Utilization Review Coordinator jobs in California
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
Utilization Review Coordinator
- Ocean View Adult Psychiatric Hospital
-
Long Beach, CA
FULL_TIME
-
Facility Overview
At Ocean View Psychiatric Health Facility, we are committed to serving as a community resource, providing the highest quality of mental health services. Currently, Ocean View operates as an adult 39-bed voluntary acute in-patient facility, offering private rooms and individualized care through a multi-disciplinary approach focusing on compassionate care and best practices. We also provide Intensive Outpatient and Partial hospitalization services to ensure a continuum of care after acute stabilization. We are currently in the process of expanding our Long Beach facility to 80 beds, offering a locked facility setting for those who meet intensive mental health criteria. Additionally, our expansion plans to other areas are progressing rapidly, and we anticipate that our Colton Location in San Bernadino County, will be operational by Summer of 2024.
Utilization Review Coordinator Position Overview
Pay: $25 - $30 / Hour
Ocean View Utilization Review Coordinator in our psychiatric health facility plays a crucial role and is responsible for evaluating the necessity, appropriateness, and efficiency of the use of medical services, including inpatient psychiatric care. UR Coordinator works closely with healthcare providers, insurance companies, and patients to ensure that treatment plans align with medical necessity criteria and regulatory guidelines. As a member of the Utilization Review Committee, the employee is responsible for reviewing Patient charts and assessing the hospital use of professional care, services, and procedures.
This Includes The Medical Necessity And Appropriateness Of- Patient admission; re-admission
- Level of care
- Utilization of resources
- Continued hospital stays and corresponding documentation
- Discharge and post hospital care referrals
- Quality improvement
- Insurance coordination
- Compliance
- Interdisciplinary Collaboration
- Multiple admissions
Make a difference by providing quality care alongside us at Ocean View!
Minimum Qualifications- 2 years of experience in Utilization Review or related position in a healthcare setting.
- Ability to interact and communicate verbally and in writing with seriously and persistently mentally ill Patients, other staff members, and the public.
- Ability to speak, read, and write legibly in English.
- AA degree or bachelor’s degree
- Bilingual English/Spanish .
- Must speak fluent English. Excellent verbal and written communication as well as strong interpersonal and organizational skills required.
- Medical Records certification preferred.
- Previous JCAHO experience preferred.
Job offer is contingent on successful engagement in our COVID-19 vaccination program (documented proof of being fully vaccinated with 1 booster) , live scan fingerprinting/background check clearance, and license/education verification. - 1 Day Ago
Utilization Review Coordinator (RN)
- Community Health System - CA
-
Fresno, CA
FULL_TIME
- Overview: All positions are located in Fresno/Clovis CA* Up to $25K in bonus incentives (sign-on and relocation) * Opportunities for you! Join a Forbes Top 10 CA Employer! Direct impact on quality pat...
- 2 Days Ago
Utilization Review Coordinator (RN)
- Community Medical Centers of Fresno, CA
-
Fresno, CA
OTHER
- Overview *All positions are located in Fresno/Clovis CA* *Up to $25K in bonus incentives (sign-on and relocation)* Opportunities for you! Join a Forbes Top 10 CA Employer! Direct impact on quality pat...
- 11 Days Ago
Utilization review coordinator
- Bakersfield Behavioral Healthcare Hospital
-
Bakersfield, CA
FULL_TIME
- About Us Bakersfield Behavioral Healthcare Hospital, located in Bakersfield, California, is an acute psychiatric and behavioral 90 bed facility situated on 8.8 acres. We offer inpatient and outpatient...
- 12 Days Ago
Nurse Coordinator of Utilization Review
- Clinical Management Consultants
-
Soledad, CA
FULL_TIME
- A top acute care hospital in central California is seeking an experienced Nurse Coordinator of Utilization Review to join its award-winning health care team. The Coordinator of Utilization Review will...
- 14 Days Ago
Lead Utilization Review Coordinator
- Clinical Management Consultants
-
Tulare, CA
FULL_TIME
- Are you an experienced Registered Nurse looking for the next step up in your nurse leadership career? We have an exciting opportunity to join an award-winning medical center as a Lead Utilization Revi...
- 2 Months Ago
Utilization Review Coordinator jobs at Popular Companies
Utilization Review Coordinator (RN)
- Hiring Now!
-
Fresno, CA
- Overview:*All positions are located in Fresno/Clovis CA* *Up to $25K in bonus incentives (sign-on and relocation)* Oppor...
- 6/1/2024 12:00:00 AM
Utilization Coordinator
- Tenderheart Health Outcomes
-
Austin, TX
- Job Description Job Description For nearly two decades, TenderHeart (formerly known as Longhorn Health Solutions) has be...
- 6/1/2024 12:00:00 AM
Utility Supervisor
- City of Port Orchard Washington
-
Port Orchard, WA
- This position plans, organizes, directs, and manages the Citys water, sanitary sewer, and stormwater utilities; administ...
- 6/1/2024 12:00:00 AM
Utilization Review Coordinator (RN)
- Community Health System - CA
-
Fresno, CA
- Overview: *All positions are located in Fresno/Clovis CA* *Up to $25K in bonus incentives (sign-on and relocation)* Oppo...
- 5/31/2024 12:00:00 AM
Utility Supervisor
- StarPlus Energy
-
Kokomo, IN
- Company Overview: STARPLUS ENERGY LLC is an electrifying joint venture between Samsung and Stellantis. With a focus on i...
- 5/30/2024 12:00:00 AM
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...
- 5/29/2024 12:00:00 AM
Utilization Coordinator
- Tenderheart Health Outcomes
-
Albany, NY
- Job Description Job Description For nearly two decades, TenderHeart (formerly known as Longhorn Health Solutions) has be...
- 5/29/2024 12:00:00 AM
Utilization Review Coordinator (RN)
- Community Health System - CA
-
Fresno, CA
- Overview: *All positions are located in Fresno/Clovis CA* *Up to $25K in bonus incentives (sign-on and relocation)* Oppo...
- 5/21/2024 12:00:00 AM
About California
California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$89,132 to $110,410
Most Popular Cities in California for Utilization Review Coordinator Jobs
What does an Utilization Review Coordinator do?
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