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)
Join our team as a day shift, full-time, Utilization Review Registered Nurse in Amarillo, TX.
Fulfilling your purpose begins here:
People First, Always. Here's how we take care of our people:
Your team is bigger than your department:
The Utilization Review Nurse is an integral Ardent case management partner to Revenue Cycle; responsible to the Director of Case Management or designee while supporting financial and clinical operations to provide strategic direction in support of operational performance and key financial metrics.
Job Requirements:
Preferred Job Requirements:
This is a remote position. Must be based in the United States. Texas is preferred.
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0 Utilization Review Coordinator jobs found in Clovis, NM area