- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... of appeal letters. + Tracks denial information for reporting to Quarterly UR Committee. + Maintains liaison with the Social Services department to facilitate… more
- Corewell Health (Farmington Hills, MI)
- …review cases for medical necessity, uses InterQual and/or other UR /UM Committee-approved medical necessity screening criteria, when appropriate. Works ... collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization for care and appropriate reimbursement. Determines and assures appropriate status and level of care. Uses defined resources to guide… more
- BayCare Health System (Largo, FL)
- …+ Community discounts and more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Coordinator **Location** Largo | Clinical | PRN **Req ID** ... trust, dignity, respect, responsibility and clinical excellence. **The Utilization Coordinator (Homecare) responsibilities include:** + Coordinates utilization appropriateness and admission… more