Utilization Review Coordinator jobs in Austin, TX

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
  • BENEFIT MARKETING ALLIES CORP.
  • Austin, TX FULL_TIME
  • Position Description: ROLE AND RESPONSIBILITIES
    Communication with Providers regarding Pre-Authorization Requests.
    Provider Outreach Calls to retrieve Medical Records.
    Maintaining HIPAA Compliant Practices, liaison between Members & Providers.
    Full review of member medical records to aid in determination of Share Requests.
    Knowledge, and application of HealthShare Programs. Full understanding and comprehension
    Review, and identify any prior hospitalizations, procedures, advanced imaging.
    Identifying Pre-Existing Conditions in Member Medical Records.
    Member Calls to Discuss any additional records, or information as needed.
    Work Effectively, and Efficiently with Member/Provider Relations Team, for Final Dispositions.

    QUALIFICATIONS AND EDUCATION REQUIREMENTS
    REQUIRED, LPN., RN., MA. Minimum of two (2) Years of Healthcare, Insurance, or HCSM Experience. High School Diploma: Degree and/or Certification.

    PREFERRED SKILLS
    Effective and Clear Verbal and Written Communication, Active Listener, Conflict Management, Strong attention to detail, Organizational Skills, Time Management, Strong ability to multi-task. Must be a self-starter, and Team Player. Proficient in Microsoft Office Applications with heavy emphasis on Excel. Additional training is provided for programs used for processing needs.
  • 10 Days Ago

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Utilization Review Coordinator - Full Time
  • Georgetown Behavioral Health Institute
  • Georgetown, TX FULL_TIME
  • Come join our team. Georgetown Behavioral Health Institute is a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator. This position is respons...
  • 3 Months Ago

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Utilization Review Coordinator - Full Time
  • Full Time - Georgetown Behavioral Health Institute
  • Georgetown, TX FULL_TIME
  • Come join our team. Georgetown Behavioral Health Institute is a 118 bed inpatient behavioral health hospital and seeking a full-time Outpatient Utilization Review Coordinator. This position is respons...
  • 5 Days Ago

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Utilization Review RN
  • Boon-Chapman
  • Austin, TX FULL_TIME
  • ABOUT YOU You thrive in a fast-paced environment. You’re curious and have an eye for detail. You strive to exceed expectations, and succeed. You’re excited by the opportunity to join a fast-growing co...
  • 19 Days Ago

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Utilization Review LVN
  • Boon-Chapman
  • Austin, TX FULL_TIME
  • ABOUT YOU You thrive in a fast-paced environment. You’re curious and have an eye for detail. You strive to exceed expectations, and succeed. You’re excited by the opportunity to join a fast-growing co...
  • 1 Month Ago

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Salon Coordinator
  • Sport Clips - Coordinator - TX119
  • Buda, TX FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 21 Days Ago

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0 Utilization Review Coordinator jobs found in Austin, TX area

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MDS Coordinator
  • Skilled Nursing Professionals
  • Austin, TX
  • To conduct and coordinate the development and completion of the Resident Assessment Instrument (RAI), that is, the Minim...
  • 3/29/2024 12:00:00 AM

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Administrator, Utility Building Services
  • Austin Energy
  • Austin, TX
  • Position Information Posting Title Administrator, Utility Building Services Job Requisition Number AE503581 Position Num...
  • 3/28/2024 12:00:00 AM

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Utility Engineer
  • Express Employment Professionals
  • Austin, TX
  • Job Description Job Description We are helping our client, which is an Engineering firm in Austin, TX area fill an immed...
  • 3/27/2024 12:00:00 AM

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Receptionist- IDEA Montopolis (Immediate Opening)
  • IDEA Public Schools
  • Austin, TX
  • Description Role Mission: The mission for the receptionist is to support students, families and team members by providin...
  • 3/26/2024 12:00:00 AM

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Executive Assistant
  • Vista Equity Partners Management
  • Austin, TX
  • Position Summary: The Executive Assistant is responsible for providing high-level administrative support to senior level...
  • 3/25/2024 12:00:00 AM

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DPS - THP - Field Secretary - 0152
  • CAPPS
  • Austin, TX
  • Job Description PLEASE NOTE:All applications must contain complete job histories, which includes job title, dates of emp...
  • 3/25/2024 12:00:00 AM

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Remote Operations Center Operator
  • Origis Energy
  • Austin, TX
  • Join the Origis Energy Team! Origis Energy is bringing clean and cost effective solar and energy storage solutions withi...
  • 3/25/2024 12:00:00 AM

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Assistant Supervisor - Data Entry
  • Clinical Pathology Laboratories, Inc
  • Austin, TX
  • Job Functions, Duties, Responsibilities and Position Qualifications: Position Summary: The Pre-analytic Assistant Superv...
  • 3/11/2024 12:00:00 AM

Austin is the capital of the U.S. state of Texas and the seat of Travis County, with portions extending into Hays and Williamson counties. It is the 11th-most populous city in the United States and the 4th-most populous city in Texas. It is also the fastest growing large city in the United States, the second most populous state capital after Phoenix, Arizona, and the southernmost state capital in the contiguous United States. As of the U.S. Census Bureau's July 1, 2017 estimate, Austin had a population of 950,715 up from 790,491 at the 2010 census. The city is the cultural and economic center ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$79,339 to $98,273
Austin, Texas area prices
were up 1.2% from a year ago

Utilization Review Coordinator in Fort Lauderdale, FL
Some review coordinator positions require that professionals have training and experience within a more specific field.
January 10, 2020
Utilization Review Coordinator in Asheville, NC
Schick Shadel Hospital is seeking a part-time (20 hours per week) Utilization Review Coordinator (UR Coordinator) to help oversee and perform the process of utilization review to ensure appropriate reimbursement by third party payers.
January 04, 2020
Utilization Review Coordinator in Jacksonville, FL
Excellent benefits, pay, small on-site employee gym, wonderful co-workers and managersFull Review.
January 04, 2020