Utilization Review Technician jobs in Macon, GA

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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Utilization Review - NRN
  • Houston Medical Center
  • Warner Robins, GA FULL_TIME
  • Care Management
    Full Time · 8:00a - 4:00p · Call typically not required
    H14
    The Non RN (NRN) Utilization Reviewer performs concurrent, extended stay and retrospective reviews of admissions using established criteria to determine appropriateness of admission and extended stay under direct supervision of a Registered Nurse. The NRN Utilization Reviewer refers questions from the medical and hospital staff on utilization and regulatory issues to the Director of Care Management or an RN Utilization
    Reviewer. The NRN Utilization Reviewer plays an integral role in discharge planning and maximizing the continuum of care for patients assigned to his/her assigned unit. The NRN Utilization Reviewer has the unique ability to follow the patient from admission to discharge and provide the physician and nursing staff with the best possible options for post hospital care for the patient.

    High School Graduate with over 5 years experience, and on the job training in records review, quality assurance chart review and training in the use of review criteria. LPN reviewers will be graduates of an approved school of practical nursing and maintain a current license to practice as an LPN in the state of Georgia. Minimum of five (5) years experience in a medical/hospital setting. Experience in Utilization Management, Quality Management, or related field preferred.

    Utilizes a variety of standard office equipment to include computer, printer, fax machine, copier, telephone etc. Basic knowledge of statistics encouraged. Ability to move throughout the hospital and possession of manual coordination and dexterity. Requires frequent sitting, standing and walking. Must be able to speak and have visual and hearing acuity. Pushes/pulls or moves/lifts office equipment and supplies. Works in a clean, well lighted heated and ventilated area. Flexibility with working hours; evening and weekend hours may be required. Must have interpersonal skills necessary to work productively with all levels of hospital personnel. Possess the mental acuity which enables the ability to make decisions. Must be able to utilize discretion in handling confidential information. Requires the ability to express self well both verbally and written. Must have excellent communication skills. Fiscal skills to monitor cost and revenue.

    Successful candidates will be subject to criminal background and drug screens.

    EOE/AA/Females/Minorities/Veterans/Disabled

  • 2 Days Ago
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Warehouse Technician
  • Procter & Gamble | Plant Technician
  • Center, GA OTHER
  • Job DescriptionProcter & Gamble (P&G) is the largest consumer packaged goods company in the world. We have operations in over 75 countries, with 65 trusted brands that improve lives for 5 billion cons...
  • 2 Months Ago
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Plan Review
  • Macon Water Authority
  • Macon, GA OTHER
  • Job Summary: Reviews and evaluates Water, Sewer and Erosion, Sedimentation, and Pollution Control (ESPC) plans. The reviewer prepares easement drawings and documents. This role assists in obtaining ea...
  • 24 Days Ago
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Utilization Management Coordinator (FT)
  • River Edge Behavioral Health
  • Macon, GA FULL_TIME
  • Utilization Management Coordinator.About River Edge Behavioral Health.Serving more than 10,000 Georgians, River Edge continues to be one of the state's leading resources for mental health, substance u...
  • 24 Days Ago
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Registered Nurse - Utilization Manger
  • Potomac Healthcare Solutions
  • Robins, GA FULL_TIME
  • Registered Nurse – Utilization ManagementRobins AFB, GA Position Duties and Responsibilities:Conduct research in support of improved practice and patient outcomes.Develops and implements a comprehensi...
  • 1 Month Ago
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Paid Product Tester
  • Product Review Jobs
  • Cadwell, GA 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...
  • 22 Days Ago
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0 Utilization Review Technician jobs found in Macon, GA area

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A&P Technicians
  • STS Technical Services
  • Macon, GA
  • STS Technical Services is hiring A&P Technicians in Macon, Georgia . Job Description: Examines, repairs, assembles, and ...
  • 4/19/2024 12:00:00 AM
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Maintenance Technician / Service Technician HVAC
  • Total Comfort Cooling and Heating
  • Warner Robins, GA
  • Job Description Job Description HVAC Technician - Macon, GA As an HVAC Technician, or Heating, Ventilation, and Air Cond...
  • 4/19/2024 12:00:00 AM
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Floor Technician
  • GA MedGroup
  • Macon, GA
  • Join us at Bolingreen Health & Rehab - a place where you'll be valued, recognized and rewarded for the vital work you do...
  • 4/19/2024 12:00:00 AM
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Production Technician
  • First Quality Enterprises, Inc.
  • Macon, GA
  • We are seeking Production Technicians for our First Quality Baby Products facility located in Macon, GA Starting pay for...
  • 4/18/2024 12:00:00 AM
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Maintenance Technician
  • Macon Housing Authority
  • Macon, GA
  • Job Description Job Description We currently have an opening for a Maintenance Technician. The Maintenance Technician pe...
  • 4/17/2024 12:00:00 AM
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Environmental Technician
  • Tri State Government Services, Inc
  • Macon, GA
  • Job Description Job Description Environmental Technician - DOD waste disposal contract. Will assist Contract Manager in ...
  • 4/16/2024 12:00:00 AM
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Service Technician
  • Jamtek Electrical, LLC
  • Macon, GA
  • Description We're Looking for a skilled Service Technician to join the team at Jamtek Electrical, LLC in Macon, GA. This...
  • 4/16/2024 12:00:00 AM
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PHARMACY/TECHNICIAN
  • Kroger Family of Companies
  • Macon, GA
  • Provide exceptional customer service to help people live healthier lives by treating our customers/employees in a fair a...
  • 4/15/2024 12:00:00 AM
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About Macon, Georgia

Macon (/ˈmeɪkən/), officially Macon–Bibb County, is a consolidated city-county located in the state of Georgia, United States. Macon lies near the geographic center of the state, approximately 85 miles (137 km) south of Atlanta, hence the city's nickname "The Heart of Georgia." Located near the fall line of the Ocmulgee River, Macon is the county seat of Bibb County and had a 2017 estimated population of 152,663. Macon is the principal city of the Macon metropolitan area, which had an estimated population of 228,914 in 2017. Macon is also the largest city in the Macon–Warner Robins Combined St...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$56,578 to $78,946
Macon, Georgia area prices
were up 1.5% 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