Average salary: $79,647 /yearly

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  •  ...GENERAL SUMMARY: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Combines clinical, business, regulatory knowledge, and skill to reduce significant financial... 
    Suggested
    Full time
    Remote work
    Shift work

    Henry Ford Health System

    Warren, MI
    4 days ago
  • $40.35 - $54.46 per hour

    Coordinator - Utilization Review - CMC Utilization Management - Full Time - 8 Hour - Days page is loaded## Coordinator - Utilization Review - CMC Utilization Management - Full Time - 8 Hour - Dayslocations: Concordtime type: Full timeposted on: Posted Todayjob requisition... 
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    Hourly pay
    Full time
    Local area
    Monday to Friday
    Shift work

    John Muir Health

    Brentwood, CA
    3 days ago
  • Utilization Review Coordinator Per Diem Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services to optimize reimbursement. Coastal... 
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    Daily paid
    Temporary work
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    Universal Hospital Services Inc.

    New York, NY
    3 days ago
  •  ...Workplaces 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... 
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    Sedgwick

    Knoxville, TN
    17 days ago
  • Behavioral Health Intake and Utilization Review Coordinator Summary The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing intake assessments, verifying clinical appropriateness for services, coordinating admissions... 
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    CharterCARE Health Partners

    Providence, RI
    3 days ago
  • Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals, who provide service excellence to our patients in a range of inpatient... 
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    Full time
    Local area

    Universal Health Services

    Brookline, MA
    1 day ago
  • Job Summary: Conducts reviews of medical records and treatment plans to evaluate and consult...  ...independently. Observes and identifies utilization trends and learns about addressing...  ...: KAISER TITLE: Utilization Review Coordinator II LOCATION: Walnut Creek, California REQNUMBER... 
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    Kaiser Permanente

    Walnut Creek, CA
    3 days ago
  •  ...precertification and verification of benefits for incoming patients. Coordinates the utilization management functions of a patient caseload through...  ...the interdisciplinary treatment team and performance of reviews, with external review organizations/managed care companies... 
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    Daily paid
    Relief
    Local area
    Day shift

    Universal Health Services

    West Columbia, SC
    3 days ago
  • Responsibilities ***Join Our Team as a Utilization Review Coordinator!*** North Spring Behavioral Healthcare is looking for a fulltime Utilization Review Coordinator to join our compassionate and dynamic team! What We Offer Competitive Salary Comprehensive Benefits... 
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    Full time
    Work at office
    Local area
    Rotating shift

    Universal Health Services

    Leesburg, VA
    3 days ago
  •  ...evidence-based care focused on our patient’s individual needs, comfort and safety. Thank you for considering our Utilization Management and Review UR Coordinator position as we continue our successful opening! More information about Southridge can be found online at:... 
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    Full time
    Local area
    Monday to Friday

    UHS

    Byron Center, MI
    3 days ago
  •  ...preferred Experience: Must have one (1) year experience in the Utilization Review process and/or two (2) years’ clinical experience in a...  .../issues to the Director of Plant Operations and/or Quality Coordinator. # Conduct other duties as assigned by the Facility CEO... 
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    Full time
    Work at office
    Local area
    Immediate start
    Flexible hours

    Perimeter Healthcare

    Jackson, TN
    15 days ago
  •  ...Job Description Job Description Summary: The Utilization Review Coordinator supports the Care Management Department by facilitating the intake, review, and coordination of authorization requests. This position ensures timely and accurate processing of both prospective... 
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    Work at office
    Monday to Friday

    Benefit & Risk Management Services, Inc.

    Sacramento, CA
    26 days ago
  •  ...their families. To proactively monitor and optimize reimbursement for organization services. Maintain appropriate records of the Utilization Review Department. Prepare and submit appeals. Attend mandatory training. Conduct admission reviews and pre-certifications. Conduct... 
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    Relief
    Local area
    Flexible hours

    Thecarolinacenter

    Columbia, SC
    3 days ago
  •  ...Responsibilities Utilization Review Coordinator The Carolina Center for Behavioral Health is currently hiring utilization review coordinators to join our team of dedicated professionals. Who We Are The Carolina Center for Behavioral Health is a 156-bed... 
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    The Carolina Center for Behavioral Health

    Greer, SC
    more than 2 months ago
  • **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals activities. This role collaborates with payers, hospital staff, and clinical specialists to secure timely authorizations... 
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    Community Health Systems

    Franklin, TN
    3 days ago
  • The Inpatient Behavioral Health Social Worker in Utilization Review is responsible for evaluating the medical necessity, appropriateness,...  ...patient care and resource utilization. The role integrates and coordinates utilization management and denial prevention by focusing on... 

