Utilization Review Coordinator jobs in Evansville, IN
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)
Recently Added Utilization Review Coordinator jobs
Case Management Specialist - Utilization Review
- Utilization Review in Owensboro, KY - Owensboro
-
Owensboro, KY
FULL_TIME
-
Summary
Job Summary
Facilitates cost-effective, quality patient outcomes by determining the appropriate level of care and providing guidance, education, and support to assigned patients.Job Responsibilities- Assessment of complete chart and knowledge of patient's medical condition, financial status, emotional needs, and support systems.
- Conducts initial and concurrent reviews of clinical documentation for medical necessity and appropriate level of care using approved criteria within specified time frame.
- Provides appropriate clinical information to payers as requested within specified time frame.
- Collaborates with the Physician, Medical Director, Director, Manager, and Supervisor of Case Management on patients who are not meeting the regulatory requirements for hospitalization.
- Delivers regulatory letters to patients as needed.
- Provides education and acts as a resource for physicians, staff, and patients/families regarding utilization review processes.
- Trains new case managers, students, and interns as needed.
Qualifications- Associate's degree or higher in Nursing required upon hire AND
- Bachelor's degree or higher in Nursing required within 5 years of employment in this position
- No experience required
- RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire
Skills and Attributes- Requires critical thinking skills and decisive judgment.
- Works under minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
Physical Demands- Standing: Occasionally
- Walking: Occasionally
- Sitting: Frequently
- Lifting 0-25 lbs: Rarely
- Lifting 25-75 lbs: Never
- Lifting over 75 lbs: Never
- Carrying 0-25 lbs: Rarely
- Carrying 25-75 lbs: Never
- Carrying over 75 lbs: Never
- Pushing/Pulling 0-25 lbs: Rarely
- Pushing/Pulling 25-75 lbs: Never
- Pushing/Pulling over 75 lbs: Never
- Climbing: Rarely
- Bending/Stooping: Rarely
- Kneeling: Rarely
- Crouching/Crawling: Rarely
- Reaching: Occasionally
- Talking: Frequently
- Hearing: Occasionally
- Repetitive Foot/Leg Movements: Never
- Repetitive Hand/Arm Movements: Frequently
- Keyboard Data Entry: Frequently
- Running: Never
- Vision: Depth Perception: Frequently
- Vision: Distinguish Color: Frequently
- Vision: Seeing Far: Frequently
- Vision: Seeing Near: Frequently
Owensboro Health Core Commitments
INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.
RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.
TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.
INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service. - 1 Month Ago
Travel Utilization Review RN Registered Nurse
- Focus Staff
-
Evansville, IN
FULL_TIME
- We currently have a client in EVANSVILLE, IN looking for a Travel Utilization Review RN Registered Nurse! Focus Staff is seeking a Travel Utilization Review RN Registered Nurse to review and audit beh...
- 8 Days Ago
Acquisition Utilization Specialist
- Veterans Health Administration
-
Marion, IL
FULL_TIME
- As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical clinical and healthcare services, product acquisiti...
- 15 Days Ago
Network Firewall Review Analyst
- Intone Networks
-
Evansville, IN
FULL_TIME
- Responsibilities: Must perform duties with a self-starting demeanor. Conduct duties and behaviors with a cybersecurity-centric mindset. Document well-analyzed implementation and reversion plans for al...
- 9 Days Ago
Contract Review Specialist
- Mpd Inc
-
Owensboro, KY
FULL_TIME
- MPD Components, Inc. traces its roots back over 100 years to the very beginning of electric power and the electronic age. MPD products can be found in most aircraft, on-board spacecraft, on ships at s...
- 1 Month Ago
Utilization Management Specialist - Carbondale, IL
- Gateway Foundation, Inc.
-
Carbondale, IL
FULL_TIME
- Utilization Management Specialist - Carbondale, IL Post Date: Mar 20, 2024 Location: Carbondale, IL, US, 62901 Position Type: Full Time Requisition Number: 31696 Work Schedule: Monday - Friday Are you...
- 1 Month Ago
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0 Utilization Review Coordinator jobs found in Evansville, IN area
Sales Consultant
- Rural King Supply
-
Evansville, IN
- Overview: About us Rural King Farm and Home Store strives to create a positive and rewarding workplace for our associate...
- 4/22/2024 12:00:00 AM
Customer Service Representative
- AT&T
-
Evansville, IN
- **Job Description:** This is your opportunity to be the voice of AT&T a global leader in communications and technology. ...
- 4/22/2024 12:00:00 AM
Traffic Control Technician 2 (Evansville, IN)
- RoadSafe Traffic Systems
-
Evansville, IN
- Description ESSENTIAL FUNCTIONS: The TCT must maintain a safe work zone that ensures that traffic stays out of the way o...
- 4/22/2024 12:00:00 AM
Customer Experience Specialist (Advisor)
- Best Buy
-
Evansville, IN
- **Customer Experience Specialist (Advisor) - Job Details** **Customer Experience Specialist (Advisor)** Share Job **Over...
- 4/22/2024 12:00:00 AM
Night Shift Production Supervisor Bakery Manufacturing
- Premier Paths
-
Evansville, IN
- Location Evansville, IN No Remote **Night Shift Production Supervisor - Bread Bakery Food Manufacturing** *similat job t...
- 4/22/2024 12:00:00 AM
General Manager
- Captain D's
-
Evansville, IN
- What makes Captain D's a great place to work? It's our people. We understand that our employees are our greatest asset. ...
- 4/21/2024 12:00:00 AM
Senior Geotechnical Engineer
- Atlas
-
Evansville, IN
- Atlas is a nationwide leader in civil engineering, materials testing and geotechnical consulting services for environmen...
- 4/20/2024 12:00:00 AM
Grocery-Dairy Inventory Coordinator
- Meijer
-
Evansville, IN
- As a family company, we serve people and communities. When you work at Meijer, you’re provided with career and community...
- 4/15/2024 12:00:00 AM
About Evansville, Indiana
Evansville is a city and the county seat of Vanderburgh County, Indiana, United States. The population was 117,429 at the 2010 census, making it the state's third-most populous city after Indianapolis and Fort Wayne, the largest city in Southern Indiana, and the 232nd-most populous city in the United States. It is the commercial, medical, and cultural hub of Southwestern Indiana and the Illinois-Indiana-Kentucky tri-state area, home to over 911,000 people. The 38th parallel crosses the north side of the city and is marked on Interstate 69.
Situated on an oxbow in the Ohio River, the city is of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$76,434 to $94,682
Evansville, Indiana area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does an Utilization Review Coordinator do?
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