Utilization Review Coordinator jobs in Galveston, 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 Technician -Galv. Campus Utilization Mgt
  • Galv. Campus Utilization Mgt - UTMB Health Careers
  • Galveston, TX FULL_TIME
  • JOB DESCRIPTION

    The Utilization Review Technician offers administrative support to UR staff. The URT is responsible for a broad range of utilization review support services to ensure efficient authorization coordination, including communicating between inpatient registration (IP Reg), revenue cycle operations (RCO), and clinical departments to ensure successful financial throughput of hospital encounters. The URT is responsible for securing authorizations for encounters in preparation for additional stages of the billing process. The URT performs follow-up activities and identifies medical reimbursement issues affecting outstanding hospital accounts.

    EDUCATION & EXPERIENCE

    Minimum Qualifications:

    • High School diploma or equivalent
    • Five (5) years of financial or patient account experience in a healthcare setting

    Preferred Qualifications:

    • Some college or Associate Degree preferred, or equivalent combination of education, training, and experience
    • Bilingual

    Equal Employment Opportunity

    UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.

    Compensation
  • 15 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Wadsworth, TX FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 23 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Matagorda, TX FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 23 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Gilchrist, TX FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 23 Days Ago

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MDS Coordinator
  • Regent Care Center of League City
  • League, TX FULL_TIME
  • DescriptionCall for Sign On Bonus AmountsMust have MDS experienceThe primary purpose of your job position is to conduct and coordinate the development and completion of the resident assessment in acco...
  • 10 Days Ago

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Marketing Coordinator
  • FUNDACIÓ ROURE
  • Galveston, TX FULL_TIME
  • Responsibilities Provides marketing support services to the sales staff to ensure the timely administration of sales and marketing efforts. Maintains and/or improves upon the occupancy level of the co...
  • 12 Days Ago

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0 Utilization Review Coordinator jobs found in Galveston, TX area

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Coordinator II Residency Training Program, Family Medicine PARTIAL REMOTE/ONSITE
  • University of Texas Medical Branch
  • Galveston, TX
  • Minimum Qualifications: Associate's degree or equivalent. 3 years related experience. Preferred Qualifications: Academic...
  • 4/19/2024 12:00:00 AM

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MEI Janitor PT
  • Mavagi
  • Galveston, TX
  • Job Details Level: Entry Job Location: Galveston Jadwin Building - Galveston, TX Position Type: Part Time Education Leve...
  • 4/19/2024 12:00:00 AM

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Sr. Oncology Nurse Clinician or Oncology Nurse Clinician
  • University of Texas Medical Branch
  • Galveston, TX
  • * This is an open-pooled position. Applicants' education/experience will be considered and the position may be filled at...
  • 4/19/2024 12:00:00 AM

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Coordinator II, School of Public and Population Health Administration (Partial Remote)
  • University of Texas Medical Branch
  • Galveston, TX
  • Minimum Qualifications: Associate's degree or equivalent; 3 years related experience. Job Summary: To manage activities ...
  • 4/17/2024 12:00:00 AM

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SLP-Assistant W-2 Based Employee
  • Speak Speech Therapy
  • Pearland, TX
  • Job Description Job Description Job Summary: We seek a dedicated and compassionate Pediatric Speech Language Pathology A...
  • 4/17/2024 12:00:00 AM

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Bilingual (Spanish/English) Full-Time Front Desk/Receptionist
  • Park Lakes Family Medicine PA
  • Friendswood, TX
  • Job Description Job Description We are looking for a Bilingual (Spanish/English) Full-Time Front Desk/Receptionist(36+HR...
  • 4/16/2024 12:00:00 AM

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Receptionist
  • International Leadership Of Texas
  • Pearland, TX
  • This position is for the 2024 - 2025 school year. The anticipated start date is August 5th, 2024. Primary Purpose: Under...
  • 4/16/2024 12:00:00 AM

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Receptionist
  • International Leadership of Texas
  • Pearland, TX
  • This position is for the 2024 - 2025 school year. The anticipated start date is August 5th, 2024. Primary Purpose: Under...
  • 4/15/2024 12:00:00 AM

The city of Galveston is situated on Galveston Island, a barrier island off the Texas Gulf coast near the mainland coast. Made up of mostly sand-sized particles and smaller amounts of finer mud sediments and larger gravel-sized sediments, the island is unstable, affected by water and weather, and can shift its boundaries through erosion. The city is about 45 miles (72 km) southeast of downtown Houston. The island is oriented generally northeast-southwest, with the Gulf of Mexico on the east and south, West Bay on the west, and Galveston Bay on the north. The island's main access point from the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$80,465 to $99,675
Galveston, 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