Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote
Henry Ford Hospital
Patient Chart ReviewerIn this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded as inpatient instead of outpatient. You will also review the CPTs that were boarded for meeting inpatient on the CMS inpatient list and the InterQual inpatient list based on payer criteria used.Hours are Monday - Friday from 8:30am until 5pm with no weekendsEducation and Experience:RHIT, RHIA, or related coding certification required.Minimum 3-5 years of clinical experience preferred.Previous utilization management or case management experience preferred.Certifications/Licensures Required:RHIT, RHIA, or related coding certification required.
- ...To support clinical staff in a team environment, the full-time Utilization Review Coordinator will manage utilization review requests, verify... ...to inquiries while working remotely. Key responsibilities... ...terminology, including ICD9 and CPT coding Proficiency in Microsoft...Full timeRemote workWork at office
$16 - $17 per hour
...Full-time Description Please note: At this time, we... ...Supervisor, an Index-Intake Coordinator is responsible for pre-opening... ...files to the corresponding Utilization Review or Medical Case Management... ...Friday 8:30 AM - 5:30 PM PST. Remote . Responsibilities may...Full timeRemote workHome officeMonday to Friday- ..., quality healthcare solutions. Schedule | Full - Time Remote/Hybrid after training period What You'll Do Provide Utilization Review and Case Management to the Emergency Department... ...through a network of hospitals, physician clinics, outpatient locations, and specialty...Full timeRemote work
$27 - $30 per hour
...model* Job Summary The Utilization Review Coordinator is responsible for... ...with admissions counselors clinical leadership payers and other... ...internal stakeholders to ensure timely authorization of services support... ...this position is primarily remote unless business needs...Full timeRemote work- ...seeking an experienced Sr Review Coordinator for our healthcare... ...consulting practice. This fully remote role within the United States focuses on utilization review of plans of... ...programs, supporting non-clinical reviewers, and ensuring timely, quality decisions to improve...Remote workWork from home
- ...Cascade Mountains, is looking for a full time Utilization Review Coordinator . Job Summary: The... ...and denials, and promotes complete clinical documentation. The coordinator works... ...Clinical Social Work, registration, coding, billing, compliance, and Quality to...Full timeMonday to FridayShift work
- ...EK Health Services Inc. is seeking an Utilization Review Index Intake Coordinator for a fully remote role in AZ, Mon-Fri 8:30am-5:30pm PST. The position requires... ...uploading documents, handling inquiries, and ensuring timely completion of tasks. A high school diploma and...Remote work
- ...Sedgwick is hiring a Telecommuter Utilization Review Coordinator in Florida. The role focuses on assigning... ..., entering data, and supporting clinical staff in a collaborative environment.... ...insurance terminology knowledge, ICD9/CPT coding familiarity, and excellent...Remote work
- ...Oregon Behavioral Health, Inc. (GOBHI) is seeking a full-time Utilization Management Coordinator for a remote office role in Oregon. You will provide clinical expertise in mental health and substance use treatment, review requests for medical necessity, and inform...Full timeRemote jobWork at office
- ...Hospital is looking for a Utilization Review Coordinator to join our team!JOB... ...and our 29 affiliate clinics are committed to... ...Vision InsurancePaid Time Off (vacation, holidays... ...according to full-time, part-time or PRN... ...Diploma or equivalent. Coding certificate completion...Full timePart timeRelief
- ...Behavioral Hospital in Orlando, FL, is a private psychiatric center with 174 beds and 24-hour emergency services. The Utilization Review Coordinator performs admission and concurrent review to ensure high-quality, cost-effective patient care, working with physicians and...Full time
- ...comprehensive benefits package for all eligible full-time employees. Benefits include, but are... ...and Counseling Services Utilization Review Coordinator - Position Overview The... ...in collaboration with the assigned clinical staff. Participates in the organization...Full time
$60k - $80k
...community stakeholders in the utilities, transportation and... ...for a Utility Coordinator to support the execution... ...accurately and on time. his role is ideal for... ...other stakeholders Review permit requirements during... ...$80,000 Location : Remote - East Coast Preferred...Full timeRemote workInternshipLocal area- ...: Case Management Remote Monday - Friday 7:30am... ...Network Manager for Utilization Management, assists in... ...admissions via the clinical review and appeal processes.... ...position supports Care Coordination department efforts in... ...faxes are handled timely and appropriately based...Full timeRemote workWork at officeMonday to FridayShift work
