Utilization Review Coordinator jobs in Torrance, 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)

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Utilization Review Assistant
  • Long Beach Memorial Medical Center
  • Long Beach, CA FULL_TIME
  • Utilization Review Assistant

    - (LON012262)
    Description

    Title:
    Utilization Review Assistant
    Location: Long Beach
    Department: Utilization Management
    Status: Full time
    Shift: Day
    Pay Range*: $24.72/hr – $35.85/hr

    At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

    Position Summary
    The Utilization Review Assistant, using decision trees and standard work, determines appropriate chart documents and timely transmits the documents to government and private health plans to secure authorizations. The URA documents activities and authorizations per standard work.

    The Utilization Review Assistant assures timely and accurate follow through of all office based systems needed to assist with the Utilization Management Department functions. The Utilization Review Assistant collaborates with the case managers and social workers to provide needed documentation and support for day to day Department needs. Fiscal responsibilities include functions to assure positive accounts receivable trends by processing and obtaining information required for authorizations. The Utilization Review Assistant receives supervision and direction from an assigned lead Resource Management Assistant for day to day activities.

    Essential Functions and Responsibilities of the Job

    1. Appropriate chart documents are chosen and transmitted per decision trees and standard work.

    2. Chart documentation is transmitted per department timeliness requirements.

    3. Documentation in the billing system of activities and authorizations is complete and timely.

    4. Duties performed meet department productivity requirements.

    5. Performs other duties as assigned.


    • Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

    Qualifications

    Qualifications/Work Experience:
    • 2 years medical office/UR Department/Admitting Central Auth Unit/medical group experience in utilization review, insurance contracts, multi-payer inpatient authorization systems and/or business office operations is required, or 2 years’ experience as a Licensed Vocational Nurse.
    Education/Licensure/Certification:
    • AA Degree and/or healthcare related certificate course preferred.
  • Just Posted

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Utilization Review Case Manager
  • Torrance Memorial Medical Center
  • Torrance, CA FULL_TIME
  • Under general supervision, the Utilization Review Case Manager (UR CM) performs review of patient referral and medical record for appropriateness for Skilled Home Health services. The UR CM validates ...
  • 1 Month Ago

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Utilization Review RN Case Manager – FT Days
  • Fountain Valley Regional Hospital
  • Lomita, CA FULL_TIME
  • Up to $25,000 Sign-On bonus for experienced Registered Nurse / RN Position SummaryThe Case Manager accomplishes patients' care by assessing treatment needs developing, monitoring, and evaluating treat...
  • 2 Days Ago

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Utilization Review Case Manager - Per Diem Days
  • Torrance Memorial Medical Center
  • Torrance, CA PER_DIEM
  • Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placem...
  • 2 Months Ago

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Utilization Review Case Manager - PT Days
  • Torrance Memorial Medical Center
  • Torrance, CA PART_TIME
  • Under general supervision, performs review of patient charts as required by the Hospitals Utilization Management Review Plan. The Utilization Review Case Manager (UR CM) validates the patient's placem...
  • 8 Days Ago

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Manager of Utilization Management, RN
  • Kaiser Permanente
  • Harbor, CA OTHER
  • Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources...
  • 27 Days Ago

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0 Utilization Review Coordinator jobs found in Torrance, CA area

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New Home Coordinator/Concierge
  • Brookfield Properties
  • Costa Mesa, CA
  • **Location** Costa Mesa - 3200 Park Center Drive, Suite 1000**Business** As part of Brookfield Asset Management one of t...
  • 3/29/2024 12:00:00 AM

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Associate Teacher
  • Excelsior Preschool LLC
  • Torrance, CA
  • Job Description Job Description Job Title: Associate Teacher Location: Torrance, CA Job Type: Full-Time Compensation: $2...
  • 3/29/2024 12:00:00 AM

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Occupancy Coordinator (20/MA)
  • National Community Renaissance
  • Panorama City, CA
  • The Occupancy Coordinator reports to the Community Manager I or II. The Occupancy Coordinator will be responsible for al...
  • 3/29/2024 12:00:00 AM

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Authorization Coordinator, Family Practice
  • MemorialCare
  • Long Beach, CA
  • Description Title: Authorization Coordinator Location: Long Beach, CA Department: Family Practice Status: Full-time Shif...
  • 3/29/2024 12:00:00 AM

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Capital Markets Associate
  • Kapitus
  • Los Angeles, CA
  • Job Description Job Description As a Capital Markets Associate, you will play a crucial role in supporting the structuri...
  • 3/29/2024 12:00:00 AM

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Quality Compliance Nurse and Compliance Coordinator
  • Preferred IPA of California
  • Los Angeles, CA
  • Job Description Job Description Openings for both a Quality Compliance Nurse and a Compliance Coordinator. QUALITY COMPL...
  • 3/28/2024 12:00:00 AM

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RS QC Analyst Sr - Long Beach $5000 Sign On Bonus Eligible
  • General Dynamics Corporation
  • Long Beach, CA
  • Responsibilities for this Position Position Title: RS QC Analyst Sr - Long Beach $5000 Sign On Bonus Eligible Date: Mar ...
  • 3/27/2024 12:00:00 AM

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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...
  • 3/27/2024 12:00:00 AM

Torrance is a coastal community in southwestern Los Angeles County sharing the climate and geographical features common to the Greater Los Angeles area. Its boundaries are: Redondo Beach Boulevard and the cities of Lawndale and Gardena to the north; Western Avenue and the Harbor Gateway neighborhood of Los Angeles to the east; the Palos Verdes Hills with the cities of Lomita, Rolling Hills Estates and Palos Verdes Estates on the south; and the Pacific Ocean and city of Redondo Beach to the west. It is about 20 miles (32 km) southwest of Downtown Los Angeles. Torrance Beach lies between Redondo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$89,947 to $111,413
Torrance, California area prices
were up 3.2% 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