Utilization Review Coordinator jobs in Bellingham, WA

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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Medical Director - Utilization Review
  • Max Populi, LLC
  • Bellingham, WA FULL_TIME
  • Seeking a Physician Advisor/Medical Director Utilization Review for a Level II Trauma Center and well established hospital serving 255 beds and averaging 15000 inpatient visits yearly.  
     
    Position located 70 miles from Seattle, WA - mild summers, golfer's mecca, stunning waterfalls, clean air, awesome hiking trails,  freshwater lakes, coves and tidelands spread out across Larrabee's 2,600 acres.
     
    If you are a physician licensed in the State of WA and is passionate about QI, this will be an ideal opportunity to consider.  Relocation assistance available.
     
    Reporting to the CMO, the ideal candidate will support care management and oversee the Utilization Management function for the hospital system. 
    •  conducts clinical reviews on cases referred by care management staff to meet regulatory requirements and in accordance with the hospitals’ objectives for assuring quality patient care and effective, efficient utilization of health care services.  
    •  meets with care management and health care team members to discuss selected cases and make recommendations for care, interacting with medical staff members and medical directors of third-party payers to discuss the needs of patients and alternative levels of care.  
    •  acts as consultant to and resource for attending physicians regarding their decisions relative to appropriateness of hospitalization, continued stay, and use of resources.  
    Duties:
    • Co-Chairs Utilization Management Committee.
    • Serve as second level reviewer for UM, providing guidance on appropriate/alternative levels of care based on InterQual guidelines and other appropriate criteria.
    • Function as consultant to and resource for attending physicians regarding their decisions relative to appropriateness of hospitalization, continued stay, and use of resources. Provide education to physicians and other clinicians related to regulatory requirements, appropriate utilization, alternative levels of care, community resources, and end of life care.
    • Acts as a liaison with payers to facilitate approvals and prevent denials or carved out days when appropriate.  Facilitates, mentors, and educates other physicians regarding payer requirements.
    • Support Clinical Documentation Integrity (CDI) with education to attending physicians about ICD coding guidelines, co-morbid conditions and clinical terminology to improve their understanding of severity, acuity, risk of mortality and DRG assignments.

     
     Role has no direct reports.  Will exercise influence in Change Management.  

     


    Qualifications:
    Board Certified Physician
    Prior experience in Utilization Management or Utilization Review required
    Familiarity with InterQual required
    Must have experience and success in leading and facilitating groups of physicians.
    Licensure as a Physician in WA state is required.
    2-Years utilization management experience required.
  • 9 Days Ago

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Salon Coordinator
  • Sport Clips - Coordinator - WA136
  • Bellingham, WA 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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Utilization Specialist
  • Skagit Valley Hospital
  • Mount Vernon, WA FULL_TIME
  • Department: Case Management SVHExempt: NoSchedule: DAYS - VARIABLEPosition Type: Full Time 0.6 FTE or MoreFTE: 1.000000Base Wage $26.09 to $37.85Location: Skagit Valley HospitalThe information describ...
  • 1 Month Ago

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Utilization Specialist
  • Skagit Regional Health
  • Mount Vernon, WA FULL_TIME
  • Utilization Specialist - 2912 US:WA:Mount Vernon | Administrative Non-Clinical Support | Full Time 0.6 FTE or More Posted 4 days ago ApplySave Description Department: Case Management SVH Exempt: No Sc...
  • 1 Month Ago

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Business Banking Loan Review Analyst
  • Whatcom Educational Cre
  • Bellingham, WA FULL_TIME
  • WECU is seeking a Business Banking Loan Review Analyst to join our Business Banking team located in Bellingham, WA. The position performs ongoing, objective examination of individual loans/credit rela...
  • Just Posted

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Rental Coordinator
  • Ideal Rent-All
  • Mount Vernon, WA FULL_TIME
  • DO MORE: AT WORK, IN LIFE, FOR OTHERS Pay range $16.28-$25 hour, depending on experience. Ideal Rent-All is seeking equipment rental counter help at Mount Vernon location, 919 East College Way! We are...
  • 9 Days Ago

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0 Utilization Review Coordinator jobs found in Bellingham, WA area

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Medical Assistant - Registered (Full Time & Part Time)
  • Unity Care NW
  • Bellingham, WA
  • Job Type Full-time, Part-time Description Compensation: Non-exempt/hourly Full wage scale is $19.95 to $26.92 per hour S...
  • 3/18/2024 12:00:00 AM

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Mental Health Counselor
  • Compass Health
  • Bellingham, WA
  • Crisis Mental Health Counselor- Child Youth & Family Crisis Team - North Team - PTDepartment:MCOT-CHILD/YOUTH OUTREACHLo...
  • 3/18/2024 12:00:00 AM

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Laborer - Underground Utilities
  • CableCom LLC
  • Bellingham, WA
  • ** Laborer - Underground Utilities** **Job Category****:** Laborer **Requisition Number****:** LABOR051059 Showing 1 loc...
  • 3/18/2024 12:00:00 AM

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County Meter Reader
  • Meter Reader
  • Lynden, WA
  • Responsibilities The primary responsibility of this position is to read meters and record consumption of the water used,...
  • 3/18/2024 12:00:00 AM

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Store Manager
  • Ross
  • Bellingham, WA
  • GENERAL PURPOSE: Responsible for all aspects of the Stores' operations. Leads the entire operation of the Store to ensur...
  • 3/17/2024 12:00:00 AM

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County Meter Reader
  • Meter Reader
  • Blaine, WA
  • Responsibilities The primary responsibility of this position is to read meters and record consumption of the water used,...
  • 3/17/2024 12:00:00 AM

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02183 Assistant Store Manager
  • Sally Beauty Holdings
  • Bellingham, WA
  • Job Description Sally Beauty Job Title: Assistant Manager Essential Function Store Managers are responsible for hiring, ...
  • 3/15/2024 12:00:00 AM

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Team Member
  • Tractor Supply
  • Ferndale, WA
  • Overall Job Summary This position is responsible for interacting with customers and team members, supporting selling ini...
  • 3/15/2024 12:00:00 AM

The city is located at 48°45′N 122°29′W / 48.750°N 122.483°W / 48.750; -122.483 (48.75, −122.48). The city is situated on Bellingham Bay which is protected by Lummi Island, Portage Island, and the Lummi Peninsula, and opens onto the Strait of Georgia. It lies west of Mount Baker and Lake Whatcom (from which it gets its drinking water) and north of the Chuckanut Mountains and the Skagit Valley. Whatcom Creek runs through the center of the city. Bellingham is 18 miles (29 km) south of the US-Canada border and 50 miles (80 km) southeast of Vancouver. According to the United States Census Burea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$82,912 to $102,700
Bellingham, Washington area prices
were up 2.9% 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