Utilization Review Coordinator jobs in Petersburg, VA

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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Quality Review Coordinator
  • Iron Bridge Recovery Center (10-Main Chester VA)
  • Chester, VA OTHER
  • Quality Review Coordinator | Summit Healthcare Mgmt | Chester, Virginia About the Job: The Quality Review Coordinator provides support activities for the Quality Improvement department by assisting the Director in completing all regulatory related duties including Joint Commission ICM reviews, corporate quality initiatives, and LCD audits on all Medicare clients. Assists Department Directors and staff to meet compliance with facility policies and procedures and regulatory and accrediting agencies to ensure that there is a safe environment in which to provide quality care. Roles and Responsibilities: · Assists in maintaining accreditation compliance, client safety goals and other state or licensing requirements. · Audits program components to ensure compliance with contracts, licensing, and accreditation standards. · Assists in the development and oversight of corrective action plans to address deficiencies in contract compliance. · Maintains updated policy and procedure manuals and electronic and physical database. · Assists in the attainment and renewal of accreditation and licensing for the facility. · Maintains and analyzes incident reports to support PI data collection and reporting needs and direction. Enters data into computer database for reporting and tracking purposes. · Assists in the development of new programming and program expansion projects including quality related training. · Assists in the initiation and oversight of the follow-through for program improvement initiatives and corrective actions. · Completes quality analysis reports and identify recommendations for improvement. · Facilitates document processing between managers and committees. · Assists Department Directors and staff as needed to maintain compliance with regulatory guidelines and policy implementation. · Associate’s degree within a clinical field such as nursing or counseling required. Bachelor’s degree in a clinical field preferred. · Three or more years’ experience working in a human services organization with implementation of performance improvement and/or evaluation activities. · One or more years' experience performing work supporting Joint Commission/CARF accreditation preferred. · CPR and de-escalation certification required (training available upon hire and offered by facility). Why Iron Bridge Recovery Center (10-Main Chester VA)?Iron Bridge Recovery Center (10-Main Chester VA) offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Iron Bridge Recovery Center (10-Main Chester VA) is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
  • 15 Days Ago

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Utilization Case Reviewer
  • Poplar Springs Hospital
  • Petersburg, VA FULL_TIME
  • Responsibilities: Utilization Case Reviewer Poplar Springs Hospital is a 183 bed acute care and residential facility. For more than 30 years Poplar Springs Hospital has been guided by its mission of h...
  • 1 Day Ago

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Paid Product Tester
  • Product Review Jobs
  • BASKERVILLE, VA 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...
  • 22 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • EBONY, VA 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...
  • 22 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • DOLPHIN, VA 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...
  • 22 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • BUFFALO JUNCTION, VA 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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0 Utilization Review Coordinator jobs found in Petersburg, VA area

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Cancer Center Performance Improvement Coordinator - FT - HPW
  • Capital Health
  • Hopewell, VA
  • Work Shift: Capital Health is the region's leader in providing progressive, quality patient care with significant invest...
  • 4/19/2024 12:00:00 AM

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Administrative Support Specialist
  • Department Of The Treasury
  • Richmond, VA
  • Duties The Large Business and International (LB&I) Division Counsel provides legal services to the IRS LB&I Division, an...
  • 4/19/2024 12:00:00 AM

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Trauma Performance Improvement Coordinator RN
  • Hiring Now!
  • Richmond, VA
  • Description Introduction Are you looking for a place to deliver excellent care patients deserve? At Chippenham Hospital ...
  • 4/19/2024 12:00:00 AM

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Senior Administrator - Ambulatory Surgery Centers
  • VCU Health
  • Richmond, VA
  • The Senior Administrator, Ambulatory Surgery Centers, coordinates activities and organizational initiatives that enable ...
  • 4/18/2024 12:00:00 AM

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Sr. Business Systems Analyst- Data Privacy Operations
  • Carmax
  • University Of Richmond, VA
  • A Senior Business Systems Analyst with experience in the areas highlighted below. This is a unique opportunity to work a...
  • 4/17/2024 12:00:00 AM

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GRANT ADMINISTRATOR, REAL ESTATE SOLUTIONS
  • THE VIRGINIA ECONOMIC DEVELOPMENT PARTNERSHIP
  • Richmond, VA
  • GRANT ADMINISTRATOR, REAL ESTATE SOLUTIONS Richmond-Based The Virginia Economic Development Partnership (VEDP) is seekin...
  • 4/17/2024 12:00:00 AM

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Mortgage Software Assistant Administrator
  • Corporate Office
  • Midlothian, VA
  • Overview Responsible for technical direction and support in the processes and workflows in the use of mortgage software ...
  • 4/17/2024 12:00:00 AM

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Senior Administrator - Ambulatory Surgery Centers
  • Vcu Health
  • University Of Richmond, VA
  • The Senior Administrator, Ambulatory Surgery Centers, coordinates activities and organizational initiatives that enable ...
  • 4/16/2024 12:00:00 AM

Petersburg is located at 37°12′46″N 77°24′1″W / 37.21278°N 77.40028°W / 37.21278; -77.40028 (37.21295, -77.400417). According to the United States Census Bureau, the city has a total area of 23.2 square miles (60.1 km2), of which 22.9 square miles (59.3 km2) of land and 0.2 square miles (0.5 km2) (1.1%) is water. Petersburg is located on the Appomattox River at the fall line, which marks the area where the Piedmont region (continental bedrock) and the Atlantic coastal plain (unconsolidated sediments) meet. The fall line is typically prominent where a river crosses its rocky boundary, as the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$78,208 to $96,879
Petersburg, Virginia 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