Utilization Review Coordinator jobs in Arizona
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)
Recently Added Utilization Review Coordinator jobs
RN Utilization Review Coordinator
- Valleywise Health System
-
Phoenix, AZ
FULL_TIME
-
As a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. As a Utilization Review RN Coordinator, you work under the direction of the Manager of Care Management as part of the inpatient Care Management Team. You are responsible for determining the appropriateness of patient status and medical necessity for services provided through the acute care medical hospital. This requires proficiency in clinical criteria, evidence-based practice, regulatory compliance, reimbursement sources, and the health care delivery system. The RN Utilization Review Coordinator is responsible for assuring the appropriate use of resources and facilitating the patient’s progression through the continuum of care in a timely and cost-effective manner. This position works with managed care plans, third-party payers, the business office, and the interdisciplinary team to ensure authorization for reimbursement at the appropriate level is confirmed to ensure payment of expected reimbursement.Hourly Pay Range: $34.15 - $50.37QualificationsEducation:
- Prefer a bachelor's degree in Nursing.
Experience:- Preferred to have at least three (3) years of recent acute clinical RN hospital experience, preferably in Case Management and/or Utilization Management.
Specialized Training:- Trained in Epic, InterQual, Midas and internally used software programs is strongly preferred.
Certification/Licensure:- Must possess a current, valid Arizona RN licensure and be in good standing with the AZ Board of Nursing.
- Prefer specialty certification in utilization or case management to be obtained within 30 months of hire.
- Prefer to have Basic Life Support within 30 days of hire.
- Prefer to complete CPI training within six months of hire.
Knowledge, Skills, and Abilities:- Must have a working knowledge of case management, hospital, community resources, and resource/utilization management.
- The position requires excellent communication, clinical skills, and maintaining professional rapport with physicians.
- Requires extensive knowledge of evidence-based clinical guidelines, best practice, workup, treatment, prognosis, and hospital procedures.
- Critical thinking ability is essential.
- Strong critical care skills, understanding of medical documentation and pathophysiology.
- Knowledge of acute care criteria sets and state and federal reimbursement programs.
- Requires the ability to read, write, and speak effectively in English.
- 1 Day Ago
Utilization Review Coordinator
- Neuropsychiatric Hospitals
-
Phoenix, AZ
FULL_TIME
- About Us HEALING THE BODY AND MIND Founded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical ...
- 5 Days Ago
Utilization Review Coordinator
- UHS
-
SCOTTSDALE, AZ
FULL_TIME
- Responsibilities Utilization Review Coordinator Via Linda Behavioral Hospital is a brand-new behavioral health provider serving Scottsdale and the great Phoenix region. We opened in February 2022 and ...
- 6 Days Ago
Utilization Review Nurse Manager
- Clinical Management Consultants
-
Tucson, AZ
FULL_TIME
- A reputable non-profit hospital organization in Southern Arizona is actively interviewing for a Utilization Review Nurse Manager to join their leadership team! Working in collaboration with the Nurse ...
- 22 Days Ago
Utilization Review Specialist
- Springstone, Inc.
-
Gilbert, AZ
FULL_TIME
- Overview Copper Springs East is a 72-bed behavioral hospital located near Gilbert, AZ. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and the...
- 7 Days Ago
Utilization Review Specialist
- Copper Springs East
-
Gilbert, AZ
FULL_TIME
- Overview Copper Springs East is a 72-bed behavioral hospital located near Gilbert, AZ. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and the...
- 7 Days Ago
Utilization Review Coordinator jobs at Popular Companies
Utilization Review Coordinator
- TheraMatrix
-
Pontiac, MI
- Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
- 4/26/2024 12:00:00 AM
Utilities Supervisor
- City of Palo Alto, CA
-
Palo Alto, CA
- Salary : $156,208.00 - $208,270.40 Annually Location : Palo Alto, CA Job Type: Regular Full-Time Job Number: 202400565 D...
- 4/26/2024 12:00:00 AM
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...
- 4/25/2024 12:00:00 AM
Utilities Supervisor
- Tyson Foods
-
Zeeland, MI
- Relocation assistance is available under Tyson's relocation policy! To feed a changing world, it takes an incredible tea...
- 4/25/2024 12:00:00 AM
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...
- 4/24/2024 12:00:00 AM
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
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
Utility Supervisor
- Transdev Inc.
-
Fairfax, VA
- Utility Supervisor Job Description OVERVIEW: The Utility Supervisor reports directly to the Maintenance Manager in fulfi...
- 4/22/2024 12:00:00 AM
About Arizona
Arizona (/ˌærɪˈzoʊnə/ (listen); Navajo: Hoozdo Hahoodzo Navajo pronunciation: [xòːztò xɑ̀xòːtsò]; O'odham: Alĭ ṣonak Uto-Aztecan pronunciation: [ˡaɺi ˡʂonak]) is a state in the southwestern region of the United States. It is also part of the Western and the Mountain states. It is the sixth largest and the 14th most populous of the 50 states. Its capital and largest city is Phoenix. Arizona shares the Four Corners region with Utah, Colorado, and New Mexico; its other neighboring states are Nevada and California to the west and the Mexican states of Sonora and Baja California to the south and so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$78,530 to $97,278
Most Popular Cities in Arizona for Utilization Review Coordinator Jobs
What does an Utilization Review Coordinator do?
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