Utilization Review Technician jobs in Indiana

Utilization Review Technician 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 Technician 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 Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Case Manager - Utilization Review
  • Monroe Hospital
  • Bloomington, IN FULL_TIME
  • Overview:
    At Monroe Hospital, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, a Top-15 hospital system in the United States, Monroe Hospital is actively seeking new members to join its award-winning team!

    Monroe Hospital is a 32-bed community hospital located in beautiful Bloomington, Indiana. Monroe Hospital is committed to providing superior healthcare, ever mindful of each patient's individuality and unique needs. Monroe Hospital has been recognized by Healthgrades as a Patient Safety Excellence Award recipient, a distinction that places Monroe Hospital among the top 10% of all short-term acute care hospitals. For more information, please visit www.monroehospital.com.

    We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
    Responsibilities:
    Responsible for the quality and resource management of all patients that are admitted to the facility from the point of their admission and across the continuum of the health care management. Works on behalf of the advocate, promoting cost containment and demonstrates leadership to integrate the health care providers to achieve a perceived seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
    Qualifications:
    Education and Work Experience
    • Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
    • Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
    • Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
    • Current BCLS (AHA) certificate upon hire and maintain current.
    • Knowledge of Milliman Criteria and InterQual Criteria preferred.
    • Experience and knowledge in basic to intermediate computer skills.
    • Behavioral Violence Prevention Training within 3 months of hires and maintain current.
    #LI-AS2
  • 17 Days Ago

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Utilization Review Specialist
  • Sycamore Springs
  • Lafayette, IN FULL_TIME
  • Overview Sycamore Springs *Fully In-Person Role* Utilization Review Specialist Full Time, Monday-Friday Members of our team Enjoy: Working with a highly engaged staff Healthy staffing levels Flexible ...
  • 10 Days Ago

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Utilization Review Specialist
  • Springstone, Inc.
  • Lafayette, IN FULL_TIME
  • Overview Sycamore Springs *Fully In-Person Role* Utilization Review Specialist Full Time, Monday-Friday Members of our team Enjoy: Working with a highly engaged staff Healthy staffing levels Flexible ...
  • 11 Days Ago

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MGR - UTILIZATION REVIEW / MGMT
  • UHS
  • BLOOMINGTON, IN FULL_TIME
  • Responsibilities The Manager of Utilization Review is responsible for managing the Utilization department staff members, executing and managing the UR functions accurately and timely, included but not...
  • 24 Days Ago

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MGR - UTILIZATION REVIEW / MGMT
  • Universal Health Services, Inc.
  • Bloomington, IN FULL_TIME
  • Responsibilities The Manager of Utilization Review is responsible for managing the Utilization department staff members, executing and managing the UR functions accurately and timely, included but not...
  • 25 Days Ago

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Travel Utilization Review RN Registered Nurse
  • Focus Staff
  • Evansville, IN FULL_TIME
  • We currently have a client in EVANSVILLE, IN looking for a Travel Utilization Review RN Registered Nurse! Focus Staff is seeking a Travel Utilization Review RN Registered Nurse to review and audit beh...
  • 8 Days Ago

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System Integration Technical Expert
  • Traxen
  • Plymouth, MI
  • We are a Plymouth, Michigan based startup, developing cutting-edge technologies for Driver Assistance and Automated Driv...
  • 4/24/2024 12:00:00 AM

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Structural Technical Expert
  • Olsson
  • San Juan, PR
  • We are Olsson, a team-based, purpose-driven engineering and design firm. Our solutions improve communities and our peopl...
  • 4/24/2024 12:00:00 AM

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Structural Technical Expert
  • Olsson Associates Inc.
  • Fort Worth, TX
  • We are Olsson, a team-based, purpose-driven engineering and design firm. Our solutions improve communities and our peopl...
  • 4/24/2024 12:00:00 AM

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Technical Expert, Electrical
  • ASARCO LLC
  • Marana, AZ
  • Technical Expert, Electrical Employee Type: Salary City: Marana State/Territory: US-AZ Positions Open: 1 Site Name: Silv...
  • 4/23/2024 12:00:00 AM

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Principal Technical Expert Consultant
  • Koniag Government Services
  • Arlington, VA
  • EHSJob ID 2415031Eagle Harbor Solutions, a Koniag Government Services company , is seeking a Principal Technical Expert ...
  • 4/23/2024 12:00:00 AM

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Technical Specialist
  • NV5
  • Lexington, KY
  • Overview: The Technical Specialist works to support the Lidar or Ortho Team on various tasking. This individual provides...
  • 4/21/2024 12:00:00 AM

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ADAS Hardware Components Technical Expert
  • Ford
  • Dearborn, MI
  • Job Description In this position... We are the movers of the world and the makers of the future. We get up every day, ro...
  • 4/21/2024 12:00:00 AM

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Technical Specialist - Chiller Technician
  • Wake County Public School System
  • Raleigh, NC
  • Overview: POSITION TITLE (Oracle title) TECHNICAL SPECIALIST WORKING TITLE Technical Specialist-Chiller Technician SCHOO...
  • 4/20/2024 12:00:00 AM

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$61,047 to $85,181

Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020