Utilization Review Technician jobs in Kentucky
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)
Recently Added Utilization Review Technician jobs
Case Management Specialist - Utilization Review
- Utilization Review in Owensboro, KY - Owensboro
-
Owensboro, KY
FULL_TIME
-
Summary
Job Summary
Facilitates cost-effective, quality patient outcomes and transitions by determining the appropriate level of care and providing guidance, education, and support to assigned patients.Job Responsibilities- Assessment of complete chart and knowledge of patient's medical condition, financial status, emotional needs, and support systems.
- Conducts initial and concurrent reviews of clinical documentation for medical necessity and appropriate level of care using approved criteria within specified time frame.
- Provides appropriate clinical information to payers as requested within specified time frame.
- Collaborates with the Attending Physician, Physician Advisor, Director, Manager, or Supervisor of Case Management on patients who are not meeting the regulatory requirements for hospitalization and delays in services and/or discharge.
- Delivers regulatory letters to patients as needed.
- Works in collaboration with the interdisciplinary team to ensure quality support of care and resource information
- May assist patients/families with referrals to community agencies, post-acute providers, and/or provide education and resources.
- Provides education and acts as a resource for physicians, staff, and patients/families regarding case management processes.
- Trains new case managers, students, and interns as needed.
Qualifications- Associate's degree or higher in Nursing required upon hire AND
- Bachelor's degree or higher in Nursing required within 5 years of employment in this position
- No experience required
- RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire
Skills and Attributes- Requires critical thinking skills and decisive judgment.
- Works under minimal supervision.
- Must be able to work in a stressful environment and take appropriate action.
Physical Demands- Standing: Frequently
- Walking: Frequently
- Sitting: Frequently
- Lifting 0-25 lbs: Frequently
- Lifting 25-75 lbs: Rarely
- Lifting over 75 lbs: Rarely
- Carrying 0-25 lbs: Frequently
- Carrying 25-75 lbs: Rarely
- Carrying over 75 lbs: Rarely
- Pushing/Pulling 0-25 lbs: Frequently
- Pushing/Pulling 25-75 lbs: Frequently
- Pushing/Pulling over 75 lbs: Frequently
- Climbing: Occasionally
- Bending/Stooping: Frequently
- Kneeling: Occasionally
- Crouching/Crawling: Occasionally
- Reaching: Frequently
- Talking: Frequently
- Hearing: Frequently
- Repetitive Foot/Leg Movements: Rarely
- Repetitive Hand/Arm Movements: Frequently
- Keyboard Data Entry: Frequently
- Running: Occasionally
- Vision: Depth Perception: Frequently
- Vision: Distinguish Color: Frequently
- Vision: Seeing Far: Frequently
- Vision: Seeing Near: Frequently
Owensboro Health Core Commitments
INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.
RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.
TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.
INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service. - 4 Days Ago
Nurse Review/Utilization Review/UKHC
- University of Kentucky Health System (Uk Health)
-
Lexington, KY
FULL_TIME
- Posting Details Posting Details Job Title Nurse Review/Utilization Review/UKHC Requisition Number RE45708 Working Title Transplant Data Nurse Coordinator Department Name M2420:Transplant Services Work...
- 3 Days Ago
Nurse Review/Utilization Review/UKHC
- University of Kentucky
-
Lexington, KY
FULL_TIME
- Posting Details Job Title Nurse Review/Utilization Review/UKHC Requisition Number RE45708 Working Title Transplant Data Nurse Coordinator Department Name M2420:Transplant Services Work Location Lexing...
- 6 Days Ago
Utilization Review Coordinator, PRN
- UofLHealth
-
Louisville, KY
OTHER
- OverviewWe are Hiring at UofL Health Utilization Review Coordinators!Location: Peace Hospital 2020 Newburg Rd. Louisville, Kentucky 40205 Shift: PRNAbout UsUofL Health Peace Hospital, is a private, ...
- 3 Days Ago
Utilization Review Coordinator, Psych
- UofLHealth
-
Louisville, KY
FULL_TIME
- OverviewPeace is hiring Utilization Review Coordinators! Location:2020 Newburg Rd. Louisville, Kentucky 40205Shift: First Shift, Full TimeResponsibilitiesAbout UsPeace Hospital, part of UofL Health, i...
- 3 Days Ago
Utilization Review Case Coordinator
- UHS
-
LEXINGTON, KY
FULL_TIME
- Responsibilities Utilization Review Case Coordinator Opportunity:Full Time, Day Shift The Case Coordinator is responsible for managing and coordinating the treatment activities offered to the patient,...
- 1 Month Ago
Utilization Review Technician jobs at Popular Companies
Technical/Professional - Technician
- First Tek, Inc.
-
Manassas, VA
- Job Description: Candidates must be local to the Manassas, VA area as position is an onsite position. Work, diagnose and...
- 6/9/2024 12:00:00 AM
Senior Technical Expert, Avionics
- American Honda Motor Co.
-
Greensboro, NC
- Job Purpose You will help shape the future technology of the HondaJet by providing guidance on compliance and FAA regula...
- 6/9/2024 12:00:00 AM
Prototype Motorcycle Technical Specialist
- Technical Professionals Group
-
Stanfield, AZ
- Job Description Job Description CTR is seeking Technical Specialist with experience and knowledge of lab based testing e...
- 6/8/2024 12:00:00 AM
Maintenance Technical Expert
- Edgewater Technical Associates
-
Richland, WA
- Edgewater Technical Associates is seeking qualified candidates for a Maintenance Technical Expert opportunity in Richlan...
- 6/8/2024 12:00:00 AM
Assist. Utilization Mgmt.
- University Medical Center of El Paso
-
El Paso, TX
- Job Summary Provides technical support to the Utilization Management (UM) Department by ensuring that all referrals/auth...
- 6/8/2024 12:00:00 AM
Aerodynamics Technical Expert- Senior
- Modern Technology Solutions, Inc.
-
Jamestown, OH
- Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking an Aerodynamics Technical Expert in Dayton, OH. Why...
- 6/8/2024 12:00:00 AM
Aerodynamics Technical Expert- Senior
- Modern Technology Solutions, Inc.
-
Saint Paris, OH
- Own Your Future. Modern Technology Solutions, Inc. (MTSI) is seeking an Aerodynamics Technical Expert in Dayton, OH. Why...
- 6/8/2024 12:00:00 AM
Technical Expert, Electrical
- ASARCO LLC
-
Marana, AZ
- Technical Expert, Electrical Employee Type: Salary City: Marana State/Territory: US-AZ Positions Open: 1 Site Name: Silv...
- 6/7/2024 12:00:00 AM
About Kentucky
Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States.
Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$59,489 to $83,002
Most Popular Cities in Kentucky for Utilization Review Technician Jobs
What does a Utilization Review Technician do?
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
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
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