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)
Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking a Sr. Inpatient Utilization Management Nurse.
Primary Responsibilities:
Tasks Performed:
Essential Functions:
Desired Education: Two to four years post-secondary schooling
Desired Degree: Bachelor's degree preferred
Desired Major: Nursing (required)
Desired Job Experience: Three to five years' related experience with at least three years of clinical experience. Managed care experience preferred.
Certifications Required: Active Registered Nurse License
Hiring Salary Range: $80,500.00 - $90,000.00
CHNCT Offers Great Benefits:
CHNCT is an equal opportunity, affirmative action employer m/f/d/v and proud of the diversity of our workforce.
Important Note to Applicants: CHNCT as a company feels very strongly that we need to do what we can to help control the spread of COVID-19 infections. Therefore, all employees, contractors, consultants and agency temporary staff are required to be fully vaccinated to work at CHNCT. Reasonable accommodations for medical or religious exemptions will be provided with appropriate documentation for positions that do not have in-person/member visitation requirements.
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