Utilization Review Coordinator jobs in Utah

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)

I
Utilization Review Coordinator
  • ignoredontpost
  • Springville, UT FULL_TIME
  • Responsibilities:

    ABOUT US


    Provo Canyon School is a 24/7 secure residential treatment center (behavioral health) for male and female adolescents aged 12 through 17. We counsel, teach and mentor students who have psychiatric disorders. Our goal is to provide treatment that results in positive changes, allowing these youth to return to their families and communities.


    The Job Position

    Provo Canyon School is on the hunt for a qualified UTILIZATION REVIEW COORDINATOR.

    A Utilization Review Coordinator for the BOYS PROGRAM maintains insurance files for assigned patient. Ensures they contain the proper documentation as appropriate. Ensures that authorization to communicate has been received for each patient assigned. Acts as liaison between payor and care provider. Monitors CRSR status and gives to therapy coordinator. Notifies case manager of each patient discharge. Logs call, date time and person notified. Maintains composure during stressful interactions.


    Benefits offered to full time staff include:

    • Medical, Dental, Vision insurances at very affordable rates
    • Free delicious and healthy meals while on shift
    • Generous shift differentials for direct care staff and holiday premium pay
    • Basic Life and Supplemental Life insurance
    • Short and Long-term Disability insurance
    • Dependent Life insurance
    • Flexible spending accounts
    • 401k with Company Match
    • Paid time off
    • And more

    Job Perks:

    • Free meal every shift
    • Tuition reimbursement
    • Discounted gym memberships
    • Break room perks (snacks, coffee, tea, etc.)
    Qualifications:
    Qualifications required at entry include:

    Bachelor’s degree required, previous experience in utilization review and/or medical billing preferred; current licensure as RN, LPN, or Clinical Therapist preferred (unlicensed UR Coordinator will operate under the UR Manager license);Previous experience in utilization review and medical billing preferred; current licensure required (CSW, LCSW, LMFT,CMCH, or other applicable master?s degree). Written and oral communication skills; legible handwriting, ability to interact effectively with clinical team and other staff; organizational, problem-solving and time management skills; telephone etiquette and customer service skills for phone and face-to-face contacts; skills in maintaining information as highly confidential.


    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.

  • 19 Days Ago

U
Utilization Review Nurse
  • University of Utah Health
  • Salt Lake, UT OTHER
  • Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requir...
  • 20 Days Ago

U
Utilization Review Nurse
  • University of Utah Healthcare
  • Salt Lake, UT OTHER
  • OverviewAs a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission require...
  • 21 Days Ago

C
Registered Nurse / Utilization Review Exp
  • Cross Country Healthcare
  • Salt Lake, UT FULL_TIME
  • Job DescriptionAs a registered nurse (RN), you will provide care for patients dealing with illness or injury. Depending on your role, you'll work at a hospital, outpatient center, private practice, ho...
  • 11 Days Ago

D
Utilization coordinator
  • DonorConnect
  • Murray, UT FULL_TIME
  • Organ Utilization Coordinator DonorConnect is looking for a full-time Organ Utilization Coordinator to support our organ transplant and research efforts. If you have knowledge of the organ and tissue ...
  • 3 Days Ago

T
Behavioral Health Utilization Review/Management Specialist
  • Threshold Billing Solutions
  • Draper, UT FULL_TIME
  • Utilization Review (UR) Specialist Position Summary: Threshold Billing Solutions provides claims processing and utilization management services for behavioral treatment facilities. The UR Specialist ...
  • 24 Days Ago

U
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

T
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

S
Utilities Supervisor
  • System One Holdings, LLC
  • Hightstown, NJ
  • SUMMARY Perform periodic maintenance of utilities equipment. Responsible for HVAC, water system and Boiler area day to d...
  • 3/28/2024 12:00:00 AM

N
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

C
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

U
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

K
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

T
Refrigeration/Utilities Supervisor
  • The Judge Group
  • New Castle, IN
  • Hiring Company: Boar's Head Provisions Co., Inc.Overview:Reporting directly to the Facility Manager, this position is re...
  • 3/24/2024 12:00:00 AM

Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau. Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$76,331 to $94,547

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