Utilization Review Coordinator jobs in District of Columbia

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 Nurse
  • medstar-pilot
  • Washington, DC FULL_TIME
  • Under the direction of The Director of UM/Appeals assists in the administration of utilization functions, the Utilization Review Nurse, assesses patient insurance/status to facilitate appropriate completion of utilization review using payer specific criteria; uses Interqual and MCG to determine medical necessity and appropriateness of inpatient or observation status ; serves as communication liaison between registered nurse case managers, social workers, on-site reviewers, patient financial services, outpatient areas and registration; and performs all functions in accordance with all applicable laws, regulations and MedStar Washington Hospital Center's philosophy, policies and standards.
  • 2 Days Ago

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Utilization Review Supervisor -RN
  • Johns Hopkins Medicine
  • Washington, DC FULL_TIME
  • Countless opportunities. Sibley Memorial Hospital in Washington, D.C., a member of Johns Hopkins Medicine, has a distinguished history of serving the community. As a not-for-profit, full-service, 318-...
  • 3 Days Ago

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Utilization Review Specialist
  • Department of Behavioral Healt
  • Washington, DC FULL_TIME
  • The incumbent functions as a Utilization Review Specialist in Health Information Management. The Utilization Review Specialist performs studies/reviews of medical records to monitor and to determine t...
  • 23 Days Ago

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Technical Review Coordinator
  • C&G Consulting, Inc.
  • Washington, DC FULL_TIME
  • This position requires a highly organized, detail-oriented individual with strong communication and project management skills. The ideal candidate will possess a deep understanding of technical docume...
  • 1 Month Ago

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IRB ("Institutional Review Board") Coordinator
  • The Catholic University of America
  • Washington, DC FULL_TIME
  • Posting TitleIRB ("Institutional Review Board") Coordinator Overview The Office of Sponsored Programs administers the university’s research operations. The office coordinates all pre- and non-financia...
  • 1 Month Ago

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Sales Coordinator- Reservations/Rooms
  • Sales Coordinator- Reservations/Rooms
  • Washington, DC FULL_TIME
  • Competitive BenefitsMedical, Dental, Vision BenefitsCompetitive Pay Rates401k Plan and up to 3% match after 1 year Paid Time Off (Vacation, Holidays, Sick and more)Complimentary Room Nights after 3 mo...
  • 1 Day Ago

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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...
  • 4/19/2024 12:00:00 AM

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Utility Coordinator
  • KEITH
  • Miami, FL
  • Utility Coordinator - Miami, FL KEITH is seeking a Utility Coordinator to join our Miami, FL office to strengthen our gr...
  • 4/19/2024 12:00:00 AM

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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...
  • 4/18/2024 12:00:00 AM

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Utility Supervisor
  • Transdev Inc.
  • Fairfax, VA
  • Utility Supervisor Job Description OVERVIEW: The Utility Supervisor reports directly to the Maintenance Manager in fulfi...
  • 4/17/2024 12:00:00 AM

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Utilities Coordinator
  • Rad Diversified
  • Exton, PA
  • Job Description Job Description RAD Diversified is a GREAT place to work! Here’ s what we offer: Comprehensive Healthcar...
  • 4/17/2024 12:00:00 AM

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Utilization Review Coordinator
  • TheraMatrix
  • Pontiac, MI
  • Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
  • 4/16/2024 12:00:00 AM

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Utility Coordinators
  • Telforce Group Llp
  • Daytona Beach, FL
  • Telforce Group is looking for Utility Coordinators These are Direct Hire Positions Work is in Daytona & Melbourne, FL Ov...
  • 4/16/2024 12:00:00 AM

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Utilization Review Coordinator (Part-time, Not Remote) Opioid Treatment Program
  • Universal Health Services
  • Greenwood, IN
  • Responsibilities WHO WE ARE Valle Vista Health System (a UHS affiliated facility) is a 132-bed, acute care psychiatric h...
  • 4/15/2024 12:00:00 AM

Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west. The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$89,737 to $111,161

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