Utilization Review Coordinator
Universal Hospital Services
Position Responsibilities 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 payers 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. Benefits Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans Life Insurance 401(K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Career development opportunities within UHS and its 300+ Subsidiaries! Tuition Assistance after 90 days of employment! Student Loan Forgiveness through AZ BHLRP 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
- ...Utilization Review Coordinator Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area. We opened in February 2022 and now offer a full continuum of inpatient and outpatient services. Our modern 120-bed facility...SuggestedWork at officeLocal area
- ...Utilization Review Coordinator Fully Remote MBH Remote Worker - Phoenix, AZ 85024 Overview Position Type Full Time Education Level Bachelors Degree Category Health Care Description This is where you change your story At Meadows we understand that new...SuggestedFull timeLocal areaRemote work
- ...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
- ...opportunity requires residency, and work to be performed, within the State of Arizona. PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities of the UR department as they relate to medical necessity reviews, authorizations of inpatient,...SuggestedFull timeWork experience placementRemote work2 days per week1 day per week
- ...Blue Cross Blue Shield of Arizona is seeking a Utilization Review Supervisor in Phoenix, AZ. This hybrid role requires coordination of medical necessity reviews and supervision of the UR team to ensure compliance with standards. Qualified candidates must have 2 years...Suggested
$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...Full timeContract workTemporary workWork at officeLocal area- ...Responsibilities Utilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix is seeking... ..., dedicated professionals in our utilization review department Benefits Challenging and rewarding work environment...ReliefLocal areaMonday to Friday
- Responsibilities Utilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix is seeking... ..., dedicated professionals in our utilization review department Benefits include: Challenging and rewarding work...ReliefLocal areaMonday to Friday
- ...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...Work at officeRemote workMonday 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
- ...DescriptionJob DescriptionSouthwest Gas has growth and business development opportunities in the Central Arizona Division. The Utility Coordinator (UC)’s main role is to support the Energy Solutions team in their dynamic strategic outreach plan to promote natural gas to ,...For contractorsLocal areaFlexible hours
- ...Energy Jobline ZR is looking for a Utility Coordinator in Phoenix, Arizona to support the Energy Solutions team. The role involves educating customers on natural gas benefits and managing service installations. You will guide customers through the installation process...Flexible 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...Contract workRemote workFlexible hoursWeekend work- 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...Contract workRemote work
- Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part... ...members or military spouses. Interns will conduct clinical reviews, communicate with providers, and document findings. Applicants...Remote jobInternship
$20 - $25 per hour
...Job Description Job Description Job Title: Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time... ...necessity based on payer-specific clinical criteria Coordinate with insurance carriers to confirm eligibility, benefits, and...Hourly payFull timeWork at officeMonday to FridayDay shiftWeekday work- 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...
$65k - $85k
...Description We are seeking a Dental Treatment Coordinator to connect and build trust with patients... ...about recommended treatment plans. Review pretreatment estimates, explain balances... ...a digital and paperless operation, utilizing the latest technologies to make our work...Private practiceWork at officeLocal area- ...Harmony is seeking an experienced MDS Coordinator to join our clinical leadership team. This... ...develop and update resident care plans Review clinical documentation to support... ...reimbursement Participate in Medicare meetings and utilization review processes Assist with quality...
$20 - $25 per hour
...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- ...Job Summary Responsible for coordinating the day-to-day scheduling activities of a company... ...Maintains accurate records of all trades. Utilizes computerized system for tracking,... ...techniques. Work typically involves regular review of output by a senior coworker or...For subcontractor
- ...of Arizona is looking for a Clinical Analyst to assess member utilization and predict future healthcare spending. The successful candidate... ...with specific qualifications as an RN analyst in Utilization Review or Care Management. This position promotes a hybrid work...
- Molina Healthcare is seeking a Registered Nurse to oversee the review of documentation ensuring medical necessity and appropriate... ...possess at least 2 years of clinical nursing experience, including utilization review, and hold an active RN license. #J-18808-Ljbffr Molina...Remote job
$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$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...$45k - $70k
...established at beginning of each fiscal year. Consistently reviewing and reporting on sales calls, sales outcomes, and sales opportunities... ...of products and manufacturers Numotion contracts with while utilizing and comprehending the technological advances within the Rehab...Temporary work- ...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
- ...Proposal Coordinator Job Category: Marketing Full-Time Hybrid Phoenix, AZ 85018... ...at all stages of the construction cycle. Utilizing its many years of experience and professionally... ...Perform quality assurance reviews to ensure accuracy, consistency, and compliance...Full timeWork experience placementWork at office
$67.36k - $114.5k
...Description ICF is currently seeking Case Coordinators capable of working directly with ORR... ...assigned duties. Providing timely review, assessment, and integration of critical... ...complex case identification and planning. Utilize data from a variety of sources to inform...Full timeContract workWork experience placementLocal areaRemote workWork from home
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