- Community Health Systems (Franklin, TN)
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… more
- 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 ... charts and records to evaluate care concurrent with patients' treatment. Reviews treatment plans and status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator . This position is responsible for working with insurance companies and ... managed care systems for the authorization, concurrent and retrospective review of inpatient admissions and services. Key responsibilities include obtaining authorization for each admitted patient and you will review and monitor each step of the authorization… more
- University of Rochester (Rochester, NY)
- …Full time Scheduled Weekly Hours: 40 Department: 500294 Lab Admin Support-ClinLabs SMH Work Shift: UR - Day (United States of America) Range: UR URG 105 H ... Compensation Range: $19.96 - $27.94 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review/Quality Assurance Sr. Coordinator will be responsible for providing clinical information to managed care companies as requested ... for hospitalized patients both concurrently and retrospectively per hospital policy and procedure to prevent denial of payment. Will assist/participate in special utilization studies/projects and the development of new programs/processes. Responsible for… more
- St. Peters Health (Helena, MT)
- The Utilization Management Nurse reports directly to Utilization Review RN Coordinator . The UR Nurse supports the UR RN Coordinator in providing ... in place at SPH are utilized effectively and efficiently and engages the UR RN Coordinator with improvement ideas when deviations of best practice are noted. The… more
- WMCHealth (Poughkeepsie, NY)
- …Successfully shortens a patient's LOS with these interventions. + Collaborates with UR Data Coordinator to ensure timely concurrent and retrospective reviews ... for payers, and to provide any information that would assist the hospital in appealing a denial. + Completes insurance reviews in a timely manner, resulting in no denials that are attributable to a delay in review. + Communicates effectively with payers by… more
- McLaren Health Care (Lansing, MI)
- …morning report to Patient Care Services Manager of Nursing Support or UR /Patient Placement Coordinator . 8. Initiates continuous communication with Scheduling ... Office staff. 9. Communicates with ER and PACU frequently to prevent a back up of admissions and to put into place process that might stop a backlog. 10. Participates in the evaluation of the metrics and communicates the information to the appropriate people.… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 910396 URMFG Executive Office Work Shift: UR - Day (United States of America) Range: UR URG 106 H ... PURPOSE With general direction and considerable latitude, serves as department coordinator and project manager for the Senior Director of Strategic Initiatives,… more
- University of Rochester (Brighton, NY)
- …time Scheduled Weekly Hours: 40 Department: 500137 Psychiatry SMH Strong Ties Work Shift: UR - Day (United States of America) Range: UR URCB 212 Compensation ... engage with traditional mental health clinics; thus, the ACT Team Clinical Coordinator engages with multiple government agencies such as the jail, mental health… more