Utilization Review Coordinator jobs in Austin, TX

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)

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Utilization Review Coordinator
  • BENEFIT MARKETING ALLIES CORP.
  • Austin, TX FULL_TIME
  • Position Description: ROLE AND RESPONSIBILITIES
    Communication with Providers regarding Pre-Authorization Requests.
    Provider Outreach Calls to retrieve Medical Records.
    Maintaining HIPAA Compliant Practices, liaison between Members & Providers.
    Full review of member medical records to aid in determination of Share Requests.
    Knowledge, and application of HealthShare Programs. Full understanding and comprehension
    Review, and identify any prior hospitalizations, procedures, advanced imaging.
    Identifying Pre-Existing Conditions in Member Medical Records.
    Member Calls to Discuss any additional records, or information as needed.
    Work Effectively, and Efficiently with Member/Provider Relations Team, for Final Dispositions.

    QUALIFICATIONS AND EDUCATION REQUIREMENTS
    REQUIRED, LPN., RN., MA. Minimum of two (2) Years of Healthcare, Insurance, or HCSM Experience. High School Diploma: Degree and/or Certification.

    PREFERRED SKILLS
    Effective and Clear Verbal and Written Communication, Active Listener, Conflict Management, Strong attention to detail, Organizational Skills, Time Management, Strong ability to multi-task. Must be a self-starter, and Team Player. Proficient in Microsoft Office Applications with heavy emphasis on Excel. Additional training is provided for programs used for processing needs.
  • 1 Month Ago

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Utilization Management Coordinator - Bilingual
  • TenderHeart Health Outcomes
  • Austin, TX FULL_TIME
  • For nearly two decades, TenderHeart (formerly known as Longhorn Health Solutions) has been improving the lives of those we serve with high-quality incontinence care management. We start with each indi...
  • 17 Days Ago

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Utilization Management Coordinator - Bilingual
  • TenderHeart Health Outcomes
  • Albany, NY FULL_TIME
  • For nearly two decades, TenderHeart (formerly known as Longhorn Health Solutions) has been improving the lives of those we serve with high-quality incontinence care management. We start with each indi...
  • Just Posted

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Salon Coordinator
  • Sport Clips - Coordinator - TX111
  • Cave, TX FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • Just Posted

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Salon Coordinator
  • Sport Clips - Coordinator - TX105
  • Round Rock, TX FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 8 Days Ago

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Salon Coordinator
  • Sport Clips - Coordinator - TX119
  • Buda, TX FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 10 Days Ago

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0 Utilization Review Coordinator jobs found in Austin, TX area

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GLO - IT Executive Assistant (Executive Assistant III)
  • CAPPS
  • Austin, TX
  • Job Description General Job Description: The Texas General Land Office primarily serves the schoolchildren, veterans, an...
  • 4/23/2024 12:00:00 AM

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TDA - FND - Administrator for Food and Nutrition (Financial and Budget Operations) (57564)
  • CAPPS
  • Austin, TX
  • Job Description Administrator for Food and Nutrition (Financial and Budget Operations) Salary Information:B29, $12,500.0...
  • 4/22/2024 12:00:00 AM

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Commercial HVAC Service Coordinator
  • Perpetual Labor Sourcing LLC
  • Austin, TX
  • Position Title: HVAC Service Coordinator Position Location: Virgin Islands St. Croix Position Type: Full-Time Industry T...
  • 4/22/2024 12:00:00 AM

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OAG - Crime Victim Services | Administrative Assistant II | 24-0289
  • CAPPS
  • Austin, TX
  • Job Description GENERAL DESCRIPTION The Crime Victims Services Division of the Office of the Attorney General (OAG), is ...
  • 4/22/2024 12:00:00 AM

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OAG - Crime Victim Services | Administrative Assistant II | 24-0290
  • CAPPS
  • Austin, TX
  • Job Description GENERAL DESCRIPTION The Crime Victims Services Division of the Office of the Attorney General (OAG), is ...
  • 4/22/2024 12:00:00 AM

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Front Office Specialist I
  • Texas Children's Hospital
  • Austin, TX
  • Job Description We are searching for a Front Office Specialist at our Texas Children's Hill Country Pediatrics location ...
  • 4/22/2024 12:00:00 AM

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Clerk
  • Texas Workforce Commission
  • Austin, TX
  • WHO WE ARE: The Texas Workforce Commission (TWC) is seeking to fill a Clerk III position in the Revenue and Trust Manage...
  • 4/19/2024 12:00:00 AM

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Assistant Supervisor - Pre-Analytics
  • Clinical Pathology Laboratories, Inc
  • Austin, TX
  • Job Functions, Duties, Responsibilities and Position Qualifications: Position Summary: The Pre-analytic Assistant Superv...
  • 4/15/2024 12:00:00 AM

Austin is the capital of the U.S. state of Texas and the seat of Travis County, with portions extending into Hays and Williamson counties. It is the 11th-most populous city in the United States and the 4th-most populous city in Texas. It is also the fastest growing large city in the United States, the second most populous state capital after Phoenix, Arizona, and the southernmost state capital in the contiguous United States. As of the U.S. Census Bureau's July 1, 2017 estimate, Austin had a population of 950,715 up from 790,491 at the 2010 census. The city is the cultural and economic center ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$79,820 to $98,876
Austin, Texas area prices
were up 1.2% from a year ago

Utilization Review Coordinator in Fort Lauderdale, FL
Some review coordinator positions require that professionals have training and experience within a more specific field.
January 10, 2020
Utilization Review Coordinator in Asheville, NC
Schick Shadel Hospital is seeking a part-time (20 hours per week) Utilization Review Coordinator (UR Coordinator) to help oversee and perform the process of utilization review to ensure appropriate reimbursement by third party payers.
January 04, 2020
Utilization Review Coordinator in Jacksonville, FL
Excellent benefits, pay, small on-site employee gym, wonderful co-workers and managersFull Review.
January 04, 2020