Utilization Review Coordinator jobs in Georgia

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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RN Case Manager - Utilization Review (FT Days)
  • Utilization Review (FT Days) - Grady Health System Careers
  • United States, GA FULL_TIME
  • SUMMARY 
     

    The Nurse Case Manager collaborates with other members of the case management and health care teams, utilizes professional nursing skills to:  assist the patient in achieving optimal health; assure appropriate use of health care resources; facilitate/coordinate timely care along the continuum; decrease unnecessary variances in care through proactive case management; develop a safe and timely discharge plan to meet the patient’s needs.

    QUALIFICATIONS 
     

    • Bachelor's Degree required, preferably in Nursing.
    • Current Georgia Registered (RN) license
    • Current Basic Life Support Healthcare Provider (American Heart Association) certification required. 
    • Minimum of  three years of direct nursing experience and demonstrated clinical competence required. 
    • Experience in Case Management preferred. 
    • Knowledge of age specific needs of population served.     

    Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.

                                                                                                                                                                                                    

  • 24 Days Ago

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Utilization review coordinator
  • Mount Sinai Wellness
  • Dahlonega, GA FULL_TIME
  • Description Position at Mount Sinai Wellness Part Time Residential - Utilization Review Coordinator Role and Responsibilities Manages and performs utilization reviews to ensure adherence to federal re...
  • 20 Days Ago

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Utilization Review Coordinator
  • Lighthouse Care Center of Augusta
  • Augusta, GA FULL_TIME
  • Lighthouse Care Center of Augusta (LCCA) is a multi-discipline behavioral healthcare center that offers mental health services to the communities of surrounding Augusta, Georgia. The Lighthouse Care C...
  • 16 Days Ago

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UTILIZATION REVIEW COORDINATOR
  • ignoredontpost
  • Savannah, GA FULL_TIME
  • Responsibilities: Coastal Harbor Treatment Center is currently seeking a UTILIZATION REVIEWÿCOORDINATOR (Per Diem).ÿ Coordinate and direct all Utilization Review functions, monitoring the utilization ...
  • 18 Days Ago

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Utilization Review (UR) Coordinator
  • Turning Point Care Center
  • Moultrie, GA FULL_TIME
  • Responsibilities: Great opportunity for someone with clinical experience as a Case Manager, Patient Care Advocate, Pre-Cert Nurse, or Clinical Liaison. Come experience a different side of providing qu...
  • 2 Months Ago

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Utilization Review Coordinator - Behavioral Health
  • UHS
  • SAVANNAH, GA FULL_TIME
  • Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator ( Fulltime ) To coordinate and direct Utilization Review functions, monitoring the utilization and continuu...
  • 15 Days Ago

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Utilization Review Coordinator (Part-time, Not Remote) Opioid Treatment Program
  • UHS
  • Greenwood, IN
  • Responsibilities WHO WE ARE Valle Vista Health System (a UHS affiliated facility) is a 132-bed, acute care psychiatric h...
  • 3/28/2024 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...
  • 3/28/2024 12:00:00 AM

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Utilities Supervisor
  • System One Holdings, LLC
  • Hightstown, NJ
  • SUMMARY Perform periodic maintenance of utilities equipment. Responsible for HVAC, water system and Boiler area day to d...
  • 3/28/2024 12:00:00 AM

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Utilization Reviewer Coordinator
  • NeuroBehavioral Hospitals
  • West Palm Beach, FL
  • You Matter: Make a difference every day in the lives of the underserved Join a mission driven organization with a people...
  • 3/26/2024 12:00:00 AM

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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...
  • 3/25/2024 12:00:00 AM

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TEMP FT UTILIZATION REVIEW COORDINATOR
  • UHS
  • Jacksonville, FL
  • Responsibilities Universal Health Services, Inc. , one of the nation's largest and most respected providers of hospital ...
  • 3/25/2024 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...
  • 3/25/2024 12:00:00 AM

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Refrigeration/Utilities Supervisor
  • The Judge Group
  • New Castle, IN
  • Hiring Company: Boar's Head Provisions Co., Inc.Overview:Reporting directly to the Facility Manager, this position is re...
  • 3/24/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$78,276 to $96,957

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