Utilization Review Coordinator
Wellington Regional Medical Center
Utilization Management Coordinator
The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the use of Via Linda Behavioral Hospital services. Interface with managed care organizations, external reviewers, and other payors for initial reviews, continued stay reviews and discharge planning. Assists in the promotion and maintenance of high-quality patient care through the review and evaluation of clinical practices. This is an in-office position.
Qualifications:
- Bachelor's Degree in Social Services, Human Development, Nursing, or related field required. Master's degree preferred.
- Must be a Registered Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral Health licensure required.
- 3+ years' experience in a behavioral health or medical inpatient facility serving patients, and special knowledge of the UM department.
- Must have or be able to obtain a Level 1 Fingerprint Clearance Card.
- ...Utilization Management Coordinator Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area... ...services. Interface with managed care organizations, external reviewers, and other payors for initial reviews, continued stay...SuggestedFull timeWork at officeLocal area
- ...Job Description Job Description Job Title: Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] – Behavioral Health Employment Type: Full-Time Schedule: In-office, Monday through Friday Position Overview...SuggestedFull timeWork at officeLocal areaMonday to Friday
- ...Responsibilities Utilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix... ..., dedicated professionals in our utilization review department Benefits include: Challenging and rewarding...SuggestedReliefLocal areaMonday to Friday
- ...Utilization Management Coordinator PRN Quail Run Behavioral Health Hospital in Phoenix is seeking a dynamic and talented UM Coordinator to join our... ..., dedicated professionals in our utilization review department. Benefits include: challenging and rewarding work...SuggestedReliefLocal area
$63.75k - $107k
Join to apply for the Energy and Utility Coordinator role at Maricopa County 21 hours ago Be among the first 25 applicants Join to apply for... ...energy and water conservation opportunities and options Perform, review, and approve utility benchmarking, EPA Energy Star...SuggestedFull timeContract workTemporary workWork at officeLocal area- SHR (Spectrum Healthcare Resources) is seeking a Registered Nurse Utilization Manager (RNUM) for a remote role in Phoenix, Arizona. The position involves reviewing patient cases, educating patients, and managing health care costs for eligible dependents of Active Duty and...Remote jobWork at officeMonday to FridayFlexible hours
- Universal Hospital Services Inc. in Phoenix is seeking a dynamic UM Coordinator to join our utilization review team. The role involves contacting external case managers for insurance certification and helping the treatment team with discharge planning. The ideal candidate...
- Quail Run Behavioral Health Hospital in Phoenix is seeking a Utilization Management Coordinator to join our dedicated team. This role involves contacting external case managers for insurance benefits certification, understanding patient treatment requirements, and advocating...Relief
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$35 - $40 per hour
...Base Pay Range $35.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of...Contract workRemote workFlexible hoursWeekend work$20 - $25 per hour
...Job Description Job Description Job Title: Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time... ...medical necessity based on payer-specific clinical criteria Coordinate with insurance carriers to confirm eligibility, benefits,...Hourly payFull timeWork at officeMonday to FridayDay shiftWeekday work- ...clinical professional in Phoenix, Arizona, to oversee medical review processes ensuring appropriateness of care and adherence to regulations... ...of medical claims and provide clinical resources for utilization management. A background in coding and regulations is beneficial...
- A leading healthcare provider in Phoenix seeks a Utilization Management Coordinator to manage insurance certification processes. The successful candidate will need a Bachelor’s degree in a relevant field, preferably with two years of healthcare experience. This role includes...
$24 - $29 per hour
Sanctuary Recovery Centers Inc is seeking a Utilization Review (UR) Coordinator / Authorization Representative in Phoenix, Arizona. The role involves managing authorizations and compliance with AHCCCS requirements in behavioral health. Ideal candidates will have 2+ years...Hourly payFull timeWork at officeMonday to Friday$65k - $85k
...We are seeking a Dental Treatment Coordinator to connect and build trust with patients... ...patients about recommended treatment plans. Review pretreatment estimates, explain balances... ...being a digital and paperless operation, utilizing the latest technologies to make our work...Private practiceWork at officeLocal area$18 - $20 per hour
.... Stay for the culture. What You'll Be Doing: The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for... ...works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health...Immediate startRemote work- ...Description Summary As an Architectural Coordinator working for Taylor Morrison you will be... ...sales Schedule and facilitate plan review sessions with builder, vendors and purchasing... ...plans and materials Ensure builders utilize plan revision process; track and...Work at office
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...a full- or part-time Dental Treatment Coordinator ? We're seeking a talented individual who... ...a seamless flow and maximizing the utilization of our dental team's time. THE MINIMUM... ...your application, our dedicated team will review it thoroughly. We'll be in touch to...Hourly payFull timePart timeWork at officeMonday to Thursday$25 - $30 per hour
...ROLE: The Retirement Implementation Coordinator supports the onboarding process for new... ...occasionally required to move about the office utilizing proper ergonomic safeguards when doing... .... For further information, please review the Know Your Rights notice from the...Hourly payLive inWork at officeFlexible hours$100k - $120k
...responsible for leading teams to deliver projects to include wet utility site work and roadway. They will also manage resources,... ...title and location in the subject line and I will immediately review your resume for my open jobs. ***The best info you can provide...For contractorsLocal areaImmediate start- ...bandwidth to develop bespoke hotel brands and utilizes industry-leading proprietary revenue... ...Overview The Group Reservations Coordinator is responsible for handling all transient... ...File reservations and group contracts. Review Reservations logbook and Guest Request...Hourly payFlexible hoursNight shift
- ...disciplined, profitable execution across utility-scale solar and BESS projects. This... ...vendors and subcontractors, ensuring seamless coordination with interconnection utilities... ...Project Managers and their teams; regularly review progress and provide developmental feedback...Contract workFor subcontractorRemote workFlexible hours
- ...an experienced Senior Project Manager to oversee multiple wet utility infrastructure projects including water, sewer, and storm drain... ...of Qualification (SOQs) for upcoming work/liliHelp prepare and review GMPs, estimates, and proposals across multiple delivery methods...Contract workFor contractorsFor subcontractor
$95k - $145k
...divh2Project Manager - Underground Utilities/h2pLocation: Phoenix, AZ Compensation: $95-145K (DOE... ...preconstruction activities including scope reviews and value engineering/liliConduct regular site visits and field coordination as needed/li/ulh3Qualifications/h3ulli5+...For contractorsFor subcontractor- ...Title: Proposal Coordinator Reporting to: Head of Marketing & Communications Overview... ...all stages of the construction cycle. Utilizing its many years of experience and... ...proofreading Perform quality assurance reviews to ensure accuracy, consistency, and compliance...Work experience placementWork at office
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$108.2k - $162.41k
...for Care Management. This leadership role involves overseeing case managers and social workers, resolving issues related to utilization review, and ensuring safe discharge planning. Successful candidates will have a Bachelor’s degree in nursing, preferably with a Master...$18 per hour
...for the culture. What You'll Be Doing: The Coordinator, UM Intake at Evolent provides support to the Utilization Management Team. The coordinator will support... ...administrative operations by ensuring the efficient intake, review and processing of documents. The general...Immediate startRemote work$24.33 - $36.19 per hour
...Summary and Responsibilities The Credentials Coordinator is responsible for coordinating the... ...data supporting various statistics utilized internally to monitor operations. Responsible... ...for training materials and job aids. Reviews applications and other data sources for...Full timeWork at office
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