Utilization Review Coordinator jobs in New York

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 COORDINATOR
  • Columbia Memorial Health
  • Hudson, NY FULL_TIME
  • UTILIZATION REVIEW COORDINATOR – 10726

    Posted on: May 3, 2024

    Department: PSYCH SERVICES

    Division: NURSING

    Full-time / Part-time: PT

    Shift: DAYS


    Primarily responsible for the utilization and review of patients on psychiatry.
    This position will cross train with all aspects of inpatient works and will be
    able to step in to a Social Work Caseload.

    Education:
    RN or Masters Degree in Social Work or related Masters Degree

    License/Certifications:
    RN(Registered Nurse), LMSW/LCSW (Licensed Master Social Worker), LMFT (Licensed
    Marriage & Family Therapist) or Licensed Mental Health Counselor (LMHC). A
    license eligible individual with applicable experience can be considered.

    Experience:
    Post graduate experience is preferred. Appropriate experience and or
    internships may be considered.

    Salary Range: $16.50 – $34.28

    Columbia Memorial Health is an Equal Opportunity/Affirmative Action Employer.

  • 1 Month Ago

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Nurse Manager Utilization Review
  • Clinical Management Consultants
  • Newburgh, NY FULL_TIME
  • A leading acute care hospital located in southeastern New York is now searching for an experienced Nurse Manager Utilization Review to join their award-winning healthcare team.This acute care facility...
  • 3 Days Ago

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Utilization Review Nurse
  • VillageCare
  • New York, NY FULL_TIME
  • RN- Utilization Review Nurse LTSS/DME*Full Time 100% Remote Opportunity*COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE!ResponsibilitiesVillageCare is looking for a self-motivated ...
  • 4 Days Ago

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Case Manager/Utilization Review
  • Midas Consulting
  • White Plains, NY CONTRACTOR
  • Understands and adheres to the WPH Performance Standards, Policies and Behaviors Completes a comprehensive initial assessment. Performs all activities for multidisciplinary care coordination at the in...
  • 7 Days Ago

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Utilization Review Nurse
  • Hamaspik Choice
  • Spring, NY FULL_TIME
  • The UM Nurse manages providers, members, or care manager generated requests for medical services and renders clinical determinations in accordance with Hamaspik Choice policies as well as applicable s...
  • 8 Days Ago

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Nurse Manager Utilization Review
  • Clinical Management Consultants
  • Suffern, NY FULL_TIME
  • A leading acute care hospital located in southeastern New York is now searching for an experienced Nurse Manager Utilization Review to join their award-winning healthcare team. This acute care facilit...
  • Just Posted

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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 Coordinator
  • Tenderheart Health Outcomes
  • Albany, NY
  • Job Description Job Description For nearly two decades, TenderHeart (formerly known as Longhorn Health Solutions) has be...
  • 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

New York is a state in the Northeastern United States. New York was one of the original thirteen colonies that formed the United States. New York covers 54,555 square miles (141,300 km2) and ranks as the 27th largest state by size.[3] The highest elevation in New York is Mount Marcy in the Adirondacks, at 5,344 feet (1,629 meters) above sea level; while the state's lowest point is at sea level, on the Atlantic Ocean. In contrast with New York City's urban landscape, the vast majority of the state's geographic area is dominated by meadows, forests, rivers, farms, mountains, and lakes. Most of...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$86,343 to $106,954

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