Utilization Review Coordinator jobs in Rialto, CA
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 Technician
- San Bernardino County
-
Colton, CA
FULL_TIME
-
Arrowhead Regional Medical Center is recruiting for Utilization Review Technicians who review and monitor medical records and recommend actions to assure patient care is appropriate, medically necessary and cost effective. Duties include: reviewing medical records to evaluate medical necessity of treatments to identify appropriate diagnosis and/or procedure codes and reimbursement rates for billing; monitoring patient records; analyzing medical reports; reviewing medical charts and preparing summaries and reports to justify services and procedures; and coordinating with and obtaining authorization from third party payers for care.For more information, refer to the Utilization Review Technician job description.
ARROWHEAD REGIONAL MEDICAL CENTERLocated on a beautiful 70-acre campus in Colton, California (50 miles east of Los Angeles), Arrowhead Regional Medical Center (ARMC) is a state-of-the-art, public/nonprofit, 456-bed, university affiliated teaching hospital licensed by the State of California Department of Public Health and accredited by The Joint Commission. The hospital houses a regional burn center serving four counties (San Bernardino, Riverside, Mono and Inyo), a comprehensive stroke center, level I trauma center and a freestanding in-patient behavioral health center. Additionally, ARMC operates five community-based, primary care clinics and over 40 specialty care outpatient services. ARMC is the primary teaching hospital for the adjacently located California University of Science and Medicine (CUSM), the Inland Empire's newest medical school. To learn more, watch our video at this link!CONDITIONS OF EMPLOYMENTShift Availability: If selected, applicants are required to work various shifts, which may include weekends and holidays. Failure to indicate availability for day, swing, night, rotating, weekends and holidays will disqualify applicants from the examination process ARMC is a twenty-four hour facility; applicants must indicate their shift availability in the Supplemental Questionnaire of the application. Shift differentials are provided.
Pre-Employment Process: Applicants must pass a background investigation and medical examination including drug screening.Vaccination Requirement: Per the December 24, 2021 updated CA State Public Health Officer Order, all workers who provide services or work in facilities described in subdivision (a) of the order, including clinics and doctor offices, must be fully vaccinated for COVID-19. In addition, CDPH Public Health Officer Orders updated on February 22, 2022 requires all workers in health care settings currently eligible for boosters, who provide services or work in the impacted facilities must be “fully vaccinated and boosted” for COVID-19 by March 1, 2022. Workers may be exempt from the vaccination requirements under section (1). View the full order here: https://bit.ly/3k0RNMt
The entire All Facilities Letter notifying of updates to the Public Health Order is available at the following link: AFL 21-34.3 Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP).Vaccination Exemptions: Upon hire, candidates will be required to submit proof of vaccination including the booster dose or request an exemption from the vaccination and booster requirements based on either religious belief or medical reasons.Candidates must meet one of the following Experience Options:
Option 1: Six (6) months of experience reviewing patient medical records and obtaining authorization from third party payers in an acute care hospital.
-OR-
Option 2: One (1) year of experience processing justification for referrals in an outpatient specialty clinic setting such as Cardiology, Ophthalmology or Surgery.
Note: Family Practice clinic experience is not considered qualifying experience.English/Spanish bilingual skills are highly desired. Bilingual positions require that applicants pass written and oral language competency tests in order to be considered for bilingual vacancies.Application Procedure: Please complete and submit the online employment application and supplemental questionnaire by 5:00PM on Friday, April 19th, 2024. Resumes will not be accepted in lieu of the application and/or supplemental questionnaire.There will be a competitive evaluation based on a review of the Application and Supplemental Questionnaire. It is to your advantage to include as much relevant and detailed work experience as possible.To ensure timely and successful submission of your online application, please allow ample time to complete and submit your application before the posted filing deadline. Applicants will be automatically logged-out if they have not submitted the application and all required materials prior to the posted deadline. Once your application has been successfully submitted you will receive an onscreen confirmation and an email. We recommend that you save and/or print these for your records.If you require technical assistance, please click HERE to review the Government Jobs online application guide, or contact their Toll-Free Applicant Support line at (855) 524-5627. Please note that Human Resources is not responsible for any issues or delays caused by the computer or browser used to submit the application.EEO/ADA: San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, committed to providing equal employment opportunity to all employees and applicants.ADA Accommodation: If you have a disability and require accommodations in the testing process, submit the Special Testing Accommodations Request Form within one week of a recruitment filing deadline.Veterans’ Preference: Eligible veterans and their spouse or widow(er) who are not current County employees may be awarded additional Veterans’ Preference points. Click HERE for information and instructions to request Veteran's Preference points.Please click HERE for important Applicant Information and the County Employment Process.
