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)
We are seeking a Case Manager RN with (5) or more years of experience working in a medical facility, hospital, or other healthcare-related environment. Along with (2) or more years of experience in case management or IPA preferred. Must have previous experience coordinating with providers, provider staff, hospital staff, patients, and patient family members to establish an appropriate level of care.
Job Type: Full-time
Pay: $40.00 - $50.00 per hour
Expected hours: 40 per week
Schedule:
Work Location: Remote