Utilization Review Technician jobs in Evansville, IN

Utilization Review Technician 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 Technician 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 Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

Recently Added Utilization Review Technician jobs

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Case Management Specialist - Utilization Review
  • Utilization Review in Owensboro, KY - Owensboro
  • Owensboro, KY FULL_TIME

  • Summary

    Job Summary

    Facilitates cost-effective, quality patient outcomes by determining the appropriate level of care and providing guidance, education, and support to assigned patients.
     
    Job Responsibilities
    • Assessment of complete chart and knowledge of patient's medical condition, financial status, emotional needs, and support systems.
    • Conducts initial and concurrent reviews of clinical documentation for medical necessity and appropriate level of care using approved criteria within specified time frame.
    • Provides appropriate clinical information to payers as requested within specified time frame.
    • Collaborates with the Physician, Medical Director, Director, Manager, and Supervisor of Case Management on patients who are not meeting the regulatory requirements for hospitalization.
    • Delivers regulatory letters to patients as needed.
    • Provides education and acts as a resource for physicians, staff, and patients/families regarding utilization review processes.
    • Trains new case managers, students, and interns as needed.
    Qualifications
    • Associate's degree or higher in Nursing required upon hire AND
    • Bachelor's degree or higher in Nursing required within 5 years of employment in this position
    • No experience required
    • RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire
    Skills and Attributes
    • Requires critical thinking skills and decisive judgment.
    • Works under minimal supervision.
    • Must be able to work in a stressful environment and take appropriate action.
    Physical Demands
    • Standing: Occasionally
    • Walking: Occasionally
    • Sitting: Frequently
    • Lifting 0-25 lbs: Rarely
    • Lifting 25-75 lbs: Never
    • Lifting over 75 lbs: Never
    • Carrying 0-25 lbs: Rarely
    • Carrying 25-75 lbs: Never
    • Carrying over 75 lbs: Never
    • Pushing/Pulling 0-25 lbs: Rarely
    • Pushing/Pulling 25-75 lbs: Never
    • Pushing/Pulling over 75 lbs: Never
    • Climbing: Rarely
    • Bending/Stooping: Rarely
    • Kneeling: Rarely
    • Crouching/Crawling: Rarely
    • Reaching: Occasionally
    • Talking: Frequently
    • Hearing: Occasionally
    • Repetitive Foot/Leg Movements: Never
    • Repetitive Hand/Arm Movements: Frequently
    • Keyboard Data Entry: Frequently
    • Running: Never
    • Vision: Depth Perception: Frequently
    • Vision: Distinguish Color: Frequently
    • Vision: Seeing Far: Frequently
    • Vision: Seeing Near: Frequently
    Owensboro Health Core Commitments

    INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.

    RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.

    TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.

    INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.

    SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.

    EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.
  • 1 Month Ago
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Travel Utilization Review RN Registered Nurse
  • Focus Staff
  • Evansville, IN FULL_TIME
  • We currently have a client in EVANSVILLE, IN looking for a Travel Utilization Review RN Registered Nurse! Focus Staff is seeking a Travel Utilization Review RN Registered Nurse to review and audit beh...
  • 8 Days Ago
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Automotive technician
  • Kia Veterans Technician Apprenticeship Program (VTAP)
  • Evansville, IN FULL_TIME
  • Kia Retailers are offering skilled and experienced military Veterans with the opportunity to begin an inspiring career as a Kia Certified Service Technician. To support this Kia Retailer initiative, K...
  • 27 Days Ago
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Acquisition Utilization Specialist
  • Veterans Health Administration
  • Marion, IL FULL_TIME
  • As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical clinical and healthcare services, product acquisiti...
  • 15 Days Ago
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Network Firewall Review Analyst
  • Intone Networks
  • Evansville, IN FULL_TIME
  • Responsibilities: Must perform duties with a self-starting demeanor. Conduct duties and behaviors with a cybersecurity-centric mindset. Document well-analyzed implementation and reversion plans for al...
  • 9 Days Ago
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Contract Review Specialist
  • Mpd Inc
  • Owensboro, KY FULL_TIME
  • MPD Components, Inc. traces its roots back over 100 years to the very beginning of electric power and the electronic age. MPD products can be found in most aircraft, on-board spacecraft, on ships at s...
  • 1 Month Ago
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0 Utilization Review Technician jobs found in Evansville, IN area

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Electrical Technical Specialist
  • Kaiser Aluminum
  • Newburgh, IN
  • Kaiser Aluminum is known around the world for its superior quality. Our secret is what we put into it—innovative thinkin...
  • 4/24/2024 12:00:00 AM
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Mechanical Technical Specialist
  • Kaiser Aluminum
  • Newburgh, IN
  • Job Description Kaiser Aluminum is known around the world for its superior quality. Our secret is what we put into it—in...
  • 4/22/2024 12:00:00 AM
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Mechanical Technical Specialist
  • Kaiser Aluminum Corporation
  • Newburgh, IN
  • Kaiser Aluminum Warrick has been on the path of innovation, embracing the latest technologies for almost 60 years! We ha...
  • 4/22/2024 12:00:00 AM
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Optometric Technician
  • JOS Staffing
  • Evansville, IN
  • A physician owned private practice is looking to add full-time technicians to join a busy practice with 2 locations. Joi...
  • 4/22/2024 12:00:00 AM
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Electrical Technical Specialist
  • Kaiser Aluminum
  • Newburgh, IN
  • Kaiser Aluminum is known around the world for its superior quality. Our secret is what we put into itinnovative thinking...
  • 4/21/2024 12:00:00 AM
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Pharmacy Technician
  • Costco
  • Evansville, IN
  • Job Description Assists pharmacist to fill, dispense prescriptions for customers. Assists customers at counter, retrieve...
  • 4/21/2024 12:00:00 AM
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Utility Technician
  • FLANDERS
  • Evansville, IN
  • Job Description Job Description The FLANDERS team is looking for Motor Technicians to join the Evansville, IN team! Our ...
  • 4/21/2024 12:00:00 AM
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Controls Technician
  • FLANDERS
  • Evansville, IN
  • Job Description Job Description Our Evansville Panel Shop is looking for experienced Controls Technician II's to join th...
  • 4/21/2024 12:00:00 AM
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About Evansville, Indiana

Evansville is a city and the county seat of Vanderburgh County, Indiana, United States. The population was 117,429 at the 2010 census, making it the state's third-most populous city after Indianapolis and Fort Wayne, the largest city in Southern Indiana, and the 232nd-most populous city in the United States. It is the commercial, medical, and cultural hub of Southwestern Indiana and the Illinois-Indiana-Kentucky tri-state area, home to over 911,000 people. The 38th parallel crosses the north side of the city and is marked on Interstate 69. Situated on an oxbow in the Ohio River, the city is of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$59,662 to $83,249
Evansville, Indiana area prices
were up 1.3% from a year ago
View detail

What does a Utilization Review Technician do?

Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020