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)
SOUTHWEST BEHAVIORAL CARE, INC.
POSITION : D&A Case Management Utilization Review/Continuing Care Coordinator
Full-Time Position -Greensburg, PA Location
Work alongside our HEROES… APPLY TODAY AND BECOME A PART OF THE SPHS FAMILY!
**COMPREHENSIVE BENEFIT PACKAGE (FOR ELIGIBLE EMPLOYEES) INCLUDING MEDICAL AND DENTAL**
**OPPORTUNITY FOR PROFESSIONAL GROWTH AND ADVANCEMENT**
**TUITION DISCOUNTS WITH PARTICIPATING COLLEGES AND UNIVERSITIES**
Responsible for the Utilization Reviews for clients and services and outcome/tracking for the Single County Authority and other funding sources.
ESSENTIAL FUNCTIONS:
QUALIFIED INDIVIDUALS SHOULD VISIT OUR WEBSITE FOR CURRENT EMPLOYMENT OPPORTUNITIES.
EQUAL OPPORTUNITY EMPLOYER
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