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Utilization Review Coordinator jobs in North Dakota

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)

Recently Added Utilization Review Coordinator jobs

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Utilization Review Coordinator
  • West River Health Services
  • Hettinger, ND FULL_TIME
  • Description: Under the direct supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management, and quality of care for patients by established guidelines and criteria for designated settings and status. Collection of clinical information necessary to initiate commercial payer authorization. Obtain and maintain appropriate documentation concerning services by reimbursement agency guidelines.

    Education: Appropriate education level required by licensure.

    Experience: Three years of relevant experience with superior communication and interpersonal skills. Minimum one-year healthcare or clinical experience required.

    License Requirements: Licensed Practical Nurse (LPN) license with the State Nursing Board and/or possess multistate licensure privileges, or a Registered Health Information Technician (RHIT) required. Additional coding certifications are also acceptable such as certified coding specialist (CCS), certified coding specialist physician (CCS-P), certified professional coder (CPC), and certified professional coder–hospital (CPC-H).

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  • 4 Days Ago
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QA Utilization Management Review Lead
  • Provider Resources, Inc.
  • Grand Forks, ND FULL_TIME
  • Position Description: QA Utilization Management Review Lead Reporting to the Project Manager/IQIP Manager, the QA Utilization Management Review Lead provides day-to-day supervision of the QA Utilizati...
  • 4 Days Ago
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Paid Product Tester
  • Product Review Jobs
  • Pingree, ND FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 22 Days Ago
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Registered Nurse - Utilization Management
  • US Veterans Health Administration
  • Fargo, ND FULL_TIME
  • Duties The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge o...
  • 18 Days Ago
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Korean Document Review Attorney
  • CGS Federal (Contact Government Services)
  • Yellowstone, ND FULL_TIME
  • Korean Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE & QUALIFICATIONS:Fluency in KoreanFamiliarity with document review workflowsExamples: Privilege/...
  • 5 Days Ago
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English Document Review Attorney
  • CGS Federal (Contact Government Services)
  • Fargo, ND FULL_TIME
  • English Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE & QUALIFICATIONS:Familiarity with document review workflowsExamples: Privilege/Responsiveness R...
  • 7 Days Ago
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Utilization Review Coordinator jobs at Popular Companies

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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
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About North Dakota

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$80,187 to $99,329

Most Popular Cities in North Dakota for Utilization Review Coordinator Jobs

What does an Utilization Review Coordinator do?

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