Utilization Review Manager - Home Care jobs in Coeur D Alene, ID
Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Recently Added Utilization Review Manager - Home Care jobs
Utilization Review Administrator (Temporary)
- Pioneer Human Services
-
Spokane, WA
TEMPORARY
-
Pay range for this position is:
$18.56 - $25.09 hourly depending on experience
If you are looking for employment with a purpose where you can help improve the daily lives of the members of your community, then consider a career with Pioneer Human Services!
We are currently looking for a (Temporary) Utilization Review Administrator with a passion for human services. This is an exciting opportunity to be involved with an organization focused on lowering the barriers to a successful reentry for returning citizens, racial justice, and diversity, equity and inclusion.
Who we are
We are a social enterprise that partners with communities to transform society by honoring the humanity of people, reducing the impact of discriminatory mass incarceration, and empowering people to live safe, healthy, productive lives through inspiration, affirmation, and by overturning barriers.For over 60 years, we have proudly serviced our clients with professionalism and empathy. We are a nationally recognized non-profit with 50 locations across Washington state that provides a chance for change to over 3,000 people on any given day.
What you'll do
As the Utilization Review Administrator you will monitor utilization patterns including daily census, no-shows, and AMAs you will notify leadership of potential utilization issues. You will review bed boards daily to ensure accurancy. You will ensure initial authorization, episodes and bed boards are completed in a timely and accurate manner. Monitor, track and analyze required reports. Maintain applicable UR documentation in Electronic Medical Record. Submit appeals for denied authorization with applicable clinical, demographic, and payer information. Ensure clients have access to services while ensuring the client’s right to be in the least restrictive enviorment as clinically appropriate. You will help to improve revenue collection, and ensure data integrity. You will work closely with clinical, leadership and administrative staff to ensure accurate and timely payment for services provided.
What you'll bring- High school diploma/GED
- 1 year of experience working in substance use or mental health fields
- 1 year of experience working with individuals with behavioral health conditions
Preferably you'll bring- Associates Degree in health care, business, or related field
- 1 or more years of administrative experience in the healthcare or related field (i.e. billing, data entry, invoicing)
- Experience working in a residential treatment facility
What we offerCompetitive industry compensation and a generous benefits plan that includes:- Employees regularly scheduled to work 24 hours or more a week are eligible to enroll in medical, dental, and flexible spending accounts the first of the month following date of hire.
- Full-time employees regularly scheduled for 30 hours per week or more are eligible for additional benefits, including life, AD&D, and disability coverage beginning the first of the month after 30 days of full-time employment.
- Childcare discounts through Kinside. Dependent Daycare flexible spending.
- Tuition assistance program: Pioneer pays 100% of a bachelor's degree tuition and 50% for graduate programs. Available for full-time status employees after 3 months of employment.
- Retirement plan: Pioneer contributes 3.5% of an employee's annual compensation into retirement plans. An additional 3.5% match is offered to those who contribute 6% on their own.
- Employee recognition programs: gift cards, additional time off, weekend getaways and more.
- Public transportation discount.
- Employee assistance program (EAP).
EEOPioneer human services is an equal opportunity employer of minorities/women/individuals with disabilities/protected veterans and does not unlawfully discriminate under federal, state, or local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, or protected veteran status. EEO is the law poster EEO is the law poster supplement
Pioneer Human Services is a Drug-Free CompanyIn addition to pre-employment drug screening, Pioneer reserves the right to conduct random sample alcohol or drug testing of all employees. Please note that our drug-free policy includes marijuana, and there are no exceptions for those with medical marijuana prescriptions. - 2 Days Ago
Utilization Review Nurse
- Gritman Medical Center Inc.
-
Moscow, ID
FULL_TIME
- Job Summary: At Gritman, we pride ourselves on being the premier healthcare employer on the Palouse. We bring exceptional care that’s close to home for the members of our community, We are seeking a S...
