Utilization Review Coordinator jobs in Wyoming

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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UTILIZATION REVIEW COORDINATOR
  • Wyoming Behavioral Institute
  • Casper, WY FULL_TIME
  • Responsibilities:
    Consider a career with meaning and purpose!

    Join Wyoming Behavioral Institute as a Utilization Review Coordinator, and enjoy a career that provides purpose, meaning and career development opportunities.
    Wyoming Behavioral Institute, located in Casper, WY is a psychiatric hospital providing excellent care to children, adolescent and adults. We take pride in being a cohesive, family-friendly, flexible, educational and welcoming work environment!

    Hourly rates: $25 - $35 per hour
    Shift- Days: M-F 8am to 5pm, FT (32 – 40 hours)

    Your Benefits will include:
    • Paid training program
    • Excellent and affordable full benefits package (including employee wellness) within 30 days of starting
    • Start earning Paid Time off from your first day of work
    • Education/Tuition Reimbursement program – continue to develop your skills
    • Serve others in a therapeutic, teamwork-oriented work environment with a diverse and collaborative multi-disciplinary team of clinical professionals
    • Opportunities to grow and develop your clinical skills in Case Management and Utilization Review
    Your role and responsibilities:
    • YOU WILL use your clinical skills to work with the Utilization Review & Treatment teams to assist with patient caseloads, pre-certifications, assist with performing concurrent reviews & certify cases for inpatient and residential clients.

    • YOU WILL
      be an active interdisciplinary team member with the treatment team, physicians, Therapists, Case Management and other disciplines and will interface with payer sources and insurance companies to support & optimize patient treatment.


    • YOU WILL be equipped to communicate effectively the necessary information regarding patient status, treatment, covered services, treatment plans, transition plans, discharge and upcoming reviews. Work actively with clinicians, insurance plans, business associates and outside agencies & treatment providers to achieve the best outcome for WBI patients.

    .

    Your Qualifications include:
    • You Must be at twenty-one (21) years of age to apply

    • You must have a BSW or BA/BS in social sciences, healthcare, or related human services degree

    • You must be in good mental health and physical condition (able to walk, bend, reach), and willing to work with psychiatric patients, families, providers and insurance companies in an active & busy treatment setting.
    .
    • You must have effective interpersonal and presentation skills when working with treatment teams, physicians, patients and staff members
    .
    • You must have one year of experience in social services, clinical services, public health, community resource development or related discipline.

    • You will use your expertise as a member of the treatment team and will be expected to give input into treatment decisions, consistent with your education and clinical experience.


    Qualifications:
    Your Qualifications include:
    • You Must be at twenty-one (21) years of age to apply

    • You must have a BSW or BA/BS in social sciences, healthcare, or related human services degree

    • You must be in good mental health and physical condition (able to walk, bend, reach), and willing to work with psychiatric patients, families, providers and insurance companies in an active & busy treatment setting.
    .
    • You must have effective interpersonal and presentation skills when working with treatment teams, physicians, patients and staff members
    .
    • You must have one year of experience in social services, clinical services, public health, community resource development or related discipline.

    • You will use your expertise as a member of the treatment team and will be expected to give input into treatment decisions, consistent with your education and clinical experience.

  • 10 Days Ago

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Utilization Management Registered Nurse
  • Spectrum Healthcare Resources
  • Cheyenne, WY OTHER
  • Job Description Spectrum Healthcare Resources has a potential opportunity for a civilian Utilization Management Registered Nurse at FE Warren Air Force Base in Cheyenne, WY. Full-time opportunity Mond...
  • 2 Months Ago

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Korean Document Review Attorney
  • Contact Government Services, LLC
  • UNKNOWN, WY CONTRACTOR
  • Korean Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Korean Familiarity with document review workflows Examples: Pri...
  • 4 Days Ago

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Hindi Document Review Attorney
  • Contact Government Services, LLC
  • UNKNOWN, WY CONTRACTOR
  • Hindi Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hindi Familiarity with document review workflows Examples: Privi...
  • 4 Days Ago

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Spanish Document Review Attorney
  • Contact Government Services, LLC
  • UNKNOWN, WY CONTRACTOR
  • Spanish Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Spanish Familiarity with document review workflows Examples: P...
  • 4 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • DEVILS TOWER, WY 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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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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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

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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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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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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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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

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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

Wyoming (/waɪˈoʊmɪŋ/ (listen)) is a state in the mountain region of the western United States. The state is the 10th largest by area, the least populous, and the second most sparsely populated state in the country. Wyoming is bordered on the north by Montana, on the east by South Dakota and Nebraska, on the south by Colorado, on the southwest by Utah, and on the west by Idaho and Montana. The state population was estimated at 577,737 in 2018, which is less than 31 of the most populous U.S. cities including Denver in neighboring Colorado. Cheyenne is the state capital and the most populous city...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$74,200 to $91,908

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