Utilization Review Coordinator jobs in Arkansas

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 the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)

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Utilization Review Coordinator
  • Perimeter Healthcare
  • West Memphis, AR FULL_TIME
  • The Utilization Review Coordinator responsibilities include the following:

    Overseeing the Utilization Review program for in-patient and residential services. This includes the implementation of case management scenarios, consulting with all services to ensure the provision of an effective treatment plan for all patients, oversees the response to requests for services and interfaces with managed care organizations, external reviewers, and other payers.

    Qualified candidates for Utilization Review Coordinator should have the following:

    Education:  Master's degree in healthcare field preferred
                         Bachelor's degree in healthcare field is required.                    

    Experience: A minimum of two years (2) years direct clinical experience in a psychiatric or mental health treatment setting, including one year of managing a related function preferred. Experience in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities preferred.

    Licensure: OPTIONAL

    • Must be able to function independently while having great interdepartmental communication.
    • Great time management skills.
    • Must be able to understand and identify the severity of medical necessity criteria for both inpatient and residential behavior health.

    Scheduling:

    • Full-Time - Work hours are generally Monday through Friday, 8:00am - 4:30pm

    Our benefits include the following:

    • Service excellence and fulfilling work environment
    • 401(k) plan and company match
    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Paid Time Off
    • Supplemental Insurance Plans Available

    To learn more about the company, please visit our website at: https://www.perimeterhealthcare.com

    Perimeter Healthcare is one of the leading behavioral health care providers in the country for children, adolescents, adults, and senior adults. We deliver hope to our patients through the delivery of comprehensive and dedicated treatment programs. Our focus and commitment on service excellence is available across several states and in different care settings. Our team ensures our patients receive the required care that they or their loved one needs. We offer several programs for our patients including inpatient acute treatment and residential treatment. We are seeking staff who exhibit daily the following values: C- Compassion A- Accountability R – Respect and E- Empowerment.

    EEO

    We are committed to providing an environment of diversity and inclusion where equal opportunities are available to all applicants and fellow employees. Perimeter Behavioral Health is an equal opportunity employer regarding all recruitment, training, and selection process within the company regarding race, color, religion, age, sex, sexual orientation, pregnancy, and gender identity, genetic information, national origin, disability status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

  • 1 Month Ago

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RN Case Manager - Utilization Review (FT)
  • Arkansas Heart Hospital
  • Little Rock, AR FULL_TIME
  • The Case Manager utilizes the nursing process for age and diagnosis of specific populations to assess, plan and evaluate the care of a designated case load of patients so that clinical and financial o...
  • Just Posted

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RN Case Manager - Utilization Review (FT)
  • ARKANSAS HEART HOSPITAL LLC
  • Little Rock, AR OTHER
  • Job Details Job Location: Arkansas Heart Hospital - Little Rock, AR Salary Range: Undisclosed DescriptionThe Case Manager utilizes the nursing process for age and diagnosis of specific populations to ...
  • 4 Days Ago

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Safety Claims Coordinator
  • Safety Claims Coordinator
  • Little Rock, AR FULL_TIME
  • At CalArk, we respect what you have to offer. Our industry-leading wages and benefits ensure you always feel appreciated for what you individually bring to our team. Your talent has a home with us.
  • 4 Days Ago

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Manager Clinical Review
  • AFMC
  • Fort Smith, AR FULL_TIME
  • Job Description: SCOPE OF POSITION: Responsible for managing specific areas of AFMC’s review services in accordance with contract deliverables. Responsible for the supervision assigned staff. Support ...
  • 19 Days Ago

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Clinical Review Specialist RN
  • AFMC
  • Temporarily Remote in Fort Smith, AR FULL_TIME
  • Job Description: SCOPE OF POSITION: Responsible for analyzing patient records to determine legitimacy and necessity of medical services in compliance with government reimbursement policies. Review may...
  • 7 Days Ago

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Utilization Review Coordinator
  • Ramey-Estep / Re-group
  • Rush, KY
  • Job Description Job Description Function:The Utilization Review Coordinator (URC) has the primary responsibility of moni...
  • 4/23/2024 12:00:00 AM

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Utilization Review Coordinator
  • Perimeter Healthcare
  • Waynesville, MO
  • Job Description Job Description Job description Perimeter Behavioral of Missouri is looking for a Utilization Review Coo...
  • 4/23/2024 12:00:00 AM

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Utilization Review Coordinator (Remote Position)
  • BayMark Health Services
  • Deerfield Beach, FL
  • Description Position at BayMark Health Services Residential - Utilization Review Coordinator Role and Responsibilities M...
  • 4/23/2024 12:00:00 AM

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Utilization Review Coordinator
  • Carrus Hospital
  • Frisco, TX
  • Carrus Care Frisco mental health clinic serving the pediatric and adolescent population, is seeking a Utilization Review...
  • 4/22/2024 12:00:00 AM

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Utilization Review Coordinator
  • Foundations Behavioral Health
  • Doylestown, PA
  • Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Departmen...
  • 4/22/2024 12:00:00 AM

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Utilization Review Coordinator
  • TheraMatrix
  • Pontiac, MI
  • Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
  • 4/21/2024 12:00:00 AM

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Utilization Review Coordinator
  • Foundations Behavioral Health
  • Doylestown, PA
  • Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Departmen...
  • 4/20/2024 12:00:00 AM

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Utilization Review Coordinator / Case Management / PRN
  • Christus Health
  • Santa fe, NM
  • Description POSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine t...
  • 4/19/2024 12:00:00 AM

Arkansas (/ˈɑːrkənsɔː/ AR-kən-saw)[c] is a state in the southern region of the United States, home to over 3 million people as of 2018. Its name is of Siouan derivation from the language of the Osage denoting their related kin, the Quapaw Indians. The state's diverse geography ranges from the mountainous regions of the Ozark and the Ouachita Mountains, which make up the U.S. Interior Highlands, to the densely forested land in the south known as the Arkansas Timberlands, to the eastern lowlands along the Mississippi River and the Arkansas Delta. Arkansas is the 29th largest by area and the 33rd...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$73,451 to $90,986

Utilization Review Coordinator in Long Beach, CA
The Utilization Review Coordinator contributes to moderately complex aspects of a project.
January 05, 2020
Utilization Review Coordinator in Gary, IN
Candidates for this role must have a good understanding of medical terminologies, and stay tuned with latest developments in the field; they should possess knowledge of reviews such as MAC, KEPRO, and RAC; strong observing skills and the ability to monitor safety plans are also needed.
December 29, 2019
Utilization Review Coordinator in Chicago, IL
Including requirements, responsibilities, statistics, industries, similar jobs and job openings for Utilization Review Coordinator.
December 30, 2019