Utilization Review Coordinator jobs in Macon, GA
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
Utilization Review - NRN
- Houston Medical Center
-
Warner Robins, GA
FULL_TIME
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Care ManagementFull Time · 8:00a - 4:00p · Call typically not requiredH14The Non RN (NRN) Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay under direct supervision of a Registered Nurse. The NRN Utilization Reviewer refers questions from the medical and hospital staff on utilization and regulatory issues to the Director of Care Management or an RN UtilizationReviewer. The NRN Utilization Reviewer plays an integral role in discharge planning and maximizing the continuum of care for patients assigned to his/her assigned unit. The NRN Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for the patient.
High School Graduate with over 5 years experience, and on the job training in records review, quality assurance chart review and training in the use of review criteria. LPN reviewers will be graduates of an approved school of practical nursing and maintain a current license to practice as an LPN in the state of Georgia. Minimum of five (5) years experience in a medical/hospital setting. Experience in Utilization Management, Quality Management, or related field preferred.
Utilizes a variety of standard office equipment to include computer, printer, fax machine, copier, telephone etc. Basic knowledge of statistics encouraged. Ability to move throughout the hospital and possession of manual coordination and dexterity. Requires frequent sitting, standing and walking. Must be able to speak and have visual and hearing acuity. Pushes/pulls or moves/lifts office equipment and supplies. Works in a clean, well lighted heated and ventilated area. Flexibility with working hours; evening and weekend hours may be required. Must have interpersonal skills necessary to work productively with all levels of hospital personnel. Possess the mental acuity which enables the ability to make decisions. Must be able to utilize discretion in handling confidential information. Requires the ability to express self well both verbally and written. Must have excellent communication skills. Fiscal skills to monitor cost and revenue.
Successful candidates will be subject to criminal background and drug screens.
EOE/AA/Females/Minorities/Veterans/Disabled
- 8 Days Ago
Plan Review
- Macon Water Authority
-
Macon, GA
OTHER
- Job Summary: Reviews and evaluates Water, Sewer and Erosion, Sedimentation, and Pollution Control (ESPC) plans. The reviewer prepares easement drawings and documents. This role assists in obtaining ea...
- 30 Days Ago
Registered Nurse - Utilization Manger
- Potomac Healthcare Solutions
-
Robins, GA
FULL_TIME
- Registered Nurse – Utilization ManagementRobins AFB, GA Position Duties and Responsibilities:Conduct research in support of improved practice and patient outcomes.Develops and implements a comprehensi...
- 1 Month Ago
Paid Product Tester
- Product Review Jobs
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Cadwell, GA
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...
- 28 Days Ago
Paid Product Tester
- Product Review Jobs
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Rentz, GA
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...
- 28 Days Ago
Paid Product Tester
- Product Review Jobs
-
Ailey, GA
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...
- 28 Days Ago
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0 Utilization Review Coordinator jobs found in Macon, GA area
About Macon, Georgia
Macon (/ˈmeɪkən/), officially Macon–Bibb County, is a consolidated city-county located in the state of Georgia, United States. Macon lies near the geographic center of the state, approximately 85 miles (137 km) south of Atlanta, hence the city's nickname "The Heart of Georgia."
Located near the fall line of the Ocmulgee River, Macon is the county seat of Bibb County and had a 2017 estimated population of 152,663. Macon is the principal city of the Macon metropolitan area, which had an estimated population of 228,914 in 2017. Macon is also the largest city in the Macon–Warner Robins Combined St...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$72,483 to $89,788
Macon, Georgia area prices
were up 1.5% from a year ago
were up 1.5% 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