Utilization Review Coordinator jobs in Temecula, 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 LVN
- KPC GLOBAL MEDICAL CENTERS INC.
-
Corona, CA
FULL_TIME
-
- Coordinates and reviews all medical records, as assigned to caseload
- Actively participates in Case Management and Treatment Team meetings
- Serves as on-going educator to all departments
- Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting
- Able to work independently and use sound judgment.
- Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment.
- Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families.
- Performs other duties as assigned.
- 23 Days Ago
Utilization Review LVN
- KPC GLOBAL MEDICAL CENTERS INC
-
Corona, CA
FULL_TIME
- Coordinates and reviews all medical records, as assigned to caseloadActively participates in Case Management and Treatment Team meetingsServes as on-going educator to all departmentsResponsible for re...
- 8 Days Ago
Utilization Review Technician III
- Prime Healthcare Services
-
Ontario, CA
FULL_TIME
- Utilization Review Technician III Facility Prime Healthcare Management Inc Location US-CA-Ontario ID 2024-153360 Category Business Professional Position Type Full Time Shift Days Job Type Non-Exempt O...
- 28 Days Ago
Utilization Review Intake Specialist
- CorVel Corporation
-
Rancho Cucamonga, CA
FULL_TIME
- The UR Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting t...
- 1 Month Ago
Registered Nurse / Utilization Review Exp
- Cross Country Healthcare
-
Moreno Valley, CA
FULL_TIME
- Job DescriptionAs a registered nurse (RN), you will provide care for patients dealing with illness or injury. Depending on your role, you'll work at a hospital, outpatient center, private practice, ho...
- 11 Days Ago
CA Utilization Review Case Manager I
- CorVel Brand
-
Rancho Cucamonga, CA
FULL_TIME
- The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical nec...
- 18 Days Ago
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0 Utilization Review Coordinator jobs found in Temecula, CA area
Medical Receptionist/Front Desk (bilingual English/Spanish) 7:00AM to 3:30 PM Shift
- Gary and Mary West PACE
-
San Marcos, CA
- Gary and Mary West PACE is a growing and thriving all inclusive day center for the fragile elderly. We are located in Sa...
- 4/26/2024 12:00:00 AM
Life Enrichment Assistant-Assisted Living-Per Diem
- Seacrest Village Retirement Communities-Best Place
-
Encinitas, CA
- Job Details Level Experienced Job Location Corporate Encinitas - Encinitas, CA Position Type Per Diem Salary Range $17.5...
- 4/26/2024 12:00:00 AM
Nutraceuticals Production Manager
- PrideStaff
-
Vista, CA
- Job Description Job Description PrideStaff is seeking an experienced Production Manager Specifically in the Nutraceutica...
- 4/25/2024 12:00:00 AM
OFFICE MANAGER
- REESE LAW GROUP APLC
-
Carlsbad, CA
- Job Description Job Description Summary Reese Law Group is a civil litigation law firm representing clients in all stage...
- 4/25/2024 12:00:00 AM
Senior Administrative Assistant
- California Department of Education
-
Mission Viejo, CA
- Saddleback College Senior Administrative Assistant Job Category: CSEA Job Opening Date: January 31, 2024 Location: Saddl...
- 4/25/2024 12:00:00 AM
Front Desk Agent
- GRAND PACIFIC RESORTS INC
-
Carlsbad, CA
- Job Details Job Location Grand Pacific Marbrisa - Carlsbad, CA Position Type Full Time Salary Range $16.00 - $30.00 Hour...
- 4/24/2024 12:00:00 AM
Inside Sales Appointment Coordinator
- Puragain Water
-
Temecula, CA
- Job Description Job Description **Join Our Team as an Inside Sales Representative/Appointment Setter!** (In office posit...
- 4/22/2024 12:00:00 AM
Inside Sales Appointment Coordinator
- Puragain Water
-
Escondido, CA
- Job Description Job Description **Join Our Team as an Inside Sales Representative/Appointment Setter!** (In office posit...
- 4/22/2024 12:00:00 AM
About Temecula, California
Temecula /təˈmɛkjʊlə/ is a city in southwestern Riverside County, California, United States. The city is a tourist destination, with the Temecula Valley Wine Country, Old Town Temecula, the Temecula Valley Polo Club, the Temecula Valley Balloon & Wine Festival, the Temecula Valley International Film Festival, championship golf courses, and resort accommodations for tourists which contribute to the city's economic profile.
The City of Temecula, forming the southwestern anchor of the Inland Empire region, is approximately 58 miles (93 km) north of downtown San Diego and 85 miles (137 km) southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$86,109 to $106,667
Temecula, 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