Utilization Review Coordinator jobs in Colorado

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/Management Coordinator (Outpatient) - Behavioral Health Setting (In-Person)
  • Highlands Behavioral Health System
  • Highlands, CO FULL_TIME
  • Responsibilities:

    Highlands Behavioral Health System is an 86 bed, acute care psychiatric hospital located in Littleton, CO. Highlands features individual units for adolescents, adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. www.highlandsbhs.com


    The Utilization Review Coordinator possesses knowledge of psychiatric clinical diagnosis and the ability to articulate those indicators professionally. The UM Coordinator manages medical necessity by evaluating the patient medical records to determine severity of patient’s illness and determining the appropriateness of level of care. Serves as liaison for patients and hospital with insurance companies. Negotiates and advocates for patient length of stay and level of care. Oversees utilization review activities with other departments to ensure reimbursement for services provided by the hospital. The UM Coordinator leads physician daily treatment team meetings, manages authorizations and reviews for outpatient programming and at time of admission is responsible for obtaining the precertification. The UM coordinator must be able to work with the business office and admissions departments to complete preliminary verification of benefits. The UM Coordinator has a working knowledge of all levels of care offered and appropriately manages patient benefits.


    Total Rewards for our Utilization Review Coordinator's are:

    • Challenging and rewarding work environment
    • Career development opportunities within UHS and its Subsidiaries
    • Competitive Compensation
    • Excellent Medical, Dental, Vision and Prescription Drug Plan
    • 401(K) with company match and discounted stock plan
    • Generous Paid Time Off
    • Free Basic Life Insurance
    • Tuition Reimbursement
    Shift Hours: Part-Time - Monday - Friday (flexible hours)


    If you need assistance or would like to reach someone in the Human Resources department at Highlands please email:

    HIGHLANDSBHSHumanResourceContact@uhsinc.com.

    Screening of applications begins immediately and continues until the position is filled.
    Qualifications:

    Education: Masters prepared healthcare professional (Counseling, Psychology, or Social Work) required or RN with direct experience.

    Experience: A minimum of 3-5 years direct psychiatric patient care experience.

    Licensure: Valid RN license, LCSW, or LPC preferred.

    Knowledge: Must possess knowledge of psychiatric care, utilization review, insurance reimbursement procedures, DSM-V, etc. Advanced computer skills necessary. Strong analytical, organizational, verbal and written skills required.

    About Universal Health Services

    One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com


    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.


    We believe that diversity and inclusion among our teammates is critical to our success.


    Notice

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.


    Salary: Starting from $30.00 to $46.84 an hour
  • 2 Months Ago

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Utilization Review Nurse
  • Mind Springs Health & West Springs Hospital
  • Grand Junction, CO FULL_TIME
  • Remote Work:This position is eligible to work remotely as approved by managementPosition QualificationsGraduate from an accredited school of Nursing and licensed as a Registered Nurse in the State of ...
  • 10 Days Ago

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Utilization Review Specialist
  • Springstone, Inc.
  • Englewood, CO FULL_TIME
  • Overview Fully On-Site Role Utilization Review Specialist Salary/Hourly: $23- $31.00/hour Denver Springs Summary of Benefits Link Members of our team Enjoy: Working with a highly engaged staff Healthy...
  • 11 Days Ago

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Utilization Review Specialist
  • Denver Springs
  • Englewood, CO FULL_TIME
  • Overview Fully On-Site Role Utilization Review Specialist Salary/Hourly: $23- $31.00/hour Denver Springs Summary of Benefits Link Members of our team Enjoy: Working with a highly engaged staff Healthy...
  • 11 Days Ago

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Utilization Review Nurse
  • COLORADO WEST INC
  • Grand Junction, CO OTHER
  • Job Details Job Location: Psych Hospital - Grand Junction, CO Position Type: Full Time Salary Range: $81,120.00 Salary DescriptionRemote Work: This position is eligible to work remotely as approved by...
  • 2 Months Ago

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Registered Nurse / Utilization Review Exp
  • Cross Country Healthcare
  • Grand Junction, CO FULL_TIME
  • Job DescriptionAs a registered nurse (RN), you will provide care for patients dealing with illness or injury. Depending on your role, you'll work at a hospital, outpatient center, private practice, ho...
  • 6 Days Ago

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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

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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

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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

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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...
  • 5/31/2024 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...
  • 5/30/2024 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...
  • 5/29/2024 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...
  • 5/29/2024 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...
  • 5/21/2024 12:00:00 AM

Colorado (/ˌkɒləˈrædoʊ, -ˈrɑːdoʊ/ (listen), other variants) is a state of the Western United States encompassing most of the southern Rocky Mountains as well as the northeastern portion of the Colorado Plateau and the western edge of the Great Plains. It is the 8th most extensive and 21st most populous U.S. state. The estimated population of Colorado was 5,695,564 on July 1, 2018, an increase of 13.25% since the 2010 United States Census. The state was named for the Colorado River, which early Spanish explorers named the Río Colorado for the ruddy silt the river carried from the mountains. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$82,425 to $102,102

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