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)
Universal Health Services, Inc. (UHS) knows what it takes to lead, inspire and succeed. One of the Nation's largest and most respected Hospital companies, UHS achieved its success by always adhering to an effective operating philosophy: Build or acquire high quality hospitals in rapidly growing markets, then invest in the people and equipment needed to allow each facility to thrive and become a dominant healthcare provider in its community.
Hampton Behavioral Health Center is a private behavioral healthcare center and offers the most advanced behavioral health, diagnostic treatment services for adults, adolescents, and older adults in both inpatient and outpatient programs. A commitment to excellence in diagnosis, treatment, and education - these concepts are at the core of Hampton Behavioral Health Center's mission.
We are looking for a Full Time Utilization Review Coordinator. In this role you will assist in screening patients to ensure that criteria are met, perform admission clinical reviews, facilitate discharge planning and coordinate continuum of care for the patient with the treatment team. In this position you will interact and communicate with clinical staff, Business Office, Admissions, Medical Records, third party reviewers and hospital administration to help the patient receive the outpatient care they need.
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