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Utilization Review Coordinator

$10k

UC Health

Job TitleFacilitates coordination of reimbursement processes for all levels of care to include authorizations, data collection and tracking, internal and external communications.Responsibilities:Manages and tracks reimbursement for treatment via certification and authorization processes. Completes data tracking to monitor authorization status, complete reports, denials and notes.Completes initial authorization for Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP). Completes concurrent reviews and assists with admission authorizations.Ensures appropriate Release of Information (ROI) are in place for all patients for insurance coordination.Facilitates communication related to authorization information and challenges/items needed between payors and clinical team members.Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.Requirements:Bachelor's degree.UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program.Recognition: Performance bonus, performance-based pay increase, market reviews.Health and well-being: Medical, dental and vision coverage, mental health and well-being support, discounted gym memberships, free Care.com membership, voluntary benefits, time away from work, life and disability insurance.Retirement and savings: 403(b) plan with employer matching contribution, additional 457(b) plan, flexible spending accounts, health savings account.Education and career growth: Access to academic degrees and certificate programs, up to 100% tuition, books and fees paid, other programs up to $10,000/year pre-paid or up to $5,250/year in tuition reimbursement, LinkedIn Learning, professional development opportunities, assistance with Public Service Loan Forgiveness.UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

Vacancy posted 2 days ago
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