Utilization Review Coordinator
Talentify
Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide. Calvary's proven treatment programs address the practical, physical, and spiritual aspects of addiction for lasting recovery. Our flagship location in Phoenix offers onsite detoxification and in-patient treatment programs, a partial hospitalization program (PHP), and an intensive outpatient program (IOP). We also have a satellite clinic offering Intensive Outpatient Programs in the West Valley region. Through our programs we offer many other holistic healing and treatment options complementing our services ranging from yoga, art workshops, and music. Our website: Summary of UR Coordinator Duties The UR Coordinator is responsible for managing the treatment activities offered to the patient, including the appropriate clinical screening of admissions, establishment of treatment plans and interace with the treatment team/external case managers/managed care organizations. Beneftis for the UR Coordinator include Tuition Assistance after 90 days of employment Career development opportunities within UHS and its 300+ Subsidiaries Challenging and rewarding work environment HealthStream online learning catalogue with plenty of free CEU courses Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Pet Insurance If you would like to learn more about the UR Coordinator position, please contact Loretta Gaspar, HR Director at: View email address on click.appcast.io What do our current employees value at Calvary Healing Center & UHS? An environment that puts patient care first. One of the most rewarding aspects of working as an employee is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of professionals that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement as an employee with UHS. One of the Nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Qualifications Requirements Bachelor's degree from an accredited college/university in social work, mental health, or nursing degree. A minimum of two (2) years direct clinical experience in a psychiatric or mental health setting. Experience in treatment planning and communication with external review organizations or comparable entites. Valid Fingerprint Clearance Card Completion of BLS & First Aid Certification, within 30 days of employment. Completion of Handle With Care Training, within 30 days of employment 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. #J-18808-Ljbffr Talentify
- ...Phoenix Medical Psychiatric HospitalPhoenix Medical Psychiatric Hospital is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with...SuggestedWork at office
$18 - $20 per hour
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator PRIMARY PURPOSE : To assign utilization review requests; to verify and enter data in appropriate system(s); and to...SuggestedWork at officeLocal areaFlexible hours- NeuroPsychiatric Hospitals in Phoenix, AZ is seeking a Utilization Review Coordinator to coordinate patient services across the continuum of care, promote efficient utilization, and collaborate with multidisciplinary teams. The role requires a Bachelor's in Behavioral...Suggested
- Calvary Healing Center, part of Universal Health Services, is seeking a Utilization Review (UR) Coordinator for a full-time daytime shift in Phoenix. The UR Coordinator will manage treatment activities, perform clinical screenings on admissions, and establish treatment...SuggestedFull timeDay shift
$24 - $29 per hour
...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...SuggestedHourly payFull timeWork at officeLocal areaMonday to Friday- Optum is seeking a Behavioral Health Utilization Review Specialist to support case management and care coordination remotely. You will review cases, determine levels of care, and coordinate transitions between inpatient and outpatient settings. You will collaborate with...Remote jobMonday to Friday
$63k - $65k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Utilization Review RN As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional...Full timeWork experience placementLocal areaRemote workFlexible hours$64.6 per hour
Utilization Review RN - AZ Lighthouse Medical Staffing is hiring an experienced Utilization Review RN for a travel assignment in AZ. Assignment Details Location: AZ Specialty: Utilization Review RN Guaranteed Hours: 40 Contract Length: 13 weeks Compensation Estimated...Hourly payWeekly payContract work$73k - $75k
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Utilization Review Nurse PRIMARY PURPOSE : To provide timely, evidence-based utilization review services to maximize quality care and cost-effective...Full timeWork at officeFlexible hours$2,584 per month
Lighthouse Medical Staffing seeks an experienced Utilization Review RN for a travel assignment in AZ. The role offers 40 guaranteed hours per week for a 13-week contract, with an estimated pay of $64.6/hour and weekly pay of $2,584. Responsibilities include delivering...Weekly payContract workFlexible hours$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 home health...Contract workRemote workFlexible hoursWeekend work- Molina Healthcare Inc in the United States is seeking a Registered Nurse to lead the utilization management review process, applying clinical knowledge to assess medical necessity and appropriate level of care. You will review prospective, retrospective, and concurrent...
- TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services. Responsibilities include preauthorization...Remote job
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote jobContract work
- TEEMA is seeking a Registered Nurse for a remote role with Arizona hours (1st shift). You will review medical records for quality, safety, and utilization issues, identify PQIs, and support QA initiatives in collaboration with Medical Directors. Must hold an active RN license...Remote jobDay shift
- Molina Healthcare is seeking an RN Utilization Review Nurse in the United States to review documentation for medical necessity and appropriate level of care, applying MCG/InterQual guidelines and billing standards. Responsibilities include reviewing prospective, retrospective...
- ...largest technology companies. As a BIM Coordinator, you will collaborate with our BIM team... ...the site-level contact for BIM content review, approval, management, and maintenance.... ...CAD/BIM content for data center projects, utilizing professional tools and processes to ensure...Full timeFlexible hours
$19 - $22 per hour
...Call Center, Process Qualification Coordinator At Accendra Health, we understand that... ...creating, and working with new orders, reviewing multiple systems simultaneously to assist... ...healthcare setting or call center Experience utilizing multi-line phone-system. Physical...Hourly payTemporary workWork experience placementWork at officeLocal areaImmediate startFlexible hours$80k - $95k
...Job Description This EHS Coordinator is responsible for providing day to day EHS support... ...Travel requirement- 80% Conduct compliance reviews, general risk assessments and other... ...all safe work practices and equipment and utilize them in the day-to-day training....Work experience placementWork at officeLocal area- ...DESCRIPTION Job Title: Transportation Coordinator Department: Transportation... ...monitoring of fuel/mileage logs. # Daily review of timesheet to verify accurate input or... ...disabilities to perform the essential functions. Utilize proper lifting techniques as provided in...Relocation package
- ...organized and detail-oriented Routing Coordinator to join our Operations team. This position... ...staging plans to maximize truck space utilization and loading efficiency. Communicate... ...based on geographic delivery areas. Review previous day's routes to identify...Full timeWork at officeShift work
- ...Healthcare Alliance seeks a Nurse to supervise daily Utilization Management operations under the TRICARE contract. You will coordinate across teams to meet contractual metrics and... ...citizenship, and a background in utilization review or case management. #J-18808-Ljbffr TriWest...Remote jobContract work
- ...Innovation/Utility Specialist Benefits Start Day 1 for Full-Time Colleagues - No Waiting Period! For more information about our... ...individuals with disabilities. California residents click here to review your privacy rights. It is unlawful in Massachusetts to...Full timePart timeLocal areaImmediate startMonday to Friday
- ...Registered Nurse (RN) Heart Transplant Coordinator Banner Health is seeking a Registered... ...implement the patient's treatment plan, utilizing effective oral and written communication... ...procurement agency and transplant surgeon. Reviews potential recipient's current medical...Contract workWork at officeMonday to FridayShift workDay shift
$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...Full timeImmediate startRemote workWork from home$22.87 per hour
...assessment or disciplinary action) in coordination with management. Develop training programs... ...of focus. 2. Focuses on quality by reviewing records and assuring performance of all... ...knowledge of instrumentation and procedures utilized in the section. Must have a working...Hourly payAll shiftsShift workAfternoon shift- ...Patton Boggs (US) LLP is seeking a Docketing Coordinator with a minimum of 3 years of experience.... ...rules and regulations Receives and reviews documents (correspondence, emails, forms... ...; determines method of service; utilizes CompuLaw and its incorporated rule sets...Local areaRemote work
$78k
...accountability, and fairness. HEALTHCARE COORDINATOR (Program Evaluation Specialist) Job... ...monitor contracted healthcare services, review medical records and contracts, conduct... ...including medication administration and utilization management Analyzes and synthesizes information...Temporary workWork at officeImmediate start$21.1 - $49.08 per hour
...Position Summary The Behavioral Health Residential Coordinator supports the Behavioral Health Child/Adolescent Utilization Management Department by coordinating... ...of clinical information required for facility reviews. Monitor referral status and facility timelines...Hourly payFull timeTemporary workWork at officeLocal area- ...support our Critical Illness Recovery LTACH. The role emphasizes patient-focused care and coordination within a high-acuity setting. The Case Manager will handle utilization reviews, discharge planning, treatment plan management, and financial oversight, while...Relief
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