Utilization Review Coordinator jobs in Alaska
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
Utilization Review RN
- Amtex Systems Inc.
-
Bethel, AK
FULL_TIME
-
Yukon Kuskokwim Health Corporation
Bed Size: 50-149
Location: Bethel, AK 99559
Specialty: Utilization Review RN
Shift Information: Days, Full Time
State License Details: Upon Acceptance
Minimum Years of Experience: 5
Salary:$101,000.00 to $130,000.00
Position Summary
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
The Utilization Review Nurse, reporting to the Revenue Cycle Director, provides the professional assessment and reporting of complex acute clinical datasets to various agencies internally and externally. This individual works with numerous business and clinical units across the corporation to ensure the timely interpretation and processing of business rules. The UR Nurse will report on workload activity, challenges that prevent processing or approval of days, and provides decision support on opportunities for improvement in the entire Utilization Review process. This individual must have excellent communication, time management, and networking skills in working with clinical providers and financial decision makers.
Position Qualifications- Bachelor's Degree in Nursing. Degree requirements may be waived on a year for year basis for a combination of experience and education.
- 5 years nursing experience required.
- 3 years Revenue Cycle experience preferred.
- Registered Nurse. License must be and remain in good standing in the State of Alaska. Continuing education may be supported in the workplace, however it is the responsibility of the incumbent to take all necessary steps to maintain their licensure.
- Must have Certification Professional in Healthcare Management or the ability to acquire within 2 years of employment.
- Generous PTO beginning at 4.5 weeks
- Ten paid holidays
- Comprehensive healthcare coverage
- Life and Disability Insurance
- Flexible Spending Account
- School loan repayment eligibility
- Tort Claims coverage
- Retirement plans
- Employee Wellness Center
- $30,000 Sign On Bonus with a three year agreement*.
- 7 Days Ago
UTILIZATION REVIEW MANAGER
- North Star Behavioral Health
-
Anchorage, AK
FULL_TIME
- Responsibilities: UTILIZATION REVIEW MANAGER OPPORTUNITY North Star Behavioral Health, Alaska's premier mental health facility, is on a mission to provide hope and healing to individuals facing psychi...
- 14 Days Ago
System Director of Utilization Review
- Southeast Alaska Regional Health Consortium
-
Juneau, AK
FULL_TIME
- Pay Range: $47.91 - $61.29 SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our prio...
- 18 Days Ago
Registered Nurse - RN / Utilization Review Exp - UTL-EX
- Cross Country Nurses
-
Kodiak, AK
FULL_TIME
- RN Job Description As 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...
- 3 Days Ago
Registered Nurse - Utilization Review; $30,000 Sign On Bonus*, $15,000 Relocation, Retention Bonus Eligible
- Yukon Kuskokwim Health Corporation
-
Bethel, AK
FULL_TIME
- Registered Nurse - Utilization Review; $30,000 Sign On Bonus*, $15,000 Relocation, Retention Bonus Eligible Department Utilization Management Location Bethel Employment Duration 80 Full time Registere...
- 23 Days Ago
Paid Product Tester
- Product Review Jobs
-
Buckland, AK
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...
- 23 Days Ago
Utilization Review Coordinator jobs at Popular Companies
Continuing Care Utilization Review Coordinator Registered Nurse (Skilled Nursing Experience Highly Preferred)
- Kaiser Permanente
-
Redwood City, CA
- Description: Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilitie...
- 6/11/2024 12:00:00 AM
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
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
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
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
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
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
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
About Alaska
Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$88,206 to $109,262
Most Popular Cities in Alaska 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