- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient ... charts and records to evaluate care concurrent with patients' treatment. Reviews treatment plans and status of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of… more
- University of Rochester (Rochester, NY)
- …Full time Scheduled Weekly Hours: 40 Department: 500294 Lab Admin Support-ClinLabs SMH Work Shift: UR - Day (United States of America) Range: UR URG 105 H ... Compensation Range: $19.96 - $27.94 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review/Quality Assurance Sr. Coordinator will be responsible for providing clinical information to managed care companies as requested ... for hospitalized patients both concurrently and retrospectively per hospital policy and procedure to prevent denial of payment. Will assist/participate in special utilization studies/projects and the development of new programs/processes. Responsible for… more
- University of Rochester (Rochester, NY)
- …Type: Full time Scheduled Weekly Hours: 40 Department: 100990 Learning & Development Work Shift: UR - Day (United States of America) Range: UR URG 106 H ... the individual, and internal equity considerations._ **Responsibilities:** The Program Coordinator manages the applicant enrollment processes; tracking applications/agreement forms,… more
- Prime Healthcare (Passaic, NJ)
- …preferred.3. Must meet the performance standards set forth by the Hospital/ Department at UR Coordinator position for at least 6 months.4. 1+ year of clinical ... critical thinking skills. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/189060/utilization-review- coordinator /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt. Mary's General Hospital LocationUS-NJ-Passaic… more
- Community Health Systems (Franklin, TN)
- …supporting the admission. + UR Clinical Specialist communicates with the UR Coordinator and facility case manager(s) (ie licensed social workers,discharge ... other payer requirements. These discussions are to help the UR Clinical Specialist understand the reason for admission, and...policies/procedures. + In the event of concurrent denials, the UR Clinical Specialist reviews the denial and works with… more
- Fresenius Medical Center (Gainesville, FL)
- …of events, calendar invitations to operators who are attending, ordering materials for the UR Coordinator to prepare in advance, etc. + A quick learner of ... new technologies, this individual serves as a subject matter expert for _Yello_ , the event and candidate management technology utilized through University Relations, showcasing the ability to train Operators for _Yello_ utilization at Campus Events. + Ability… more
- McLaren Health Care (Bay City, MI)
- …morning report to Patient Care Services Manager of Nursing Support or UR /Patient Placement Coordinator . 8. Initiates continuous communication with Scheduling ... Office staff. 9. Communicates with ER and PACU frequently to prevent a back up of admissions and to put into place process that might stop a backlog. 10. Participates in the evaluation of the metrics and communicates the information to the appropriate people.… more
- University of Rochester (Rochester, NY)
- …Time Type: Full time Scheduled Weekly Hours: 40 Department: 500448 Medical Home Data Coordinator Work Shift: Range: UR URCA 204 H Compensation Range: $18.34 - ... $24.77 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to,… more
- University of Rochester (Woods, MN)
- …Full time Scheduled Weekly Hours: 40 Department: 910397 URMC Medical Staff Services Work Shift: UR - Day (United States of America) Range: UR URG 107 H ... emergency privilege requests for hospital privileges as needed for all UR affiliates. Prepares practitioners credentials files for presentation to affiliate and… more