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 the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with fourteen locations across five states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care, including detox, residential, PHP, IOP, and outpatient services. The secret to our success is our people - merged with a premier clinical program, it's allowed us to transform the lives of thousands of people to date. If you're passionate about recovery and want to impact others in a meaningful way - we warmly invite you to join our growing family!
We are currently seeking to hire Utilization Review Specialists to join our corporate UR Team in NJ!
The Utilization Review Specialist collaborates with Avenues Recovery facilities regarding Utilization Review (UR) and ensures that all clients are authorized for treatment at the appropriate level of care in a timely manner. The UR Specialist serves a dual function ensuring quality and comprehensive charting of all services rendered by maintaining collaborative lines of communication with facility leadership.
Responsibilities Include, but are not limited to, the following:
Competencies (Knowledge, Skills, and Abilities):
Required Education
Required Experience
Licensure/Certification
Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel! Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package:
· 401K with 100% employer match
· Medical Insurance
· Dental
· Vision
· Accident
· Critical Illness
· Hospital Indemnity
· Voluntary Short-Term Disability
· Voluntary Long -Term Disability
· Employer-Paid Life and AD&D
· LifeTime Benefit Term Insurance with Long Term Care
· Legal Coverage
· Pet Insurance
· Identity Theft Protection
· Employer-Paid Employee Assistance Program
· Flexible Spending Account (FSA) - Medical
· Dependent Care FSA (DCF)
Join our growing team and discover the magic here at Avenues!
Apply today!
Clear All
0 Utilization Review Coordinator jobs found in Atlantic City, NJ area