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)
Utilization Review Intake Specialist
HealthComp
Remote, United States
Now is the time to join us!
Virgin Pulse and HealthComp are now Personify Health. The industry’s first personalized health platform company combines health, wellbeing, and navigation solutions to deliver powerful outcomes to businesses and their people.
At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters.
Together, we’re shaping a healthier, more engaged future.
In this role you will wear many hats, but your knowledge will be essential in the following :
compile monthly reports; maintain logs and files.
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
What you bring to the Personify Health team :
In order to represent the best of what we have to offer you come to us with a multitude of positive attributes including :
You also take pride in offering the following Core Skills, Competencies, and Characteristics :
No candidate will meet every single desired qualification. If your experience looks a little different from what we’ve identified and you think you can bring value to the role, we’d love to learn more about you!
Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice.
In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges up to $23.
00 per hour. Note that salary may vary based on location, skills, and experience. This position is eligible for health, dental, vision, mental health and other benefits.
Last updated : 2024-06-01