Utilization Review Coordinator jobs in Georgia
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)
Recently Added Utilization Review Coordinator jobs
- Utilization Review (FT Days) - Grady Health System Careers
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United States, GA
FULL_TIME
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SUMMARY
The Nurse Case Manager collaborates with other members of the case management and health care teams, utilizes professional nursing skills to: assist the patient in achieving optimal health; assure appropriate use of health care resources; facilitate/coordinate timely care along the continuum; decrease unnecessary variances in care through proactive case management; develop a safe and timely discharge plan to meet the patient’s needs.
QUALIFICATIONS
- Bachelor's Degree required, preferably in Nursing.
- Current Georgia Registered (RN) license
- Current Basic Life Support Healthcare Provider (American Heart Association) certification required.
- Minimum of three years of direct nursing experience and demonstrated clinical competence required.
- Experience in Case Management preferred.
- Knowledge of age specific needs of population served.
Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.
- 1 Month Ago
- Turning Point Care Center
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Moultrie, GA
FULL_TIME
- Responsibilities: Great opportunity for someone with clinical experience as a Case Manager, Patient Care Advocate, Pre-Cert Nurse, or Clinical Liaison. Come experience a different side of providing qu...
- 21 Days Ago
- Lighthouse Care Center of Augusta
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Augusta, GA
FULL_TIME
- Lighthouse Care Center of Augusta (LCCA) is a multi-discipline behavioral healthcare center that offers mental health services to the communities of surrounding Augusta, Georgia. The Lighthouse Care C...
- 1 Month Ago
- UHS
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SAVANNAH, GA
FULL_TIME
- Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator ( Fulltime ) To coordinate and direct Utilization Review functions, monitoring the utilization and continuu...
- 1 Month Ago
- Universal Health Services, Inc.
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Savannah, GA
FULL_TIME
- Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator ( Fulltime ) To coordinate and direct Utilization Review functions, monitoring the utilization and continuu...
- 1 Month Ago
- UHS
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SAVANNAH, GA
PER_DIEM
- Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator ( Per Diem/or As Needed ) To coordinate and direct Utilization Review functions, monitoring the utilization...
- Just Posted
Utilization Review Coordinator jobs at Popular Companies
- Christus Health
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Santa fe, NM
- Description POSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine t...
- 4/19/2024 12:00:00 AM
- KEITH
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Miami, FL
- Utility Coordinator - Miami, FL KEITH is seeking a Utility Coordinator to join our Miami, FL office to strengthen our gr...
- 4/19/2024 12:00:00 AM
- BayMark Health Services
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Deerfield Beach, FL
- Description Position at BayMark Health Services Residential - Utilization Review Coordinator Role and Responsibilities M...
- 4/18/2024 12:00:00 AM
- Transdev Inc.
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Fairfax, VA
- Utility Supervisor Job Description OVERVIEW: The Utility Supervisor reports directly to the Maintenance Manager in fulfi...
- 4/17/2024 12:00:00 AM
- Rad Diversified
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Exton, PA
- Job Description Job Description RAD Diversified is a GREAT place to work! Here’ s what we offer: Comprehensive Healthcar...
- 4/17/2024 12:00:00 AM
- TheraMatrix
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Pontiac, MI
- Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
- 4/16/2024 12:00:00 AM
- Telforce Group Llp
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Daytona Beach, FL
- Telforce Group is looking for Utility Coordinators These are Direct Hire Positions Work is in Daytona & Melbourne, FL Ov...
- 4/16/2024 12:00:00 AM
- Universal Health Services
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Greenwood, IN
- Responsibilities WHO WE ARE Valle Vista Health System (a UHS affiliated facility) is a 132-bed, acute care psychiatric h...
- 4/15/2024 12:00:00 AM