- 25 Days Ago
Utilization Review Nurse
- Gritman
-
Moscow, ID
FULL_TIME
- Job Summary: At Gritman, we pride ourselves on being the premier healthcare employer on the Palouse. We bring exceptional care that’s close to home for the members of our community, We are seeking a S...
- 25 Days Ago
Home Delivery Assistant (FT Newspaper Delivery)
- The Spokesman-Review
-
Spokane, WA
FULL_TIME
- About us: Family-owned and operated, The Spokesman-Review is the largest, most used, and most trusted news and information provider in the Inland Northwest since 1883. We strive to produce the paper e...
- 2 Months Ago
Care Review Clinician
- Integrated Resources INC
-
Spokane, WA
FULL_TIME
- Company DescriptionIntegrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business m...
- 1 Month Ago
Home Care Aide (PT)
- Family Resource Home Care
-
Spokane, WA
FULL_TIME
- Come join our award-winning caregiving team! If you are passionate about improving lives, you belong here. Our caregivers are our most important asset. See why our caregivers chose to come and stay to...
- 8 Days Ago
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0 Utilization Review Manager - Home Care jobs found in Coeur D Alene, ID area
MAT PROGRAM CASE MANAGER
- Marimn Health
-
Plummer, ID
- Come work for Marimn Health - voted one of the Best Places to Work in the Inland Northwest in 2018, 2019, 2020, 2021, 20...
- 5/13/2024 12:00:00 AM
BEHAVIORAL HEALTH PROVIDER
- Marimn Health
-
Plummer, ID
- Come work for Marimn Health - voted one of the Best Places to Work in the Inland Northwest in 2018, 2019, 2020, 2021 AND...
- 5/13/2024 12:00:00 AM
Store Manager
- Ross Stores
-
Spokane, WA
- Our values start with our people, join a team that values you! We are the nation's largest off-price retailer with over ...
- 5/13/2024 12:00:00 AM
Project Manager
- Quanta Infrastructure Solutions Group
-
Spokane, WA
- General Description The Project Manager I (PM I) will be responsible for all aspects of design-build/engineer-procure-co...
- 5/13/2024 12:00:00 AM
Clinical Pharmacy Program Director - R-4574_40483885656_2-4185
- Idaho State Job Bank
-
Coeur D Alene, ID
- Clinical Pharmacy Program Director - R-4574_40483885656_2-4185 at Cambia Health Solutions in Coeur d'Alene, Idaho, Unite...
- 5/12/2024 12:00:00 AM
Project Manager
- Sandis
-
Spokane, WA
- Sandis is currently looking for a Project Manager to join our team in Spokane, WA. The ideal candidate would have a stro...
- 5/11/2024 12:00:00 AM
Leader In Training (part-time)
- Buckle
-
Spokane, WA
- Summary At Buckle, we target fashionable, friendly, energetic individuals who thrive in a competitive culture. As a Lead...
- 5/10/2024 12:00:00 AM
Leader In Training (full-time)
- Buckle
-
Spokane, WA
- Summary At Buckle, we target fashionable, friendly, energetic individuals who thrive in a competitive culture. As a Lead...
- 5/10/2024 12:00:00 AM
About Coeur D Alene, Idaho
Coeur d'Alene (/ˌkɔːr dəˈleɪn/ (listen) KOR də-LAYN, French: Cœur d'Alêne, lit. 'Heart of an awl') is the largest city and county seat of Kootenai County, Idaho, United States. It is the principal city of the Coeur d'Alene Metropolitan Statistical Area. As of the 2010 census, the population of Coeur d'Alene was 44,137. The city is a satellite city of Spokane, which is located about 30 miles (48 km) to the west, in the state of Washington. The two cities are the key components of the Spokane–Coeur d'Alene combined statistical area, of which Coeur d'Alene is the third-largest city (after Spokan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$77,339 to $98,595
Coeur D Alene, Idaho area prices
were up 2.9% from a year ago
were up 2.9% from a year ago