Utilization Review Coordinator jobs in Idaho

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)

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Utilization Review RN
  • Syringa General Hospital
  • Grangeville, ID PART_TIME
  • Utilization Review RN

    Syringa Hospital & Clinics is accepting applications for a Part Time Utilization Review RN. The UR nurse is responsible for analyzing hospital inpatient records and applies admission, treatment, and length of stay criteria in conformance with government and insurance company reimbursement policies. Monitors private and government insurance standards pertaining to admission, treatment, and length of stay of patients. Compares inpatient medical records to established criteria, conferring with medical, nursing and ancillary staff to evaluate treatment and length of stay. This position requires a degree in nursing and clinical care experience. Applications are available by clicking the button above or email dcervantes@syringahospital.org to request an emailed application or to request a full job description.


  • 2 Days Ago

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Case Manager / Utilization Review
  • MOUNTAIN VIEW HOSPITAL LLC
  • Idaho Falls, ID OTHER
  • Job Details Level: Experienced Job Location: Hospital Main Campus - Idaho Falls, ID Position Type: Full Time Education Level: Licensed Practical Nurse Salary Range: Undisclosed Job Category: Health Ca...
  • 5 Days Ago

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Utilization Review Nurse
  • MOUNTAIN VIEW HOSPITAL LLC
  • Idaho Falls, ID OTHER
  • Job Details Level: Experienced Job Location: Hospital Main Campus - Idaho Falls, ID Position Type: Full Time Education Level: Licensed Practical Nurse Salary Range: Undisclosed Job Category: Health Ca...
  • 20 Days Ago

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Utilization Review RN
  • Teton Valley Hospital
  • Driggs, ID OTHER
  • The Utilization Review Registered Nurse will monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services and monitor the appropriateness ...
  • 25 Days Ago

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Medicaid Utilization Review Analyst - DMS
  • State of Idaho
  • Boise, ID FULL_TIME
  • Description DEDICATED TO STRENGTHENING THE HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS ***THIS ANNOUNCEMENT WILL BE OPEN UNTIL FILLED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE TO BE CON...
  • 14 Days Ago

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Case Management- Utilization Review/CDI-(FT)
  • Madison Memorial Hospital
  • Rexburg, ID FULL_TIME
  • The Clinical Documentation Specialist/Utilization Review RN is responsible for the evaluation of physician documentation utilizing their clinical expertise to support excellence in documentation and e...
  • 20 Days Ago

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Continuing Care Utilization Review Coordinator Registered Nurse (Skilled Nursing Experience Highly Preferred)
  • Kaiser Permanente
  • Redwood City, CA
  • Description: Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilitie...
  • 6/11/2024 12:00:00 AM

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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...
  • 6/10/2024 12:00:00 AM

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Utilization Review Coordinator RN
  • MyMichigan Health
  • Midland, MI
  • Summary: This position plays a pivotal role in maintaining the fiscal health of the organization by ensuring the organiz...
  • 6/9/2024 12:00:00 AM

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HHS Utilization Review Coordinator - Behavioral Health
  • Napa County, CA
  • Napa, CA
  • Salary : $126,568.00 - $151,486.40 Annually Location : Napa, CA Job Type: Full Time Job Number: 2062-2023-11-02 Departme...
  • 6/9/2024 12:00:00 AM

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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...
  • 6/9/2024 12:00:00 AM

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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...
  • 6/8/2024 12:00:00 AM

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Utilization Review Coordinator
  • COLLABORATIVE NEUROSCIENCE NETWORK LLC
  • Long Beach, CA
  • Job Description Job Description Facility Overview At Ocean View Psychiatric Health Facility, we are committed to serving...
  • 6/8/2024 12:00:00 AM

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Utilization Review Coordinator
  • TheraMatrix
  • Pontiac, MI
  • Job Description Job Description Duties and Responsibilities: Initial authorizations of outpatient physical therapy servi...
  • 6/7/2024 12:00:00 AM

Idaho (/ˈaɪdəhoʊ/ (listen)) is a state in the northwestern region of the United States. It borders the state of Montana to the east and northeast, Wyoming to the east, Nevada and Utah to the south, and Washington and Oregon to the west. To the north, it shares a small portion of the Canadian border with the province of British Columbia. With a population of approximately 1.7 million and an area of 83,569 square miles (216,440 km2), Idaho is the 14th largest, the 12th least populous and the 7th least densely populated of the 50 U.S. states. The state's capital and largest city is Boise. Idaho p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$75,571 to $93,610

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