Utilization Review Coordinator jobs in Vermont
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 Specialist Per Diem
- Brattleboro Retreat
-
Brattleboro, VT
PER_DIEM
-
Job Summary: Conduct pre-certification and utilization management functions for all behavioral health and substance abuse services offered by the Brattleboro Retreat. Engages in ongoing contact with managed care company representatives to provide initial clinical data for pre-certification and concurrent case review to ensure authorization of all necessary days at the most appropriate level of care. Conducts concurrent chart and retrospective review as requested by the Director of Utilization Management and Contracting. Communicates information to clinical staff, physicians, and fiscal services regarding days/services approved, information required for ongoing review, review schedule, denial of stay, and, coordination of Physician to Physician review, and/or appeals
Qualifications- Working knowledge of level of care criteria.
- Working knowledge of regulatory agencies preferred.
- Working knowledge of insurance and managed care companies preferred.
- Excellent written and verbal communication skills, flexibility, strong team member and ability to establish positive working relationships with a variety of clinical staff.
- Clinical knowledge.
- Bachelor’s degree in related field preferred.
- Two years’ experience working in behavioral health field, hospital setting preferred.
- Experience with computers, data entry; and, Microsoft Office.
- Excellent organizational and time management skills.
- Possesses the ability to work under pressure while maintaining proper composure and a professional demeanor.
- Experience and proficiency with Avatar required.
- Experience with McKesson InterQual preferred.
Per Diem - 10 Days Ago
Account Services Review Specialist
- New England Federal Credit Union
-
South Burlington, VT
FULL_TIME
- Position: Account Services Review Specialist Location: 88 Technology Park Way, South Burlington, VT Hours: Monday-Friday, 8:30am-5:00pm & 9:30am-6:00pm Position description: The Account Review Special...
- 10 Days Ago
RN - Weekend Utilization Management (Fri-Sun 7a-7p)
- Humana
-
UNKNOWN, VT
FULL_TIME
- Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of m...
- 18 Days Ago
RN - Utilization Management Nurse 2 - Remote - Florida Region
- Humana
-
UNKNOWN, VT
FULL_TIME
- Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of m...
- 20 Days Ago
Coordinator
- Mount Prospect Academy
-
Middlebury, VT
FULL_TIME
- Position : Permanency Coordinator Location : Middlebury, VT Job Id : 4 # of Openings : 1 Vermont Support & Stabilization (VTSS) Job Title : Permanency Coordinator Full-time Location : This position co...
- 11 Days Ago
Coordinator
- Acara Solutions
-
Burlington, VT
FULL_TIME
- Acara Solutions is searching for a Activities Coordinator for our hospitality / healthcare client located in Burlington, VT. This is a great opportunity to build a fulfilling career with a non-profit ...
- 20 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 Vermont
Vermont is located in the New England region of the Northeastern United States and comprises 9,614 square miles (24,900 km2), making it the 45th-largest state. It is the only state that does not have any buildings taller than 124 feet (38 m). Land comprises 9,250 square miles (24,000 km2) and water comprises 365 square miles (950 km2), making it the 43rd-largest in land area and the 47th in water area. In total area, it is larger than El Salvador and smaller than Haiti. It is the only landlocked state in New England, and it is also the easternmost and the smallest in area of all landlocked sta...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Coordinator jobs
$79,458 to $98,426
Most Popular Cities in Vermont 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