversees utilization review activities with other departments to ensure reimbursement…
  • 3.4
    Mount Sinai Hospital – Chicago, IL
    Today 5hr
    problem solving for FIM scoring as directed. Supports the Utilization Review process and activities to validate the medical necessity… with the Rehabilitation Interdisciplinary Team, coordinates and completes the review and timely transmission of the Inpatient Rehabilitation…
  • 2.8
    Universal Health Services – Boulder, CO
    Today 6hr
    Knowledge : Mustpossess knowledge of psychiatric care, utilization review, insurancereimbursement procedures, DSM-IV, etc. Advanced… UtilizationReview Coordinator Centennial Peaks Hospital isa 104 bed facility located in beautiful Louisville, CO. We arededicated…
  • 3.8
    Pride Institute – Harahan, LA
    3 days ago 3d
    outpatient, and intensive outpatient). This position works to coordinate patient care with physicians, treatment team, Administration…
  • 3.8
    KAISER – Aurora, CO
    12 days ago 12d
    as Interqual or Milliman. - Knowledge of quality and utilization review methods, and statistical techniques. Preferred Qualifications… support staff with accountability for referral entry, clinical review of referral requests and coverage determinations. Accountable…
  • 2.0
    Sunnyside Community Hospital – Sunnyside, WA
    6 days ago 6d
    LPN license preferred. JOB SUMMARY The Utilization Review Coordinator’s role has clinical, leadership, financial and educational… The major areas of accountability include utilization review and care coordination. This role is key to the appropriate use of…
  • 3.4
    Zolon Tech – Harrisburg, PA
    Est. Salary $63k-$82k
    1 days ago 19hr
    information submitted by providers against plan review criteria and benefit guidelines. Utilizes clinical information to determine if criteria… years of experience in managed care quality assurance or utilization review. RN must have two years of experience in an acute care…
  • 2.8
    Universal Health Services – Boulder, CO
    1 days ago 1d
    Utilization Review Coordinator Centennial Peaks Hospital is a 104 bed facility located in beautiful Louisville, CO. We… patients and hospital with insurance companies. Oversees utilization review activities with other departments to ensure reimbursement…
  • 3.8
    Pride Institute – Kirkland, WA
    6 days ago 6d
    opportunity for a Utilization Review Coordinator in our Kirkland, Washington hospital. The Utilization Review Coordinator is a mental… mental health clinician who conducts initial and concurrent reviews with insurance companies and other payers. Functions as a clinical…
  • 3.2
    Johns Hopkins Health Care – Glen Burnie, MD
    Est. Salary $56k-$72k
    3 days ago 3d
    continually advance here. Responsible for utilization review and interdisciplinary coordination with a variety of providers, the most… activities will vary within the area of assignment. The Utilization Review RN (URN) actively monitors the care given in a variety…
  • 2.5
    UHS – Boulder, CO
    1 days ago 1d
    Utilization Review Coordinator Centennial Peaks Hospital is a 104 bed facility located in beautiful Louisville, CO. We… patients and hospital with insurance companies. Oversees utilization review activities with other departments to ensure reimbursement…
  • 3.5
    BJC HealthCare – Saint Louis, MO
    Est. Salary $50k-$66k
    14 days ago 14d
    team. Ensure appropriate utilization, which includes the evaluation of potential under and over-utilization according to patient's… Responsibilities Uses clinical and analytical skills to review and interpret diagnostic test results to determine appropriateness…
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