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)
Bradford Health Services, a leader in the substance abuse addiction and recovery industry is looking for a Utilization Review Specialist for its Tuscaloosa, AL location.
As the UR Specialist, you will work with medical professionals, payors, and healthcare providers to ensure each patient has access to the appropriate level of care and length of stay to provide them the best chance at recovery.
The preferred candidate will hold a Bachelor's degree or current ALC, LPC, LMFT, LMSW or LCSW license. Two years of experience in utilization review and the ability to comprehend medical information and policy is preferred.
Along with excellent verbal and written communication skills, each candidate should possess strong computer skills to accurately document patient health information and supporting treatment notes.
General responsibilities include :
We provide :
Last updated : 2024-06-11