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)
As a registered nurse (RN), you will provide care for patients dealing with illness or injury. Depending on your role, you'll work at a hospital, outpatient center, private practice, home health, telemedicine, nursing facility, clinic or other facility. You'll perform tasks like assessing patients, developing care plans, administering medication, providing treatment, assisting with surgery, changing bandages, monitoring vitals and maintaining records. You'll also provide continued support and education to patients, promoting their overall health and ensuring they have the tools to recover and prevent further health issues.
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