- ...Monument Team! Monument is a full-service Real Estate... ...firms. Monument’s remote workplace model has been... ...Position Summary The Utility Coordinator plays a key role in... ...related project records. Review utility company plans,... ...hours (Pacific Time) and be available for...Full timeRemote workFor contractorsWork at officeLocal areaRelocation
$40k - $52.3k
...Humana is seeking a Utilization Management (UM) Coordinator to join the... ...will provide non-clinical support for the... ...member for clinical review. Multi- tasking... ...is defined as remote but will use... ...Central Standard Time (CST) Work at Home... ...base pay for full time (40 hours per...Full timeRemote workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$85k
Full-time Description Here at GOBHI, we understand and... ...immediate opening for a Utilization Management Coordinator. This key position is a remote office position and... ...Coordinator provides clinical expertise in mental health... ...include clinical review of requests for services...Full timeRemote jobContract workTemporary workFor contractorsWork at officeImmediate startFlexible hours- Sedgwick is seeking an Utilization Review Coordinator to support UR processes from a telecommuter role in Florida. You will assign UR cases, verify information, and maintain data integrity within clinical management systems. The ideal candidate has a High School diploma...Remote job
- Remedial Pro seeks a utilization review professional to monitor adherence to the facility’s utilization plan and ensure appropriate admissions and stays. You will handle initial and concurrent reviews, collaborating with insurers and healthcare partners to communicate...Remote job
$40.04k - $60.01k
...Lithia & Driveway | AP Utilities Coordinator At Lithia & Driveway (NYSE:... ...uninterrupted. Location: Remote (PST work hours) Target Hiring... ...invoices accurately and on time. Review bills for duplicate or... ...believe in pay transparency. The full compensation range for this...Full timeRemote workTemporary workWork at officeHome office- ...and claims submission, and utilization review, we help treatment centers optimize... ...and expedited appeals in a timely manner to ensure continuous... ...care companies.Utilize clinical information and knowledge of... ...desk and working on a computer.Remote PositionBenefits:•...Remote workHourly payWork at office
- ...Surgery Partners Brand seeks an RN Utilization Review Coordinator for Methodist Hospital for Surgery in Addison, TX. This full-time, hybrid role supports prospective, concurrent, and post-discharge reviews to ensure medical necessity and payer compliance. The successful...Full time
- ...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 plans while...Full timeDay shift
$73.76k - $93.68k
The State of New York is hiring a Utilization Review Coordinator for the NY HELPS program at the NYC Children... ...’s Center - Bronx Campus. This full-time role supports care coordination and... ...review of patient utilization in a busy clinical setting within the State’s mental...Full timePermanent employmentWork at office$46 - $59 per hour
About This Role The Utilization Review Coordinator is responsible for coordinating utilization management... ...with resources, ensuring quality, clinical, and cost outcomes. This role is ideal... ...General Medical Center Schedule: Full-Time, Day shift What You’ll Do Coordinate...Full timeWork at officeDay shift- ...hospital is seeking a PRN Utilization Review Coordinator. This position is responsible... ...help patients access the full range of their benefits through... .... Prefer two years clinical experience in a facility with... ...orientation required. Full-time employees are eligible for...Full timeRelief
$24.77 - $28.25 per hour
...corporate team! Responsibilities The Utilization Review Coordinator is responsible for the assisting with... ...includes, but is not limited to, paid time off, a 401K retirement plan, medical,... ...credentials and licensure. Employment Status Full Time Shift Days Equal Employment...Full timeWork at officeLocal areaShift work- Responsibilities Utilization Review Coordinator Opportunity - Fuller Hospital is a 109-bed licensed, private psychiatric facility located in South... ...advocate and a representative of the hospital. This is a full time, 40 hour per week position. Responsibilities Thoroughly...Full timeLocal area
- ...internal and external record reviews as part of daily department... ...record. Performs concurrent utilization review with insurance companies... ...per program scheduling, as clinically indicated. Educates teams... ...field. Minimum of one-year full-time experience performing insurance...Full timeReliefWork at officeMonday to FridayShift work
- Citizens Health is recruiting a Utilization Review Coordinator to work full-time in our hospital. Our Mission: Enhancing the lives of those we serve. About... ...Family Center for Health Care - an outpatient ruralhealth clinic PrairieSenior - a skilled nursing facility Citizens...Full timePart timeWork at officeFlexible hoursShift workWeekend work
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