Utilization Review Technician jobs in Lexington, KY

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)

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Utilization Review Case Coordinator
  • UHS
  • LEXINGTON, KY FULL_TIME
  • Responsibilities

    Utilization Review Case Coordinator Opportunity:

    Full Time, Day Shift

     

    The Case Coordinator is responsible for managing and coordinating the treatment activities offered to the patient, interface with the treatment team/external case managers/managed care organizations, referring professionals and implementation and supervision of the discharge planning.  Coordinates and tracks all of the admission and continue stay reviews for pre-certifications.  Works closely with Intake/Needs Assessment Department and Clinical Treatment Team to carry out its objectives regarding the provision of utilization management for continued stay reviews.  Actively participates in treatment team and works directly with the patient’s in aftercare planning and setting up appointments and facilitates placement referrals for discharge as appropriate.  Follows and abides by company policies, procedures, and Corporate Compliance Program, as applicable to role and responsibilities.

     

    Ridge Behavioral Health is a 110-bed, behavioral health hospital located in the heart of the Bluegrass, Lexington, KY.   The Ridge provides psychiatric and substance use treatment for children, adolescents, and adults. The Ridge offers inpatient, partial hospitalization, intensive outpatient programs, individual counseling, as well as medication management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 36 years.

    The Ridge was the recipient of the 2019 Service Excellence Award.

     Benefits include:

    • Challenging and rewarding work environment
    • Career development opportunities within UHS and its 300 Subsidiaries
    • Competitive Compensation & Generous Paid Time Off
    • Excellent Medical, Dental, Vision and Prescription Drug Plans
    • 401(K) with company match and discounted stock plan
    • SoFi Student Loan Refinancing Program
    • Tuition Reimbursement Program
    • Retention Bonus Program
    • Referral Bonus Program
    • Close to Hamburg & I-75
    • Free parking on premises
    • Free meal with each shift

    If you would like to learn more about this position, please contact Sonia Joyner, Human Resources Director, at (859) 268-6477.

     What do our current employees value at The Ridge Behavioral Health & UHS?

    An environment that puts patient care first. Supportive and responsive leadership.  You are never alone, as you are part of a large network of peers and leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement.  

    One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

     


    Qualifications

    Education

    • Master’s degree in Social work, Psychology, or other Mental Health field or RN license is preferred.
    • Minimum Associate Degree with 5 years mental health experience required.

    Experience

    • One to two years of experience in a psychiatric hospital is preferred
    • One to two years of experience in Utilization Management preferred.

    Certifications/Licensure

    • Crisis intervention training required.  This training also offered upon hire.
    • CPR certification

    Other Skills

    • Excellent written and verbal communication skills.

     

    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Notice

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

     

  • 2 Months Ago

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Utilization Review Specialist/Office Manager
  • Hope Center, Inc.
  • Lexington, KY FULL_TIME
  • Utilization Review Specialist/Officer Manager ABOUT US The Hope Center, Inc. is a well-respected and leading recovery organization in Lexington, Kentucky-the second largest city- that cares for the ho...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • Cannon, KY FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 10 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Keavy, KY FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 10 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Nancy, KY FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 10 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Ferguson, KY FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 11 Days Ago

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0 Utilization Review Technician jobs found in Lexington, KY area

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Adv Gastro Technical Specialist/UKHC
  • University of Kentucky
  • Lexington, KY
  • Job Summary This position will assist the physician (gastroenterologist, pulmonologist, and/or surgeon) in general and a...
  • 5/3/2024 12:00:00 AM

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Restoration Technician
  • PuroClean of West Lexington
  • Lexington, KY
  • Job Description Job Description Company and Culture: PuroClean, a leader in emergency property restoration services, hel...
  • 5/2/2024 12:00:00 AM

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Cryptologic Technician
  • US Navy
  • Lexington, KY
  • About Enlisted Sailors in the Navy Cryptology community analyze encrypted electronic communications, jam enemy radar sig...
  • 5/2/2024 12:00:00 AM

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Diesel Technician
  • AMV Solutions
  • Lexington, KY
  • Job Description Job Description Mechanic needed for a full-time, first shift position with a full benefits package! Able...
  • 5/2/2024 12:00:00 AM

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Technical Specialist
  • NV5
  • Lexington, KY
  • Overview: The Technical Specialist works to support the Lidar or Ortho Team on various tasking. This individual provides...
  • 5/1/2024 12:00:00 AM

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Diesel Technician
  • FLEET SERVICE INC
  • Lexington, KY
  • Job Description Job Description SUMMARY A diesel technician performs inspections, maintenance, and repairs on diesel eng...
  • 4/30/2024 12:00:00 AM

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Pest Control Technician--Utility Technician
  • OPC Pest Services
  • Lexington, KY
  • Overview: OPC Pest Services is rapidly expanding across Central Kentucky and if you're looking for competitive wages wit...
  • 4/30/2024 12:00:00 AM

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Maintenance Technician
  • West Shore
  • Lexington, KY
  • Job Description Job Description Property Management is presently accepting resumes for a full-time Maintenance Technicia...
  • 4/30/2024 12:00:00 AM

Lexington, consolidated with Fayette County and often denoted as Lexington-Fayette, is the second-largest city in Kentucky and the 60th-largest city in the United States. By land area, Lexington is the 28th largest city in the United States. Known as the "Horse Capital of the World," it is the heart of the state's Bluegrass region. It has a nonpartisan mayor-council form of government, with 12 council districts and three members elected at large, with the highest vote-getter designated vice mayor. In the 2017 U.S. Census Estimate, the city's population was 321,959, anchoring a metropolitan are...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$58,660 to $81,847
Lexington, Kentucky area prices
were up 1.2% from a year ago

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