Utilization Review Coordinator jobs in North Carolina

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)

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PRN Utilization Review Coordinator
  • Universal Health Services, Inc.
  • Erwin, NC FULL_TIME
  • Responsibilities

    Horizon Health is seeking a PRN Utilization Review Coordinator for our Adult, Inpatient Psychiatric program at Good Hope Hospital in Erwin. NC. Erwin is only 31 minutes from Fayetteville, NC; 50 minutes from Raleigh; and 55 minutes from Greensboro.

    The Utilization Review Coordinator initiates pre-certification calls for private insurance and managed Medicare and Medicaid plans and provides concurrent reviews throughout the patient stays.

    Come join our excellent behavioral health team and enjoy going to work every day!

    Horizon Health's programs have dedicated marketing support and outstanding resources from the nation's largest psychiatric contract management company. For more information about Horizon, please see: .

    EOE

    Qualifications

    Bachelor's Degree from an accredited college required, with a major in chemical dependency, psychology, social work, counseling, nursing or other related field is preferred; and/or a minimum three years' of experience in a similar position and/or industry.

    Horizon Health has an opening for a PRN Utilization Review Coordinator at Good Hope Hospital in Erwin, NC. The Utilization Review Coordinator initiates pre-certification calls for private insurance and managed Medicare and Medicaid plans and provides concurrent reviews throughout the patient stays.

    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: or 1-800-852-3449.

     

  • 1 Month Ago

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FT- RN Case Management / Utilization Review Coordinator
  • Surgery Partners Brand
  • Durham, NC FULL_TIME
  • FT- RN Case Management / Utilization Review Coordinator North Carolina Specialty Hospital (NCSH), is a private, physician-owned medical center that opened its doors in 1926. North Carolina Specialty H...
  • 9 Days Ago

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FT- RN Case Management / Utilization Review Coordinator
  • North Carolina Specialty Hospital, LLC
  • Durham, NC FULL_TIME
  • FT- RN Case Management / Utilization Review Coordinator North Carolina Specialty Hospital (NCSH), is a private, physician-owned medical center that opened its doors in 1926. North Carolina Specialty H...
  • 14 Days Ago

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Utilization Review Coordinator, PRN - Good Hope Hospital
  • ignoredontpost
  • Erwin, NC FULL_TIME
  • Responsibilities: Horizon Health is seeking a PRN Utilization Review Coordinator for our Adult, Inpatient Psychiatric program at Good Hope Hospital in Erwin. NC. The Utilization Review Coordinator ini...
  • 16 Days Ago

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RN-Utilization Review/Patient Care Coordinator (PRN)
  • Ashe Memorial Hospital
  • Jefferson, NC OTHER
  • At Ashe Memorial Hospital, we are driven by our Mission Statement, "To meet the needs of the community by delivering patient-centered, high quality health care." Ashe Memorial Hospital is proud to be ...
  • 1 Month Ago

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Utilization Review Specialist
  • Triangle Springs
  • Raleigh, NC FULL_TIME
  • Overview Triangle Springs is a 77-bed behavioral hospital located in Raleigh NC. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their fam...
  • 19 Days Ago

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Facilities Utilities Supervisor
  • Ajulia Executive Search
  • Princeton, NJ
  • Facilities Utilities Supervisor Immediate Hire OSHA standards Maintaining and repairing mechanical, electrical, plumbing...
  • 3/29/2024 12:00:00 AM

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Utilization Review Coordinator (Part-time, Not Remote) Opioid Treatment Program
  • UHS
  • Greenwood, IN
  • Responsibilities WHO WE ARE Valle Vista Health System (a UHS affiliated facility) is a 132-bed, acute care psychiatric h...
  • 3/28/2024 12:00:00 AM

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Utilization Review Coordinator
  • TheraMatrix
  • Pontiac, MI
  • Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
  • 3/28/2024 12:00:00 AM

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Utilization Reviewer Coordinator
  • NeuroBehavioral Hospitals
  • West Palm Beach, FL
  • You Matter: Make a difference every day in the lives of the underserved Join a mission driven organization with a people...
  • 3/26/2024 12:00:00 AM

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Refrigeration/Utilities Supervisor
  • Boar's Head Brand/Frank Brunckhorst Co., LLC
  • New Castle, IN
  • Hiring Company: Boar's Head Provisions Co., Inc. Overview:Reporting directly to the Facility Manager, this position is r...
  • 3/26/2024 12:00:00 AM

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TEMP FT UTILIZATION REVIEW COORDINATOR
  • UHS
  • Jacksonville, FL
  • Responsibilities Universal Health Services, Inc. , one of the nation's largest and most respected providers of hospital ...
  • 3/25/2024 12:00:00 AM

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Utilization Review Coordinator / Case Management / PRN
  • Christus Health
  • Santa fe, NM
  • Description POSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine t...
  • 3/25/2024 12:00:00 AM

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Utility Coordinator
  • KEITH
  • Miami, FL
  • Utility Coordinator - Miami, FL KEITH is seeking a Utility Coordinator to join our Miami, FL office to strengthen our gr...
  • 3/25/2024 12:00:00 AM

North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$77,443 to $95,925

Utilization Review Coordinator in Long Beach, CA
The Utilization Review Coordinator contributes to moderately complex aspects of a project.
January 05, 2020
Utilization Review Coordinator in Gary, IN
Candidates for this role must have a good understanding of medical terminologies, and stay tuned with latest developments in the field; they should possess knowledge of reviews such as MAC, KEPRO, and RAC; strong observing skills and the ability to monitor safety plans are also needed.
December 29, 2019
Utilization Review Coordinator in Chicago, IL
Including requirements, responsibilities, statistics, industries, similar jobs and job openings for Utilization Review Coordinator.
December 30, 2019