    Waterbury Hospital

    Waterbury, CT
    3 days ago
  • Utilization Review Coordinator Join to apply for the Utilization Review Coordinator role at HRI Hospital . HRI Hospital is seeking a Full‑time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals, who provide service excellence... 
    Full time
    Local area

    HRI Hospital

    Brookline, MA
    1 day ago
  • Position Overview North Spring Behavioral Healthcare is looking for a full-time Utilization Review Coordinator to join our compassionate and dynamic team. What We Offer Competitive Salary Comprehensive Benefits Package Health insurance - Available after 30 days. Paid... 
    Full time
    Local area
    Rotating shift

    North Spring Behavioral Healthcare

    Leesburg, VA
    3 days ago
  •  ...management of patient status/LOC. Provides consultative role as utilization management nurse to clinical and non-clinical departments....  ...findings against approved indicators. Assists with retrospective reviews and medical necessity denials per communication with third... 
    Relief
    Work at office
    Rotating shift

    Case Management Society of America (CMSA) ®

    Santa Fe, NM
    3 days ago
  • Overview Join to apply for the Case Management - Utilization Review Coordinator role at Delta Health System-The Medical Center . Works closely with the RN Case Manager to help obtain authorization for all payor sources. Helps communicate the mission, ethics, and goals... 
    Full time

    Delta Health System-The Medical Center

    Greenville, MS
    3 days ago
  • $34 - $51 per hour

    RN Utilization Review Coordinator - Foundry Treatment Center Steamboat Job Type: Full-time Job Site: Hybrid (Broomfield, CO office/Home office) Starting Salary: $34‑$51/hour (DOE and licensure) Job Summary The Registered Nurse (RN) Utilization Review Coordinator plays... 
    Hourly pay
    Full time
    Work at office
    Home office
    Afternoon shift

    Foundry Treatment Center Steamboat

    Westminster, CO
    1 day ago
  •  ...Job Description Job Description The Sr. Review Coordinator will be responsible for conducting utilization review/medical management for all services with intent to train/mentor other team members and perform preliminary research on requested topics. In addition,... 
    Contract work

    Telligen

    West Des Moines, IA
    4 days ago
  • $45.42k

     ...Services certification as a Psychiatric Medicare/Medicaid Hospital.   Role Overview: This position serves as the Utilization Review Coordinator within a psychiatric hospital setting. They will be the chair for the Utilization Committee. This position completes... 
    Full time
    Work experience placement

    State of Indiana

    Evansville, IN
    a month ago
  • $2,951.6 per week

     ...together your personalized pay package, as a variety of factors can influence your total pay.* \n \nAZ - RN Case Management/Utilization Review in Tuba City, AZ LeaderStat is currently seeking a AZ - RN Case Management/Utilization Review for a(n) 13 week contract... 
    Weekly pay
    Full time
    Contract work
    Interim role
    Monday to Friday
    Shift work
    Weekend work

    LeaderStat

    Tuba City, AZ
    20 days ago
  •  ...License Certifications: BLS – AHA Must-Have: Strong assessment, discharge planning, and utilization review skills \n Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers,... 
    Permanent employment
    Temporary work
    Zero hours contract
    Immediate start
    Shift work

    Prime Staffing

    Greenbrae, CA
    3 days ago
  •  ...~ Duration: 13 weeks ~40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel Case Management and Utilization Review Discharge planning Shift: 4x10's (Fri, Sat, Sun, Mon) 8am - 6pm WEEKENDS REQUIRED No Call Minimum 4 yrs exp... 
    Permanent employment
    Temporary work
    Local area
    Shift work
    Weekend work

    Protouch Staffing

    Kinston, NC
    12 days ago
  •  ...Responsibilities The role of the case management nurse (RN) is to coordinate continuity of care for patients often as a liaison between...  ...Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are intended... 
    Hourly pay
    Weekly pay
    Contract work
    Temporary work
    Immediate start
    Shift work

    MedPro Healthcare Staffing

    Greenbrae, CA
    4 days ago
  •  ...025 ~ Duration: 13 weeks ~40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel Must have strong Utilization Review and InterQual experience REQUIRED! Conducting patient initial assessments Acute Care hospital experience EPIC EMR documentation... 
    Weekly pay
    Long term contract
    Permanent employment
    Temporary work
    Work at office
    Shift work

    LanceSoft

    Greenbrae, CA
    3 days ago
  • $2,800 per week

     ...License Certifications: BLS – AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social... 
    Permanent employment
    Temporary work
    Zero hours contract
    Shift work

    Prime Staffing

    Tuba City, AZ
    4 days ago
  •  ...13 weeks ~40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel Description: RN-Case Manager/Utilization Review/CDI (clinical documentation improvement) Must have experience in EPIC and acute care hospital case management Qualifications... 
    Shift work

    HonorVet Technologies

    Syracuse, NY
    22 days ago