Utilization Review Technician jobs in Pine Bluff, AR

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 Specialist - LPN
  • Millcreek of Arkansas
  • Fordyce, AR FULL_TIME
    • Act as liaison between managed care organizations and the facility professional clinical staff.
    • Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements.
    • Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.
    • Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.
    • Conduct quality reviews for medical necessity and services provided.
    • Facilitate peer review calls between facility and external organizations.
    • Initiate and complete the formal appeal process for denied admissions or continued stay.

    Experience

    Required
    • Associate's degree in nursing (LPN) required.
    Preferred
    • Two or more years' experience with the population of the facility and previous experience in utilization management preferred.
    • Bachelor's or Master’s degree in social work, behavioral or mental health, nursing or other related health field preferred.

    Education

    Required
    • Associates or better in Nursing/Healthcare
    Preferred
    • Masters or better in Social Work or related field
    • Bachelors or better in Social Work or related field

    Licenses & Certifications

    Required
    • Lic Practical Nurse

    Skills

    Preferred
    • Computer - Word
    • Computer - Powerpoint
    • Computer - Excel
    • Typing
    • Attention to Detail

    Behaviors

    Preferred
    • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
    • Dedicated: Devoted to a task or purpose with loyalty or integrity

    Motivations

    Preferred
    • Goal Completion: Inspired to perform well by the completion of tasks
    • Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

    Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

    The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

  • 2 Months Ago

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Maintenance Technician - Fordyce, AR
  • Signode -Maintenance Technician
  • Fordyce, AR FULL_TIME
  • Maintenance Technician - Fordyce, AR Apply Now Description/Job Summary Experience Requirements: Two years of experience in maintaining mechanical and electrical equipment in a manufacturing environmen...
  • 1 Month Ago

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CLINICAL CARE UTILIZATION SPECIALIST
  • Hospice Home Care
  • Monticello, AR FULL_TIME
  • Our Company: Hospice Home Care Overview: The primary role of the Clinical Care Utilization Specialist is to ensure timely and accurate creation and completion of the Plan of Care/485 document for clai...
  • 17 Days Ago

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Utliization Review Specialist
  • Jefferson Regional Specialty Hospital
  • White, AR OTHER
  • DescriptionJefferson Regional Specialty Hospital is a new, state-of-the-art facility scheduled to open in Spring 2024 in White Hall, AR. Operated jointly between Jefferson Regional and Lifepoint Rehab...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • ALMYRA, AR 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...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • CROCKETTS BLUFF, AR 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...
  • Just Posted

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0 Utilization Review Technician jobs found in Pine Bluff, AR area

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Licensed Practical Nurse
  • Department of Veterans Affairs
  • Pine Bluff, AR
  • Summary This is an OPEN CONTINUOUS ANNOUNCEMENT and will remain open until September 30, 2024 or until all positions are...
  • 3/28/2024 12:00:00 AM

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LIFE INSURANCE SALES AGENT REMOTE
  • The Janet Brennan Agency
  • Pine Bluff, AR
  • Why work with us? Have your Life & Health Insurance license? Are you willing to put in the study for a week to pass the ...
  • 3/28/2024 12:00:00 AM

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Certified Nursing Aide (CNA)
  • Addus HomeCare Corporation
  • Pine Bluff, AR
  • Daily Pay offered for select positions! Addus HomeCare is hiring immediately for Caregivers and Certified Nursing Aides ...
  • 3/28/2024 12:00:00 AM

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President of Southeast Arkansas College
  • Southeast Arkansas College
  • Pine Bluff, AR
  • The Board of Trustees of Southeast Arkansas College invites nominations and applications for the position of President o...
  • 3/28/2024 12:00:00 AM

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Quality Technical Services Manager
  • Pactiv Evergreen
  • Pine Bluff, AR
  • Overview: Pactiv Evergreen Inc. (NASDAQ: PTVE) is a leading manufacturer and distributor of fresh foodservice and food m...
  • 3/28/2024 12:00:00 AM

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KFC Shift Manager
  • KBP Foods
  • Pine Bluff, AR
  • Join KBP Foods' KFC franchise as a Shift Manager and lead a dedicated team in delivering exceptional customer service at...
  • 3/28/2024 12:00:00 AM

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Truck Driver
  • Helena Agri-enterprises
  • Pine Bluff, AR
  • Job Description LOCAL CDL TRUCK DRIVERS NEEDED! Consistent Miles & Hourly Pay! Helena Agri-Enterprises, LLC is one of th...
  • 3/28/2024 12:00:00 AM

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Postal Clerk
  • The Postal Service
  • Pine Bluff, AR
  • POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government rel...
  • 3/28/2024 12:00:00 AM

Pine Bluff is the tenth-largest city in the state of Arkansas and the county seat of Jefferson County. It is the principal city of the Pine Bluff Metropolitan Statistical Area and part of the Little Rock-North Little Rock-Pine Bluff Combined Statistical Area. The population of the city was 49,083 in the 2010 Census with 2017 estimates showing a decline to 42,984. The city is situated in the Southeast section of the Arkansas Delta and straddles the Arkansas Timberlands region to its west. Its topography is flat with wide expanses of farmland, consistent with other places in the Delta Lowlands....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$56,175 to $78,385
Pine Bluff, Arkansas 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