Utilization Review Technician jobs in Aurora, CO

Utilization Review Technician 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 Technician 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 Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Utilization Review Specialist
  • Springstone, Inc.
  • Englewood, CO FULL_TIME
  • Overview

    Fully On-Site Role 

    Utilization Review Specialist

    Salary/Hourly: $23- $31.00/hour

     

    Denver Springs Summary of Benefits Link

     

    Members of our team Enjoy:

    • Working with a highly engaged staff

    • Healthy staffing levels
    • Flexible scheduling
    • Career growth
    • Competitive compensation
    • Health, Vision, Dental, 401k, and Paid Time Off
    • UKG Wallet – We’ve partnered with UKG Wallet, a voluntary Earned Wage Access benefit, to offer employees access to their pay on their own schedule.

         

    Denver Springs is a 96-bed behavioral hospital located in Englewood, CO. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Denver Springs we are dedicated to Changing People’s Lives®.

     

    The Utilization Review department plays an essential role in helping fulfill our mission of “Changing People’s Lives®”.  Utilization Review team members advocate on behalf of our patients to managed care providers for necessary treatment.  As a Utilization Review Specialist, you will accurately and timely complete utilization review activities.

     

     

    Position Details

    • Acts as a liaison between managed care organizations and the facility’s behavioral health clinical treatment team.
    • Conducts clinical reviews in accordance with certification requirements of insurance plans or other managed care organizations.
    • Monitors patient length of stay and conducts initial and concurrent reviews when indicated to provide clinical information needed to support medical necessity criteria for appropriate level of care.
    • Facilitates peer to peer reviews between the facility treatment provider and the managed care physician.
    • Assists the Assessment Department with completion of the precertification process for admissions.
    • Provides ongoing support and training for staff on documentation requirements, admission and continued stay criteria, and medical necessity updates.

     

    Qualifications

    Qualifications:

    • Knowledge of mental health and chemical dependency terminology, symptoms, diagnoses, and treatment.
    • Ability to communicate effectively with patients, internal and external treatment providers, and managed care clinical review care managers.
    • Ability to multi-task, pay attention to detail, problem solve, utilize critical thinking skills, prioritize, and work both independently and as a part of a team.
    • Strong computer skills and ability to navigate electronic systems applicable to job functions.

    Requirements:

    • Bachelor’s degree or current clinical license required in lieu of degree
    • CPR and CPI Certification within 30 days of employment
    • Previous utilization review experience in a psychiatric healthcare facility preferredEducation and experience in the field(s) of: Social Work, Psychology, Psychiatric Nursing, Marriage and Family and Child Counseling, Chemical Dependency Counseling, Registered Nursing or a closely related science field

     

     

     

  • 1 Month Ago

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Utilization Review Specialist
  • Denver Springs
  • Englewood, CO FULL_TIME
  • Overview Fully On-Site Role Utilization Review Specialist Salary/Hourly: $23- $31.00/hour Denver Springs Summary of Benefits Link Members of our team Enjoy: Working with a highly engaged staff Healthy...
  • 1 Month Ago

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Lead Utilization Review Specialist
  • Springstone, Inc.
  • Englewood, CO FULL_TIME
  • Overview Fully On-Site Role Utilization Review Salary/Hourly: $25- $33.00/hour Denver Springs Summary of Benefits Link Denver Springs is a 96-bed behavioral hospital located in Englewood, CO. The hosp...
  • 1 Month Ago

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Utilization Review Coordinator
  • Pinnacol Assurance
  • Denver, CO FULL_TIME
  • Pinnacol Assurance does just one thing, and does it better than anyone: provide caring workers’ compensation protection to Colorado employers and employees. And while we may be a little biased, we bel...
  • 27 Days Ago

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Utilization Review Manager
  • Springstone, Inc.
  • Englewood, CO FULL_TIME
  • Overview Fully On-Site Role Utilization Review Manager Salary/Hourly: $65-75,000/yr Denver Springs Summary of Benefits Link Members of our team Enjoy: Working with a highly engaged staff Healthy staff...
  • 1 Month Ago

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Utilization Review Manager
  • Denver Springs
  • Englewood, CO FULL_TIME
  • Overview Fully On-Site Role Utilization Review Manager Salary/Hourly: $65-75,000/yr Denver Springs Summary of Benefits Link Members of our team Enjoy: Working with a highly engaged staff Healthy staff...
  • 1 Month Ago

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0 Utilization Review Technician jobs found in Aurora, CO area

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Controls Technical Specialist I
  • The Judge Group
  • Denver, CO
  • We re a leader in the pet care industry, which means we re not only ahead in volume, profit and market share, but our as...
  • 3/28/2024 12:00:00 AM

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Facilties Technician
  • The Judge Group
  • Aurora, CO
  • Below is Job DescriptionTitle: Facilities Technician Duration: 12+ Months contract on W2Location: Aurora, COYou will be ...
  • 3/28/2024 12:00:00 AM

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Pharmacy technician
  • Medical Recruitment Strategies
  • Aurora, CO
  • Job Description Job Description Title: Pharmacy Technician Duration: 6+ Months with possible extension or hire Location:...
  • 3/28/2024 12:00:00 AM

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Technician
  • First Onsite Property Restoration
  • Denver, CO
  • OF A TECHNICIAN As a Technician, you provide emergency restoration and disaster recovery services to clients. You are ha...
  • 3/27/2024 12:00:00 AM

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Cable Technician
  • Expand Technologies LLC
  • Aurora, CO
  • Job Description Job Description Expand Technologies, LLC is seeking a Cabling Technician with a professional appearance,...
  • 3/27/2024 12:00:00 AM

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IT Technician
  • Initial.IT
  • Denver, CO
  • Job Description Job Description IT consulting company seeks an energetic and motivated IT Technician to join our support...
  • 3/26/2024 12:00:00 AM

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Airframe Structures Engineer - Technical Specialist 2
  • Boom Supersonic
  • Aurora, CO
  • About Boom Supersonic Boom Supersonic is transforming air travel with Overture, the world's fastest airliner - optimized...
  • 3/24/2024 12:00:00 AM

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Radiology Technician
  • CareNow
  • Aurora, CO
  • Description This position is incentive eligible. Hourly Wage Estimate: $28.43 - $41.22 / hour Learn more about the benef...
  • 3/24/2024 12:00:00 AM

Aurora (/əˈroʊrə/, /əˈrɔːrə/) is a Home Rule Municipality in the U.S. state of Colorado, spanning Arapahoe and Adams counties, with the extreme southeastern portion of the city extending into Douglas County. Aurora is one of the principal cities of the Denver-Aurora-Lakewood, CO Metropolitan Statistical Area (Metro Denver). The city's population was 325,078 in the 2010 census, which made it the third most populous city in the state of Colorado and the 54th most populous city in the United States. The Denver-Aurora-Lakewood, CO Metropolitan Statistical Area had an estimated population of 2,645,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$63,747 to $88,949
Aurora, Colorado area prices
were up 0.4% from a year ago

Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020