Utilization Review Coordinator
The Calvary Center
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 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
$55k - $75k
...a sanctuary for women to focus on healing and help prepare them for fulfilling, post-treatment lives. We are seeking a Utilization Review Coordinator to add to our dynamic team. The Utilization Review Coordinator plays a critical role in ensuring that healthcare services...SuggestedFull timePart timeWork at officeRemote work- ...Utilization Review Coordinator Opportunity - Fuller Hospital is a 109-bed licensed, private psychiatric facility located in South Attleboro, Massachusetts providing inpatient and outpatient behavioral health services to residents of Massachusetts and Rhode Island. Inpatient...SuggestedFull timeLocal area
$18 - $20 per hour
PRIMARY PURPOSE To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative...SuggestedWork at officeLocal areaFlexible hours$110k
...patient needs are met and care delivery is coordinated across the continuum. Identifies and... ...time frame and with the most efficient utilization of resources. Carries out activities... ...appropriate documentation for justification. Reviews the patient’s plan of care in...SuggestedDaily paidFull timePart timeFlexible hoursShift work- ...University of South Alabama Health System seeks an experienced Registered Nurse for Utilization Review to perform quality reviews, prior authorizations, and discharge planning. The role collaborates with physicians and care teams to ensure compliant, timely patient care...Suggested
- Beyond Blue Job Posting Title: Supervisor, Utilization Review Requisition Number: R-000003688 Department Name: Director, Utilization Review... ...develops staff to achieve performance and quality goals. Coordinates with physicians, payers and interdisciplinary teams to support...Full timePart timeWork experience placementReliefInternshipShift work
- ...coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this...Temporary workPart timeRelief
- ...Mesa Springs in Fort Worth, TX is seeking a dedicated Utilization Review Specialist to ensure appropriate inpatient and outpatient authorizations... ...and care teams. You will apply clinical criteria, coordinate with managed care organizations, complete pre- and post-certifications...
- ...Utilization Review Specialist – North Little Rock, AR (72113) Are you an experienced healthcare professional looking for an opportunity to make a difference in patient care management? We’re seeking a Utilization Review Specialist to join our team in North Little Rock...Work at office
- ...continuum of specialty programs throughout our inpatient, partial and outpatient services. The Utilization Management Coordinator performs timely, daily clinical reviews with all payer types, to secure authorization for initial and continued treatment based on payer’...Full timeLocal areaShift workDay shift
- Lakeside Behavioral Health System in Memphis, TN seeks an UM Coordinator who can assess psychiatric diagnoses, determine appropriate level of care, and advocate for patient length of stay and benefits. You’ll work with hospital teams and insurers to optimize reimbursement...
$28 - $35 per hour
...CareMalvern Treatment Centers is currently seeking a full time Utilization Management Coordinator for our location in Philadelphia! This position is a... ..., PA 19131. Position Summary To conduct continued stay reviews of medical record documentation using pre-established...Full timeWork at officeLocal areaFlexible hoursShift work$21.7 - $27 per hour
Job Description A bit about this role: The Utilization Management Coordinator plays a vital role in supporting Clinical Operations by managing the intake... ...-related inquiries across multiple case types Review member inpatient status and clinical documentation to support...Full timeContract workInternshipWork at officeRemote workMonday to FridayShift workWeekend work- ...health treatment and maximize reimbursement while maintaining compliance across the continuum. Candidates should have a Bachelor's degree in Nursing or related field and 2-3 years of utilization review experience in behavioral health or #J-18808-Ljbffr FloridahousedetoxDaily paid
- ...RN - Utilization ReviewDuties:1 year of non-acute utilization review experience - required RN experience - preferred This is the pay range that RightSourcing (a part of Magnit) reasonably expects to pay someone for this position, however, as a supplier your expected pay...
- ...an "as-needed" basis. POSITION SUMMARY: Performs clinically orientated medical chart reviews and other administrative tasks to meet the requirements of the medical center's utilization review plan, state and federal regulations, insurance company requirements for reimbursement...Hourly payDaily paidWork experience placement
$55 - $65 per hour
...Registered Nurse With Utilization Review Experience A healthcare organization is seeking a Registered Nurse with utilization review experience to support non-acute clinical review activities. This contract opportunity is based in the Queens, NY area and requires an...Hourly payContract work- RN - Utilization Review Shift: Days Shifts Per Week: 5 Scheduled Hours: 40 Start Date: 09/14/2026 End Date: 11/07/2026 Duration: 8 Week(s) City: Elmhurst State: NY VOCA HealthcareShift work
- ...Job Summary We are seeking an experienced Registered Nurse (RN) - Utilization Review to evaluate the medical necessity, appropriateness, and level of care for patients. The RN will review clinical documentation, apply established medical guidelines, and collaborate...
$25 - $30 per hour
...better experience for physicians and their patients. As a UM Coordinator, you will work closely with our Ambulatory and Concurrent Care... ...requesting information or assistance related to authorizations. Review authorization requests per established level of review...Work at officeLocal areaFlexible hours$55.27k - $62.8k
STV has immediate needs for Utility Coordinators in the Asheville, NC area to oversee utility coordination and relocations for NCDOT and Municipal projects. The work comprises of managing various resources to determine utility conflicts and subsequent utility relocations...Contract workFor contractorsWork experience placementInternshipWork at officeLocal areaImmediate startRelocationFlexible hoursNight shift- RN - Utilization Review Shift: 5 Day Shifts X 8 Hrs Start Date: 09/21/2026 End Date: 11/14/2026 Duration: 8 Week(s) City: East Elmhurst State: NY TALENTShift workDay shift
- Permit & Utility Clerk TYPE: Full Time HOURS: Typically M-F 8:00 to 5:00 BENEFITS: Full REPORTS TO: City Administrator & Public Works... ..., spreadsheets, correspondence, messages, emails, faxes Coordinate all facets of required state and local compliance reports (TCEQ...Full timeWork at officeLocal area
- ...every day. Job Description: Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization... ...patients are cared for in the most appropriate level of care; coordinates care in conjunction with other members of the interdisciplinary...Work at officeShift work
- ...Moffitt Cancer Center in Tampa, FL seeks an Utilization Review Nurse to perform initial, concurrent, and retrospective reviews ensuring medical necessity and appropriate care levels. You will collaborate with case management, physician advisers, providers, and payers...
- ...Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Nurse, RN to add to our growing team. Lighthouse Care... ...authorization is achieved Utilization Review/Business Office Coordinator will ensure input of pre-certifications and continued stay...Work at officeLocal area
- ...responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s... ...and submits admission and concurrent reviews to payers, securing authorizations and identifying...Local areaRelocation packageFlexible hours
- ...: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is responsible for utilization... ...requiring authorization. Conducts pre-certification, care coordination for appropriateness of treatment, set reviews to ensure...Temporary workRemote workShift work
- MarinHealth is seeking a Utilization Review Nurse II to perform admission, concurrent and retrospective reviews for designated health plans... ...Health Records. In this role you will assess clinical stability, coordinate transfers for continued care, and collaborate with a...
$77.02k - $117.58k
...Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces. Summary The Utilization Review Nurse is responsible for performing initial, concurrent, and retrospective utilization reviews to determine medical necessity...Full timeWork at office
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