Utilization Review Coordinator jobs in Battle Creek, MI

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 specialist
  • Oaklawn Hospital
  • Marshall, MI FULL_TIME
  • Job Summary :

    Performs utilization review with external agencies to ensure payment for medically necessary inpatient services.

    Essential Functions :

    • Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his / her goals and objectives in a manner that helps others to achieve their goals and objectives.
    • Performs ongoing review of charts for inpatient psychiatric patients and partial hospitalization patients based on approved utilization review criteria.
    • Refers utilization review issues to physician advisor and treatment team as appropriate
    • Appeals denied psychiatric days according to approved procedures.
    • Maintains up-to-date information regarding requirements of individual insurance companies, and ensures these requirements are met.
    • Participates in hospital utilization review committees as appropriate to psychiatric utilization review duties.
    • Documents all communications and updates accordingly.
    • Maintains stats regarding denied / uncovered days and length of stay.
    • Delivers and tracks the Important Message from Medicare form.
    • Acts as the court liaison.
    • Assists as needed with phone intakes.

    Minimum Qualifications : Bachelor’s degree or commensurate experience in a related field of Psychology or Utilization Review.

    Completion of Handle with Care Basic Certification in physical and nonverbal patient management within two months of hire with annual re-certification.

    Knowledge, Skills & Abilities : Master’s degree in Psychology, preferred. Previous experience with utilization review, case management or telephone triage desired.

    Familiarity with electronic medical records and medical terminology.

    Physical Requirements : Constantly sit, see / visual acuity, handle / grasp / feel, talk / hear, lift / carry 1 to 25 lbs.

    Frequently stand, walk, reach, bend / twist, lift / carry 25 to 49 lbs. Occasionally lift / carry 50 lbs.

    Last updated : 2024-03-23

  • 4 Days Ago

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Utilization Review Nurse
  • Neuropsychiatric Hospitals
  • Kalamazoo, MI 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 ...
  • 8 Days Ago

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Revenue Utilization Review Nurse
  • US Veterans Health Administration
  • Battle Creek, MI FULL_TIME
  • Duties VA offers a comprehensive total rewards package: VA Nurse Total Rewards The RUR nurse is under the supervision of a Nurse Manager, Assistant Nurse Manager, or designee, who provides the adminis...
  • 1 Month Ago

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Utilization Review Specialist. Monday-Friday dayshift hours
  • Oaklawn Hospital
  • Marshall, MI FULL_TIME
  • Job Summary: Performs utilization review with external agencies to ensure payment for medically necessary inpatient services. Essential Functions: Consistently uses an outward mindset and puts forth e...
  • 1 Day Ago

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Utilization Review Specialist-casual position with variable dayshift hours
  • Oaklawn Hospital
  • Marshall, MI FULL_TIME
  • Job Summary: Performs utilization review with external agencies to ensure payment for medically necessary inpatient services. Essential Functions: Consistently uses an outward mindset and puts forth e...
  • 2 Days Ago

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Utilization Review Specialist-Dayshift position, hours are flexible to unit need
  • Oaklawn Hospital
  • Marshall, MI FULL_TIME
  • Job Summary: Performs utilization review with external agencies to ensure payment for medically necessary inpatient services. Essential Functions: Consistently uses an outward mindset and puts forth e...
  • 4 Days Ago

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0 Utilization Review Coordinator jobs found in Battle Creek, MI area

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Case Management System Data Supervisor (3748)
  • Ocean Bay LLC
  • Battle Creek, MI
  • Ocean Bay, a subsidiary of Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a Case...
  • 3/29/2024 12:00:00 AM

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Analytical Chemist I - Second Shift (Sun. - Thurs. - 2:00pm to 11:00pm)
  • NEPHRON SC INC
  • Analytical Chemist I Corporate Statement Nephron Pharmaceuticals Corporation is a privately owned global leader in the m...
  • 3/29/2024 12:00:00 AM

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Enforcement Officer
  • ABM
  • Battle Creek, MI
  • Position Summary Details Responsible for enforcing parking ordinances throughout the contracted enforcement area while m...
  • 3/29/2024 12:00:00 AM

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Medical First Responder Instructor
  • Ladgov Corporation
  • Battle Creek, MI
  • Job Title: Medical First Responder Instructor Location : Battle Creek , MI 49037 Job Type : Part-Time Position Overview:...
  • 3/28/2024 12:00:00 AM

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Heavy Duty EVS Attendant
  • FireKeepers Casino Hotel
  • Battle Creek, MI
  • Description SCOPE OF POSITION: Responsible for attending to the project and heavy cleaning needs of assigned area(s) of ...
  • 3/28/2024 12:00:00 AM

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EVS Attendant
  • Firekeepers Casino
  • Battle Creek, MI
  • **EVS Attendant** Location: FireKeepers Casino Hotel **Description** **SCOPE OF POSITION:** Responsible for attending to...
  • 3/28/2024 12:00:00 AM

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MDS Coordinator
  • The Laurels of Bedford
  • Battle Creek, MI
  • $10,000 Sign-On Bonus Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversig...
  • 3/26/2024 12:00:00 AM

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Slot Shift Manager
  • Firekeepers Casino
  • Battle Creek, MI
  • **Slot Shift Manager** Location: FireKeepers Casino Hotel **Description** **SCOPE OF POSITION:** The Slot Shift Manager ...
  • 3/26/2024 12:00:00 AM

Battle Creek is a city in the U.S. state of Michigan, in northwest Calhoun County, at the confluence of the Kalamazoo and Battle Creek rivers. It is the principal city of the Battle Creek, Michigan Metropolitan Statistical Area (MSA), which encompasses all of Calhoun County. As of the 2010 census, the city had a total population of 52,347, while the MSA's population was 136,146. According to the United States Census Bureau, the city has a total area of 43.73 square miles (113.26 km2), of which 42.61 square miles (110.36 km2) is land and 1.12 square miles (2.90 km2) is water, making Battle Cree...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$79,944 to $99,023
Battle Creek, Michigan area prices
were up 1.3% 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