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)
Are you an experienced Registered Nurse looking for the next step up in your nurse leadership career? We have an exciting opportunity to join an award-winning medical center as a Lead Utilization Review Coordinator.
The Lead Utilization Review Coordinator will join a Central Valley area, award-winning community medical center. This 150 bed medical center is a Level 2 trauma center and has achieved the Joint Commission Gold Seal of Approval.
Reporting to the Administrative Director of Revenue, the Lead Utilization Review Coordinator will collaborate with hospital leadership and other Registered Nurse Case Managers in order to effectively manage hospital wide care coordination and will monitor extended hospital admissions. The Lead Utilization Review Coordinator should have over 4 years of experience working as a Case Manager in an inpatient setting as well as 4 years of experience working as a Registered Nurse. The Lead Utilization Review Coordinator will act as an advocate for their patients and go above and beyond to help accurately assess their individual needs.
Joining this fantastic Medical Center, and serving as the Lead Utilization Review Coordinator will be a great next step in your career. This area is located near the based of the Sierra Nevada mountains and is known for being a laid back, family friendly community. Candidates can also enjoy a health work life balance taking day trips to the beautiful Yosemite or Sequoia National Park.
The Lead Utilization Review Coordinator is expected to include competitive compensation and an excellent benefits package. These benefits may also include incentive bonus potential and relocation assistance. Don’t miss your chance to join this team in the sunny state of California. This will be a full time, onsite position.
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