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)
Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA
Profession: Registered Nurse
Specialty: Case Management (Utilization Review)
Unit: Case Manager- Case Manager- 201-10049
Shift: 8 HR DAYS (8-430)
Start Date: 06/14/2023
Job Duration: 13 WEEKS
Description:
Charting System: Cerner Corporation - Soarian 2010Required Certifications: BLS, NRP
Guaranteed Hours: 40 hours per week
Required Certifications : BLS
Unit Notes
***Vaccine required 13 weeks Want candidate that is strong in Discharge planning. Must have Inpatient hospital case management experience Census is typically 20 cases a day BLS Cert, and CM is preferred Shifts: Mon thru fri 8-430 No weekends or call Most important skills would be in an experienced in discharge planning who knows some utilization review and one who knows AllScripts would be even better
PAY FOR 40 HOURS
$32 HRLY X 40 HRS = $1,280
$1000.00 Weekly Housing Allowance
$553.00 Weekly Meals Allowance $2,833 WEEKLY GROSS
Clear All
0 Utilization Review Coordinator jobs found in Boston, MA area