Utilization Review Coordinator jobs in Michigan
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)
Recently Added Utilization Review Coordinator jobs
- Henry Ford Health System
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Jackson, MI
OTHER
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Under limited direction and in accordance with established policies, procedures, guidelines and criteria, regularly exercises clinical judgment in the review and assessment of patients' records. Reviews care and treatment received. Communicates with third party payers in order to obtain authorization for care. Acts as a resource to related parties by providing training and educational sessions.
EDUCATION AND EXPERIENCE:
Associate's Degree in Nursing (ADN), OR Licensed Practical Nurse (LPN), OR Bachelor's Degree in Social Work. Registration Health Information Administrator (RHIA), preferred. Minimum of five years of progressively more responsibility. ADDENDUM Henry Ford Macomb-Behavioral Health departments: Experience: 2-5 years behavioral health specific. Education: In addition to above, also acceptable Associate or Bachelor's in a related field (i.e., Psychology) preferred with required behavioral health experience.
WORKING CONDITIONS: Works in a normal patient care environment with little exposure to noise, dust, temperature and the like. Occasional exposure to communicable diseases and infection when working with patients.
Additional Information- Organization: Henry Ford Allegiance Hospital
- Department: Mental Health Admin Office
- 13 Days Ago
- Henry Ford Health - Careers Careers
-
Jackson, MI
FULL_TIME
- Under limited direction and in accordance with established policies, procedures, guidelines and criteria, regularly exercises clinical judgment in the review and assessment of patients' records. Revie...
- 14 Days Ago
- LanceSoft Inc
-
Detroit, MI
FULL_TIME,CONTRACTOR
- Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License Should Have utilization management experience. Should have experience completing post-acute ...
- 14 Days Ago
- Garden City Hospital
-
Garden, MI
FULL_TIME
- Discharge Planner - Utilization Review Facility Garden City Hospital Location US-MI-Garden City ID 2024-153114 Category Admin Position Type Full Time Shift Days Job Type Non-Exempt Overview Join an aw...
- 20 Days Ago
- 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...
- 25 Days Ago
- 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 ...
- 29 Days Ago
Utilization Review Coordinator jobs at Popular Companies
- 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
- Ces Group Engineers Llp
-
Charlotte, NC
- CES is looking for a ambitious, passionate, Utility Coordinator to join our relationship inspired, regionally recognized...
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- Transdev Inc.
-
Fairfax, VA
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- 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
- TheraMatrix
-
Pontiac, MI
- Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
- 4/16/2024 12:00:00 AM
- 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
- 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
- Christus Health
-
Santa fe, NM
- Description POSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine t...
- 4/14/2024 12:00:00 AM