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 the team at Avera!
Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.
Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
You Belong at Avera: Competitive pay, front-loaded PTO and options for free health insurance, sign-on bonuses, various shifts to fit your lifestyle and opportunities for career growth.
Avera is looking for a Registered Nurse (RN) – Utilization Review to join our team!
Job Summary
The Utilization Review RN reviews current admissions, stays that go beyond the approved days and retrospective inpatient and observation cases to determine accurate level of care determination based on primary and/or secondary insurance payment requirements. The position also reviews scheduled/booked surgical cases and compares the scheduled registration status with any inpatient only procedure lists for specific insurance companies and ensures registration status is changed based on insurance payment rules; they also obtain a signed inpatient order is on the account for all Medicare inpatient only procedure cases. The position collaborates with clinicians and financial team members including the Pre-anesthesia Department, Surgery Scheduling, Clinical Departments, physicians, payers, Patient Access, Health Information Management, and Case Management. Demonstrates a willingness to maintain awareness of the business of medicine and transitional healthcare changes including but not limited to value-based purchasing ,bundled payments, accountable care organizations and the readmission reduction program
Education and/or Experience
Certification, Licensure and/or Registration
Work Schedule
Pay
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
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