- Just Posted
Utilization Review Nurse
- Desert Oasis Healthcare
-
Palm Springs, CA
FULL_TIME
- Conducts review of prospective requests and supporting documentation for authorization of Specialty Referrals. Responsible for making judgments utilizing established protocols and the DOHC Utilization...
- 22 Days Ago
Travel Utilization Review Registered Nurse
- Aya Healthcare
-
Apple Valley, CA
FULL_TIME,CONTRACTOR,TEMPORARY
- Aya Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Apple Valley, California. This is a 13-week contract position that requires at least one year...
- 9 Days Ago
Utilization Review RN - Case Management
- Providence Health
-
Apple Valley, CA
FULL_TIME
- Description Provide prospective, retrospective and concurrent utilization review for St. Mary Medical Center. Provide clinical reviews and medical records daily during admission for all payers as requ...
- 4 Days Ago
Utilization Management Authorization Assistant
- Redlands Community Hospital - UTILIZATION...
-
Redlands, CA
FULL_TIME
- Position Details: Salary: 20.24 - 29.35 Hourly Shift: Days, 8-hour shifts Status: PRN Reporting to the Director of Social Services, this position keeps records, authorizations and paperwork for the de...
- 5 Days Ago
Utilization Management Authorization Assistant
- Redlands Community Hospital - UTILIZATION MANAGEMENT SUPPORT
-
Redlands, CA
FULL_TIME
- Position DetailsSalary: 20.24 - 29.35 HourlyShift: Days, 8-hour shiftsStatus: PRNReporting to the Director of Social Services, this position keeps records, authorizations and paperwork for the departm...
- 5 Days Ago
Filters
- Current Active Filter
- Rialto, CA
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Utilization Review Coordinator jobs found in Rialto, CA area
Utilization Management Assistant - Utilization Management
- Providence Health & Services
-
Hesperia, CA
- Under the direction of the Utilization Supervisor/ Manager, this position is responsible for the distribution, review, a...
- 4/18/2024 12:00:00 AM
Staff Multifamily New Construction Project Manager
- Sunrun Inc.
-
Riverside, CA
- Everything we do at Sunrun is driven by a determination to transform the way we power our lives. We know that starts at ...
- 4/18/2024 12:00:00 AM
Administrative Assistant - Riverside, CA (3795)
- Eagle Harbor, LLC
-
Riverside, CA
- Job Description Job Description Ocean Bay, LLC, a subsidiary of Three Saints Bay, LLC and a Federal Government Contracto...
- 4/18/2024 12:00:00 AM
Staff Multifamily New Construction Project Manager
- Sunrun Inc.
-
Apple Valley, CA
- Everything we do at Sunrun is driven by a determination to transform the way we power our lives. We know that starts at ...
- 4/18/2024 12:00:00 AM
Technician Development Supervisor
- Velocity Vehicle Group
-
Fontana, CA
- Job Description Job Description Who We Are: Velocity Vehicle Group (VVG) is a premium commercial brand medium to heavy t...
- 4/17/2024 12:00:00 AM
Utility Coordination Manager
- Motive Workforce Solutions
-
Tustin, CA
- Job Description Job Description Job Description: The Utility Coordination Manager will be a key player in our efforts to...
- 4/16/2024 12:00:00 AM
Medical Coordinator (LVN) - Swing Shift/Night Shift
- Illumination Foundation
-
Colton, CA
- "Every person deserves compassion, dignity, and the safety of a place to call home." Homelessness is the largest social ...
- 4/15/2024 12:00:00 AM
Rehabilitation Coordinator - LTACH Hospital
- Lifepoint Rehabilitation
-
Rancho Cucamonga, CA
- Description Facility Name: Kindred Hospital - Rancho Setting: LTAC Hospital (critical care recovery hospital) Discipline...
- 4/15/2024 12:00:00 AM
About Rialto, California
Rialto is a city in San Bernardino County, California, United States. The population was 99,171 with the 2010 Census.
Rialto is home to four major regional distribution centers: Staples Inc., which serves stores across the entire West Coast of the United States, Toys "R" Us, Under Armour and Target in the northern region of the city, in the Las Colinas community. One of the United States' largest fireworks companies, Pyro Spectaculars, is also headquartered in Rialto.
Rialto is located at 34°6′41″N 117°22′57″W / 34.11139°N 117.38250°W / 34.11139; -117.38250 (34.111360, −117.382403).
Accordi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$85,141 to $105,468
Rialto, California area prices
were up 3.0% from a year ago
were up 3.0% 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